title: A Qualitative Exploration of Motivation to Self-Manage and Styles of Self-Management amongst People Living with Type 2 Diabetes.
abstract: 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.
authors.affiliation: Centre for Positive Ageing, Faculty of Education and Health, University of Greenwich, London SE9 2UG, UK.
authors.forename: Paul
authors.initials: P
authors.lastname: Newton
authors.affiliation: King'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, UK.
authors.forename: Koula
authors.initials: K
authors.lastname: Asimakopoulou
authors.affiliation: King'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, UK.
authors.forename: Sasha
authors.initials: S
authors.lastname: Scambler
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003924:Diabetes Mellitus, Type 2 / Q000523:psychology / Q000628:therapy*; D005260:Female; D017144:Focus Groups; D006801:Humans; D008019:Life Style; D008297:Male; D008875:Middle Aged; D009042:Motivation; D036301:Qualitative Research; D011788:Quality of Life / Q000523:psychology*; D012648:Self Care / Q000523:psychology*; D011795:Surveys and Questionnaires