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An Interpretive Phenomenological Inquiry into Type 1 Diabetes and Work.

Emma Victoria Shiel1,2, Steve Hemingway2, Rajeeb Kumar Sah3

  • 1Mental Health Research Group, Division of Nursing, Midwifery and Social Work, School of Health Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, The University of Manchester, Oxford Road, Manchester M13 9PL, UK.

International Journal of Environmental Research and Public Health
|August 28, 2025
PubMed
Summary
This summary is machine-generated.

Workers with type 1 diabetes need supportive workplaces. Understanding psychosocial factors is key for effective self-management and maintaining work ability in employees with type 1 diabetes.

Keywords:
accommodationshealthoccupational healthphenomenologypsychosocial impactself-managementtype 1 diabetesworkwork ability

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Area of Science:

  • Occupational Health
  • Endocrinology
  • Psychology

Background:

  • Limited qualitative research exists on workplace support for individuals with type 1 diabetes (T1D).
  • Effective self-management and work ability are crucial for T1D employees.
  • Understanding psychosocial factors impacting T1D management at work is essential.

Purpose of the Study:

  • To explore the support needs of workers with T1D for self-management and work ability.
  • To identify barriers and facilitators to T1D self-management in the workplace.

Main Methods:

  • Qualitative study involving 21 UK-based workers with T1D.
  • Semi-structured interviews were conducted and analyzed using interpretive phenomenological analysis.
  • Data were characterized using the Psychosocial Flags Framework.

Main Results:

  • Obstacles to self-management included systemic workplace issues (black flags), individual attitudes (yellow flags), and workplace factors (blue flags).
  • Participants lacked confidence in expressing needs, highlighting a need for inclusive workplace cultures.
  • Addressing unhelpful perceptions and increasing awareness of T1D are crucial.

Conclusions:

  • Employers must create supportive environments where T1D workers feel safe seeking help.
  • Interventions should address the complex biopsychosocial interplay affecting work ability.
  • Enhanced knowledge and awareness are vital for integrating T1D into the workplace.