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Behavior change in people with type 2 diabetes mellitus: support for primary care
Narjara Tizzo Romeiro Dosso1, Letícia de Castilho Peralta1, Rosilene Rocha Palasson1
1Universidade Federal de Mato Grosso do Sul, Instituto Integrado de Saúde, Curso de Enfermagem. Campo Grande, Mato Grosso do Sul, Brasil.
Objective:
identify the stages of motivation for behavior change in people with diabetes and the actions taken by professionals to encourage self-care.
Method:
This qualitative exploratory study was conducted in a Family Health Unit in a capital city in the Brazilian Midwest, based on the assumptions of the Transtheoretical Model of Motivation for Behavior Change. Of the 17 participants, nine were patients with type 2 diabetes mellitus and eight were healthcare professionals. Data collection took place through individual semi-structured interviews between January and May 2023, subjected to thematic content analysis.
Results:
two main categories emerged: stages of motivation for behavior change from the perspective of users and professionals; care practices; and challenges in identifying these stages. Users presented different stages of motivation, depending on the habit analyzed, with no record of pre-contemplation. Professionals, however, reported difficulties in recognizing the stages, adopting generalized approaches.
Conclusion:
identifying the stages of motivation is essential to support personalized interventions in Primary Care. Qualified listening, consideration of psychosocial factors, and adapting health education to individual readiness can promote self-care. The need to train teams in the use of user-centered approaches is reinforced.
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