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People with type 2 diabetes struggling for self-management: A part study from the randomized controlled trial in
Lis Ribu1, Marit Rønnevig1, Juliet Corbin1
1Department of Nursing and Health Promotion, Faculty of Health Sciences OsloMet-Oslo Metropolitan University Oslo Norway.
People with type 2 diabetes face daily challenges managing their condition. Understanding their "ought to do" versus "want to do" struggles is key for effective self-management support.
Area of Science:
- Behavioral Science
- Health Psychology
- Diabetes Management
Background:
- Type 2 diabetes requires significant self-management, often leading to daily life challenges.
- Patient perceptions of their ability to manage diabetes influence adherence and outcomes.
Purpose of the Study:
- To develop a theoretical framework explaining the daily problems faced by individuals with type 2 diabetes.
- To understand the core conflict influencing self-management behaviors.
Main Methods:
- Grounded theory approach utilized.
- Constant comparative method employed to identify core concepts and develop a theoretical framework.
Main Results:
- A core concept of "struggling between ought to do and want to do" was identified.
- Three distinct situations of struggle were described: less struggle, balanced struggle, and giving up.
- The difficulty of self-management and habit maintenance varies based on perceived conditions.
Conclusions:
- Healthcare providers need to understand patients' perceived situations to offer tailored support.
- Addressing the conflict between obligations and desires is crucial for improving diabetes self-management.
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