title: Health literacy self-management by patients with type 2 diabetes and stage 3 chronic kidney disease.
abstract: This is a qualitative study report from a parent study that used a concurrent mixed methods design whose aim was to describe the transition and self-management experiences of patients diagnosed with type 2 diabetes mellitus (T2DM) and stage 3 chronic kidney disease (CKD). Six adult men and women recruited from outpatient clinics completed two focus group interviews. Discerned in the ethnographic analysis of interviews and field notes using ATLAS/ti was a pattern of Health Literacy Self-Management with two major threads: (a) transition experience to self-advocacy characterized as seeking useful resources and difficulties in resource use and (b) partnering with the health care provider (HCP) characterized as helpful messaging and messaging confusion. Self-management support includes a shared responsibility and developmental process by the patient and the HCP to achieve quality care. Description of behavioral factors and self-management processes provides a foundation for future study.
authors.affiliation: University of Colorado Denver, USA. Teresa.Sakraida@ucdenver.edu
authors.forename: Teresa J
authors.initials: TJ
authors.lastname: Sakraida
authors.forename: Marylou V
authors.initials: MV
authors.lastname: Robinson
mesh_terms: D003924:Diabetes Mellitus, Type 2 / Q000150:complications / Q000628:therapy*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications / Q000628:therapy*; D010353:Patient Education as Topic; D012648:Self Care