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Patient engagement with a diabetes self-management intervention

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Lindenmeyer, Antje, Whitlock, Sandra, Sturt, Jackie and Griffiths, Frances. (2010) Patient engagement with a diabetes self-management intervention. Chronic Illness, Vol.6 (No.4). pp. 306-316. ISSN 1742-3953

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Official URL: http://dx.doi.org/10.1177/1742395310382798

Abstract

Objectives: To explore how people living with type 2 diabetes self-manage their condition in everyday life and the impact of the Diabetes Manual programme, a one-to-one structured educational intervention aiming to increase skills and confidence for self-management. Method: Semi-structured interviews with 12 participants on the Diabetes Manual trial, sampled purposively according to baseline self-efficacy and educational attainment. Results: When describing their experience of living with diabetes, there was little difference between intervention and control participants, although those who had received the programme talked more about the use of blood glucose self-assessment. Programme users were grouped into three categories, Programme Engagers (n = 2), Programme Browsers (n = 4) and Information Seekers (n = 6). Of the two participants engaging with the programme, one described a very positive experience, the other felt unsupported by their practice. None noticed a difference in the approach used by their health professional. Participants’ approach to the Diabetes Manual programme suggests they will continue to use it as a resource in the future. Conclusion: Participants used the Diabetes Manual programme in different ways, choosing the timing and depth of engagement. Their experience suggests that the programme requires close communication and openness towards collaborative approaches to improve skills and confidence for self-management.

Item Type: Journal Article
Subjects: R Medicine > RC Internal medicine
Divisions: Faculty of Medicine > Warwick Medical School > Education Development and Research
Faculty of Medicine > Warwick Medical School > Health Sciences
Faculty of Medicine > Warwick Medical School > Metabolic and Vascular Health
Faculty of Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Non-insulin-dependent diabetes, Health education
Journal or Publication Title: Chronic Illness
Publisher: Sage Publications Ltd.
ISSN: 1742-3953
Date: December 2010
Volume: Vol.6
Number: No.4
Page Range: pp. 306-316
Identification Number: 10.1177/1742395310382798
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access
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URI: http://wrap.warwick.ac.uk/id/eprint/3737

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