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Exemplars' experience of self-managing type 2 diabetes
G C Ellison1,2, K M Rayman2
1Private practice (Dr Ellison)
The Diabetes Educator
|July 25, 1998
Summary
Women with type 2 diabetes learn self-management through three distinct phases: rules, work, and living. Understanding these stages helps healthcare providers support patients better.
Area of Science:
- Endocrinology
- Behavioral Science
- Qualitative Research
Background:
- Type 2 diabetes requires ongoing self-management.
- Understanding patient learning experiences is crucial for effective diabetes education.
Purpose of the Study:
- To explore the learning process of self-management in women with type 2 diabetes.
- To identify distinct phases and transitional events in diabetes self-management learning.
Main Methods:
- Qualitative study utilizing focus groups, clinic records, and field notes.
- Constant comparative method for data analysis to identify patterns and themes.
- Involved 17 women with type 2 diabetes nominated as self-management exemplars.
Main Results:
- Identified three distinct phases in learning diabetes self-management: management-as-rules, management-as-work, and management-as-living.
- Transitional events were observed to mark the movement between these phases.
- These phases represent a developmental model of diabetes self-management.
Conclusions:
- The study proposes a model of diabetes self-management learning in three phases.
- This model can enhance healthcare practitioners' and educators' understanding of the socioclinical aspects of type 2 diabetes self-management.
- Findings offer insights into patient education strategies for type 2 diabetes.