IDEAS home Printed from https://ideas.repec.org/a/wly/jocnur/v27y2018i19-20p3666-3678.html
   My bibliography  Save this article

Challenges in everyday life among recently diagnosed and more experienced adults with type 2 diabetes: A multistage focus group study

Author

Listed:
  • Cecilia Gardsten
  • Kerstin Blomqvist
  • Mikael Rask
  • Åse Larsson
  • Agneta Lindberg
  • Gith Olsson

Abstract

Aims and objectives To identify perceived challenges related to self‐management among recently diagnosed adults and those with longer experience of type 2 diabetes as a foundation for the future development of a person‐centred information and communication technology service. Background Learning self‐management of type 2 diabetes includes mastering the skills required to complete complex emotional and physical tasks. A service developed with the participation of stakeholders may be an alternative way to meet rising needs for self‐management. Design Qualitative descriptive design influenced by a participatory approach. Methods Multistage focus group interviews among one group of recently diagnosed (≤3 years, n = 4) adults and one group with longer experience (≥5 years, n = 7) of type 2 diabetes. Results Challenges in self‐management in everyday life with type 2 diabetes were identified: understanding; developing skills and abilities; and mobilising personal strengths. Both groups described challenges in understanding the causes of fluctuating blood glucose and in developing and mobilising skills for choosing healthful food and eating regularly. The recently diagnosed group was more challenged by learning to accept the diagnosis and becoming motivated to change habits while the experienced group was mainly challenged by issues about complications and medications. Conclusion Adults with diabetes have different needs for support during different phases of the disease. From a person‐centred perspective, it would be desirable to meet individual needs for self‐management on peoples’ own terms through a technological service that could reach and connect to a large number of people. Relevance to clinical practice Diabetes nurses need to address the knowledge needs of patients with diabetes and support them in developing self‐management skills. Consistent with person‐centred care, practitioners should also encourage patients’ abilities to mobilise their own personal strengths to maintain self‐management.

Suggested Citation

  • Cecilia Gardsten & Kerstin Blomqvist & Mikael Rask & Åse Larsson & Agneta Lindberg & Gith Olsson, 2018. "Challenges in everyday life among recently diagnosed and more experienced adults with type 2 diabetes: A multistage focus group study," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(19-20), pages 3666-3678, October.
    • Handle: RePEc:wly:jocnur:v:27:y:2018:i:19-20:p:3666-3678
    DOI: 10.1111/jocn.14330
    as

    Download full text from publisher

    File URL: https://doi.org/10.1111/jocn.14330
    Download Restriction: no
    File URL: https://libkey.io/10.1111/jocn.14330?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Anders Anell, 2005. "Swedish healthcare under pressure," Health Economics, John Wiley & Sons, Ltd., vol. 14(S1), pages 237-254, September.
    2. Mary Carolan & Jessica Holman & Michelle Ferrari, 2015. "Experiences of diabetes self‐management: a focus group study among Australians with type 2 diabetes," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(7-8), pages 1011-1023, April.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Eileen Boyle & Rosemary Saunders & Vicki Drury, 2016. "A qualitative study of patient experiences of Type 2 Diabetes care delivered comparatively by General Practice Nurses and Medical Practitioners," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(13-14), pages 1977-1986, July.
    2. Hjelmgren, Jonas & Anell, Anders, 2007. "Population preferences and choice of primary care models: A discrete choice experiment in Sweden," Health Policy, Elsevier, vol. 83(2-3), pages 314-322, October.
    3. Stefan Meyer, 2015. "Payment schemes and cost efficiency: evidence from Swiss public hospitals," International Journal of Health Economics and Management, Springer, vol. 15(1), pages 73-97, March.
    4. Laura K. Bech & Camilla Borch Jacobsen & Anne Sophie Mathiesen & Thordis Thomsen, 2019. "Preferring to manage by myself: A qualitative study of the perspectives of hardly reached people with type 2 diabetes on social support for diabetes management," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(9-10), pages 1889-1898, May.
    5. Kristian Bolin & Anna Lindgren & Björn Lindgren & Petter Lundborg, 2009. "Utilisation of physician services in the 50+ population: the relative importance of individual versus institutional factors in 10 European countries," International Journal of Health Economics and Management, Springer, vol. 9(1), pages 83-112, March.
    6. Ulf-G Gerdtham & Philip Clarke & Alison Hayes & Soffia Gudbjornsdottir, 2009. "Estimating the Cost of Diabetes Mellitus-Related Events from Inpatient Admissions in Sweden Using Administrative Hospitalization Data," PharmacoEconomics, Springer, vol. 27(1), pages 81-90, January.
    7. Samantha Smith, 2010. "The Irish ‘health basket’: a basket case?," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 11(3), pages 343-350, June.
    8. Joan Costa-i-Font & Valentina Zigante, 2014. "The Choice Agenda' in European Health Systems: The Role of 'Middle Class Demands," LEQS – LSE 'Europe in Question' Discussion Paper Series 82, European Institute, LSE.
    9. Joan Costa-Font & Valentina Zigante, 2016. "The choice agenda in European health systems: the role of middle-class demands," Public Money & Management, Taylor & Francis Journals, vol. 36(6), pages 409-416, September.
    10. Wettermark, Björn & Godman, Brian & Neovius, Martin & Hedberg, Niklas & Mellgren, Tor-Olov & Kahan, Thomas, 2010. "Initial effects of a reimbursement restriction to improve the cost-effectiveness of antihypertensive treatment," Health Policy, Elsevier, vol. 94(3), pages 221-229, March.
    11. Toth, Federico, 2010. "Healthcare policies over the last 20 years: Reforms and counter-reforms," Health Policy, Elsevier, vol. 95(1), pages 82-89, April.
    12. d'Andria, Diego, 2008. "The Debate on the Sustainability of Social Spending," MPRA Paper 11745, University Library of Munich, Germany.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:jocnur:v:27:y:2018:i:19-20:p:3666-3678. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://doi.org/10.1111/(ISSN)1365-2702 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.