title: Health care professionals meeting with individuals with Type 2 diabetes and obesity: Balancing coaching and caution.
abstract: The burden of diabetes and obesity is increasing worldwide, indicating a need to find the best standard for diabetes care. The aim of this study was to generate a theory grounded in empirical data derived from a deeper understanding of health care professionals' main concerns when they consult with individuals with diabetes and obesity and how they handle these concerns. Tape-recorded interviews were conducted with seven groups and three individual members of a diabetes team in an area of western Sweden. The grounded theory (GT) method was used to analyse the transcribed interviews. A core category, labelled Balancing coaching and caution and three categories (Coaching and supporting, Ambivalence and uncertainty, and Adjusting intentions) emerged. The core category and the three categories formed a substantive theory that explained and illuminated how health care professionals manage their main concern; their ambition to give professional individualised care; and find the right strategy for each individual with diabetes and obesity. The theory generated by this study can improve our understanding of how a lack of workable strategies limits caregivers' abilities to reach their goals. It also helps identify the factors that contribute to the complexity of meetings between caregivers and individuals with diabetes.
authors.affiliation: Sahlgrenska School of Public Health and Community Medicine, University of Gothenburg, Gothenburg, Sweden.
authors.forename: Irene
authors.initials: I
authors.lastname: Svenningsson
authors.forename: Lillemor R-M
authors.initials: LR
authors.lastname: Hallberg
authors.forename: Birgitta
authors.initials: B
authors.lastname: Gedda