title: The influence of daily routines on engaging in diabetes self-management.
abstract: OBJECTIVE
  In contrast to previous research concerning the importance of routines in occupational engagement, most of which have largely focused on the routines of children and families, in this study a qualitative methodology was used to understand how routines function in a specific occupation: diabetes self-management (DSM).
  
  
  METHODS
  Ten low-income women participated in a multiple-methods study that involved completing a time-geographic diary (TGD) and participating in a TGD interview.
  
  
  RESULTS
  Findings reveal that pre-existing routines must be changed so that they may better support engagement in DSM, and that such changes are tied to underlying habits and life situations. The experiences of study participants also showed that the distribution of daily occupations through time and across social spheres can be both supportive of and problematic for engaging in DSM. In addition, the structure and sequence of competing daily occupations influences the available time and opportunities for people to further develop their skills and become more adept self-managers.
  
  
  CONCLUSIONS
  The implications of these findings for occupational science and therapy are discussed.
authors: Division of Occupational Science, University of North Carolina at Chapel Hill , Chapel Hill, NC , USA.
authors: Heather
authors: H
authors: Fritz
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D001521:Behavior Therapy; D003924:Diabetes Mellitus, Type 2 / Q000628:therapy*; D005260:Female; D015438:Health Behavior; D006801:Humans; D008875:Middle Aged; D009788:Occupational Therapy; D011203:Poverty; D036301:Qualitative Research; D012648:Self Care; D012944:Social Support