A Qualitative Exploration of Motivation to Self-Manage and Styles of Self-Management amongst People Living with Type 2 Diabetes
The study examined the motives that people living with type 2 diabetes (T2D) had for self-managing their condition and ways they used to assess the success of their self-management efforts. Using semistruc...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2015-01-01
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| Series: | Journal of Diabetes Research |
| Online Access: | http://dx.doi.org/10.1155/2015/638205 |
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| author | Paul Newton Koula Asimakopoulou Sasha Scambler |
| author_facet | Paul Newton Koula Asimakopoulou Sasha Scambler |
| author_sort | Paul Newton |
| collection | DOAJ |
| description | The study examined
the motives that people living with type 2
diabetes (T2D) had for self-managing their
condition and ways they used to assess the
success of their self-management efforts. Using
semistructured interviews
(N=25),
focus groups (3
× N=12
participants), and open-ended questionnaires
(N=6),
people living with and self-managing T2D were
recruited from a community-based T2D
participation group. Most participants were
older (aged 60+) and lived in a
socioeconomically deprived area in the United
Kingdom. Data were analysed thematically using
framework analysis. Patients’ motives for
self-management included (i) concern about the
anticipative effects of T2D; (ii) wishing to
“stay well”; (iii) maintaining
independence; (iv) reducing the need for
healthcare professionals; and (v) improving
quality of life. Six self-management styles were
found and pertained to self-managing: (i)
through routinisation; (ii) as a burden; (iii)
as maintenance; (iv) through delegation; (v)
through comanagement; and (vi) through
autonomy. Motivators for self-management shaped
the criteria people used to judge the success of
their self-management practices and influenced
their self-management style. The findings show
that styles of T2D self-management are mediated
and moderated by sociocontextual issues.
Healthcare professionals should take these into
account when supporting people living with
T2D. |
| format | Article |
| id | doaj-art-d8b4bf8e602d4959981a0655f5524020 |
| institution | Kabale University |
| issn | 2314-6745 2314-6753 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Diabetes Research |
| spelling | doaj-art-d8b4bf8e602d4959981a0655f55240202025-02-03T01:22:21ZengWileyJournal of Diabetes Research2314-67452314-67532015-01-01201510.1155/2015/638205638205A Qualitative Exploration of Motivation to Self-Manage and Styles of Self-Management amongst People Living with Type 2 DiabetesPaul Newton0Koula Asimakopoulou1Sasha Scambler2Centre for Positive Ageing, Faculty of Education and Health, University of Greenwich, London SE9 2UG, UKKing’s College London, Division of Population and Patient Health, Social and Behavioural Sciences Group, Dental Institute, Guy’s Hospital, Floor 18 Guy’s Tower, Great Maze Pond, London SE1 9RW, UKKing’s College London, Division of Population and Patient Health, Social and Behavioural Sciences Group, Dental Institute, Guy’s Hospital, Floor 18 Guy’s Tower, Great Maze Pond, London SE1 9RW, UKThe study examined the motives that people living with type 2 diabetes (T2D) had for self-managing their condition and ways they used to assess the success of their self-management efforts. Using semistructured interviews (N=25), focus groups (3 × N=12 participants), and open-ended questionnaires (N=6), people living with and self-managing T2D were recruited from a community-based T2D participation group. Most participants were older (aged 60+) and lived in a socioeconomically deprived area in the United Kingdom. Data were analysed thematically using framework analysis. Patients’ motives for self-management included (i) concern about the anticipative effects of T2D; (ii) wishing to “stay well”; (iii) maintaining independence; (iv) reducing the need for healthcare professionals; and (v) improving quality of life. Six self-management styles were found and pertained to self-managing: (i) through routinisation; (ii) as a burden; (iii) as maintenance; (iv) through delegation; (v) through comanagement; and (vi) through autonomy. Motivators for self-management shaped the criteria people used to judge the success of their self-management practices and influenced their self-management style. The findings show that styles of T2D self-management are mediated and moderated by sociocontextual issues. Healthcare professionals should take these into account when supporting people living with T2D.http://dx.doi.org/10.1155/2015/638205 |
| spellingShingle | Paul Newton Koula Asimakopoulou Sasha Scambler A Qualitative Exploration of Motivation to Self-Manage and Styles of Self-Management amongst People Living with Type 2 Diabetes Journal of Diabetes Research |
| title | A Qualitative Exploration of Motivation to Self-Manage and Styles of Self-Management amongst People Living with Type 2 Diabetes |
| title_full | A Qualitative Exploration of Motivation to Self-Manage and Styles of Self-Management amongst People Living with Type 2 Diabetes |
| title_fullStr | A Qualitative Exploration of Motivation to Self-Manage and Styles of Self-Management amongst People Living with Type 2 Diabetes |
| title_full_unstemmed | A Qualitative Exploration of Motivation to Self-Manage and Styles of Self-Management amongst People Living with Type 2 Diabetes |
| title_short | A Qualitative Exploration of Motivation to Self-Manage and Styles of Self-Management amongst People Living with Type 2 Diabetes |
| title_sort | qualitative exploration of motivation to self manage and styles of self management amongst people living with type 2 diabetes |
| url | http://dx.doi.org/10.1155/2015/638205 |
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