A Qualitative Study of Problem Solving and Diabetes Control in Type 2 Diabetes Self-Management

Hill-Briggs, Felicia; Cooper, Denise C.; Loman, Kimberly; Brancati, Frederick L.; Cooper, Lisa A.

doi:10.1177/014572170302900612

Cited by 46 publications

(50 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Despite the identification of many factors, 430497Q HRXXX10.1177/10497323114304 97Audulv et alQualitative Health Research 1 Mid Sweden University, Sundsvall, Sweden the underlying mechanisms by which these factors influence self-management have not been well explored. For example, Hill-Briggs, Cooper, Loman, Brancati, and Cooper (2003) found that people experienced problems integrating diabetes self-management into their lives. The participants in their study found it difficult to maintain a healthy diet or integrate medication into their daily schedule.…”

Section: Introductionmentioning

confidence: 99%

The Integration of Chronic Illness Self-Management

2011

View full text Add to dashboard Cite

Self-management is crucial for people living with chronic diseases, but the actual process of integrating self-management has not been explored in depth. In this article, we investigate the integration of self-management into the lives of people with chronic illness. In this longitudinal study, we used an interpretive description approach. Twenty-one individuals were interviewed regularly during the first 3 years after they were diagnosed with a chronic condition. We found self-management integration to be an ongoing process that included four phases: seeking effective self-management strategies, considering costs and benefits, creating routines and plans of action, and negotiating self-management that fits one's life. The participants managed the phases according to their context, e.g., illness experience, life situation, personal beliefs, and social support. Health care providers should therefore facilitate self-management integration by providing support that is adjusted to the person's phase of self-management integration and life context.

show abstract

Section: Introductionmentioning

confidence: 99%

The Integration of Chronic Illness Self-Management

2011

View full text Add to dashboard Cite

show abstract

“…The few recorded comments of these family members were excluded from analyses. Table I shows that the community sample was fairly heterogeneous in terms of their sex and marital status, although many participants possessed higher composite co-morbidity and diabetes severity levels than other published samples, [9,17] were obese, and received over 12 prescribed medications. The majority of participants were also retired and/or had lower than national average income levels and received healthcare services under Medicare or Medicaid insurance coverage.…”

Section: Resultsmentioning

confidence: 99%

“…[3][4][5]8,9,16,25] The contributing factors leading to this type of patient perception requires further investigation to inform the design of more feasible SDM diabetes management interventions for many settings.…”

Section: Discussionmentioning

confidence: 99%

“…[5][6][7] Successful diabetes self-management requires that most adults maintain a daily regimen of behaviors between office visits to improve their related quality of life and health outcomes. [8][9][10][11][12] Expert patient-type interventions have been introduced in many nations to capitalize on patients' developed self-management knowledge and practices for the improved delivery of office-based diabetes management care. [13,14] A shared decision-making (SDM) approach to office-based diabetes care encourages active participation of the patient with clinicians when treatment, screening, and management decisions are made.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Contemporary Adult Diabetes Mellitus Management Perceptions

Corser

Lein

Holmes‐Rovner

et al. 2010

The Patient: Patient-Centered Outcomes Research

View full text Add to dashboard Cite

Background: Over 180 million people have been diagnosed with diabetes mellitus worldwide, with this number expected to more than double by 2030. Due to the increasing mortality and morbidity associated with this epidemic, the improved primary-care management of diabetes during routine office visits remains an emerging international challenge. Objective: To report the results of a series of exploratory semi-structured group interview sessions with a sample of 44 American adults with type 2 diabetes, concerning their diabetes management perceptions and office-based diabetes care processes. Methods: A total of 44 adults from a Midwest Internal Medicine Clinic were interviewed during 2004 and 2005 before starting a larger, quantitative, shared decision-making intervention study. During group interviews, participants offered their perceptions of their self-management practices, interactions with office clinicians, and diabetes-related health outcomes to date. A total of 178 audio-taped interview comments (across 44 participants) were transcribed and analyzed for core themes and sub-themes. Results: Many participants reported frustrating experiences regarding the relationship between their personal diabetes self-management practices and typical office visit interactions with clinicians. Most participants perceived these diabetes management processes as inherently different from each other. Many participants were intrigued with the proposed shared decision-making management approach of the larger intervention study. Conclusions: Primary-care clinicians should assess how patients may perceive their self-management strategies relate to office-based diabetes care processes. Patients' self-management beliefs and practices should be routinely evaluated since they frequently affect the nature of key diabetes care office visit decisions. These qualitative results suggest that clinicians should convey the increasing interdependence between their patients' daily diabetes self-management practices and contemporary office visit decision-making discussions.

show abstract

“…At the individual level, external locus of control, delayed intellectual and emotional development, impulsive and avoidant coping styles, and number of life events have been associated with poorer metabolic control [8][9][10].…”

Section: Introductionmentioning

confidence: 99%

Emotions and Diabetes

Ramkissoon

Vehı́

2015

Bioinformatics and Biomedical Engineering

View full text Add to dashboard Cite

Abstract. Diabetes Mellitus (DM) is a chronic metabolic disorder characterized by a deficiency in the function of β-cells, which are pancreatic cells responsible for the production of the hormone insulin. Psychological changes induce physical responses, which can be detected using sensors. It is believed that soon sensor arrays will be available which will be able to detect specific behavioral changes within a patient. The psychological changes that occur to those with DM can have significant effects on metabolic control. One of the major hurdles in this area is the need for a better understanding of psychological changes and their influence on blood glucose changes. However, these changes have yet to be quantified in an appropriate manner. Using additional sensors can lead to new ways of gathering data that will assist us in overcoming many of the obstacles of adequate diabetes care.

show abstract

A Qualitative Study of Problem Solving and Diabetes Control in Type 2 Diabetes Self-Management

Abstract: The problem-solving model may help identify ineffective problem-solving patterns in persons with poor diabetes control. Empirical studies testing the model are warranted.

Cited by 46 publications

References 17 publications

The Integration of Chronic Illness Self-Management

The Integration of Chronic Illness Self-Management

Contemporary Adult Diabetes Mellitus Management Perceptions

Emotions and Diabetes

Contact Info

Product

Resources

About