Strategies for enhancing information, motivation, and skills for self-management behavior changes: a qualitative study of diabetes care for older adults in Korea

Choi, Suyoung; Song, Misoon; Chang, Sun Ju; Kim, Se-an

doi:10.2147/ppa.s58631

Cited by 33 publications

(27 citation statements)

References 30 publications

(51 reference statements)

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“… 31 – 34 One possible reason for the feeling of food deprivation is that diet recommendations are either too general, idealistic, or not culture-specific. 5 , 35 With limited clear and practical dietary advice, patients are more likely to strictly and passively follow the instructions, thereby inducing the feeling of food deprivation. To decrease the levels of diet barriers perceived by patients with poor glycemic control, effective diet management intervention programs that provide concrete, practical, and culturally specific diet information (including portion control, meal planning, and food shopping) should be launched.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with diet barriers in patients with poorly controlled type 2 diabetes

Cheng¹,

Leung²,

Sit³

et al. 2016

PPA

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BackgroundThe study was conducted to investigate the diet barriers perceived by patients with poorly controlled type 2 diabetes and examine the associations between diet barriers and sociodemographic characteristics, medical condition, and patient-centered variables.MethodsSecondary subgroup analyses were conducted based on the responses of 246 adults with poorly controlled type 2 diabetes from a multicenter, cross-sectional study. Diet barriers were captured by the Diet Barriers subscale of the Personal Diabetes Questionnaire. Participants also completed validated measures of diet knowledge, empowerment level, and appraisal of diabetes. Multiple regression techniques were used for model building, with a hierarchical block design to determine the separate contribution of sociodemographic characteristics, medical condition, and patient-centered variables to diet barriers.ResultsDiet barriers were moderately evident (2.23±0.86) among Chinese patients with poorly controlled type 2 diabetes. The feeling of deprivation as a result of complying with a diet was the most recognized diet barrier (3.24±1.98), followed by “eating away from home” (2.79±1.82). Significantly higher levels of diet barriers were observed among those with lower levels of diet knowledge (β=−0.282, P<0.001) and empowerment (β=−0.190, P=0.015), and more negative appraisal (β=0.225, P=0.003).ConclusionCulturally tailored, patient-centered intervention programs that acknowledge individuals’ preferences and allow for flexibility in diet management should be launched. Interventions programs that could enhance diet knowledge, promote positive appraisal, and improve empowerment level might effectively address diet barriers perceived by patients with poorly controlled type 2 diabetes.

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Section: Discussionmentioning

confidence: 99%

Factors associated with diet barriers in patients with poorly controlled type 2 diabetes

Cheng¹,

Leung²,

Sit³

et al. 2016

PPA

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“…Similarly, several studies reported that while older adults participating in their studies perceived experiential knowledge as a positive concept, diabetes educators thought more negatively about it (101),(110). …”

Section: Empirical Support For Sensemaking In Diabetes Self-managementmentioning

confidence: 99%

“…The description of such personal discovery process was present in the many studies in the review (88),(101),(102),(74),(103),(81),(104),(105),(106),(107),(71),(98),(77),(108),(82) Several authors described this mode of learning as experiential learning and suggested that it is more effective than the more traditional learning from experts (101),(87).

“The experiential learning method is more effective, for instance, having a breakfast and exercise meeting where patients can experience diet-related or exercise-related changes in their blood glucose level.

…”

Section: Empirical Support For Sensemaking In Diabetes Self-managementmentioning

confidence: 99%

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Adopting the sensemaking perspective for chronic disease self-management

Mamykina

Smaldone

Bakken

2015

Journal of Biomedical Informatics

114

108

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Background Self-monitoring is an integral component of many chronic diseases; however few theoretical frameworks address how individuals understand self-monitoring data and use it to guide self-management. Purpose To articulate a theoretical framework of sensemaking in diabetes self-management that integrates existing scholarship with empirical data. Methods The proposed framework is grounded in theories of sensemaking adopted from organizational behavior, education, and human-computer interaction. To empirically validate the framework the researchers reviewed and analyzed reports on qualitative studies of diabetes self-management practices published in peer-reviewed journals from 2000 to 2015. Results The proposed framework distinguishes between sensemaking and habitual modes of self-management and identifies three essential sensemaking activities: perception of new information related to health and wellness, development of inferences that inform selection of actions, and carrying out daily activities in response to new information. The analysis of qualitative findings from 50 published reports provided ample empirical evidence for the proposed framework; however, it also identified a number of barriers to engaging in sensemaking in diabetes self-management. Conclusions The proposed framework suggests new directions for research in diabetes self-management and for design of new informatics interventions for data-driven self-management.

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“… 6 , 10 Given these divergent opinions, understanding the facilitating or disturbing factors related to self-management is critical for developing effective programs. 11 Most of the studies regarding these factors were conducted from the perspective of the patients 12 with specific chronic diseases such as diabetes 13 – 15 in settings other than NHs. Furthermore, most of these studies have been reported in Western countries.…”

Section: Introductionmentioning

confidence: 99%

Facilitators and barriers to self-management of nursing home residents: perspectives of health-care professionals in Korean nursing homes

Park¹,

Bang²,

Kim³

et al. 2015

CIA

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PurposeTo explore facilitators and barriers to self-management from the viewpoint of staff taking care of nursing home (NH) residents with chronic diseases in South Korea.Patients and methodsA qualitative content analysis was done using the focus group interview method. A total of 23 health-care professionals (16 registered nurses and 7 social workers) were interviewed from three urban NHs, each with more than 100 beds.ResultsFive facilitators were identified: grouping the residents; the resident’s awareness of his/her current health status; the willingness of residents to engage in self-management; residence in the facility; and support from the staff. Additionally, seven barriers were identified: deterioration of the resident’s health; the dependency expectations of the resident; hesitation in asking for help; difference in expectations between the staff and the resident’s family; insufficient staffing and time; lack of standardized guidelines; and conservative tendencies of the staff due to rigid policies.ConclusionThe findings of this study can help health-care professionals recognize the factors that influence self-management and provide direction for registered nurses and other health professionals involved in supporting self-management programs for NH residents.

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Strategies for enhancing information, motivation, and skills for self-management behavior changes: a qualitative study of diabetes care for older adults in Korea

Cited by 33 publications

References 30 publications

Factors associated with diet barriers in patients with poorly controlled type 2 diabetes

Factors associated with diet barriers in patients with poorly controlled type 2 diabetes

Adopting the sensemaking perspective for chronic disease self-management

Facilitators and barriers to self-management of nursing home residents: perspectives of health-care professionals in Korean nursing homes

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