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The Experience of a Guided Self-determination Intervention on Diabetes Distress Among Adults With Type 2 Diabetes
Laura Krogh Nygaard1, Anne Sophie Mathiesen2, Vibeke Zoffmann3
1Steno Diabetes Centre Odense, Odense University Hospital, Odense, Denmark; Department of Clinical Research, University of Southern Denmark, Odense, Denmark.
Objectives:
Type 2 diabetes (T2D) can cause psychosocial difficulties, burdensome self-care, and stigmatization, which can lead to diabetes distress, reduced quality of life, and suboptimal diabetes management. Guided self-determination (GSD) has been identified as valuable in alleviating diabetes distress. In this study we explored the experience of a GSD intervention among people with T2D and aimed to understand the potential impact on diabetes distress.
Methods:
A qualitative study was undertaken using semistructured interviews (n=10) and reflexive thematic analysis by Braun and Clarke. The study adhered to the Consolidated Criteria for Reporting Qualitative Studies checklist.
Results:
Four themes were revealed: "Person-centred reflection creates self-insight," becoming aware of how one deals with diabetes and finding renewed optimism; "Unburdening myself," characterized by room and support for psychosocial aspects; "Making sense of diabetes: Creating meaning through reflection and dialogue," reflecting on current difficulties while simultaneously making sense of diabetes; and "Barriers to changes: Between acceptance, effort, and everyday realities," where readiness, motivation, and energy impacted possible changes.
Conclusions:
GSD may improve the ability to alleviate stressors related to diabetes. However, some individuals experienced no changes. Readiness, motivation, and energy appear to be critical for the potential to change.
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