ArticleBMC health services research2008
The emotional context of self-management in chronic illness: A qualitative study of the role of health professional support in the self-management of type 2 diabetes.
Article in BMC health services research, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 96 citations in OpenAlex.
- Barriers and facilitators to self-management of chronic conditions reported by women: a systematic review of qualitative studies.BMJ open · 2024Pooled it
- Measuring Self-Care in Persons With Type 2 Diabetes: A Systematic Review.Evaluation & the health professions · 2016Pooled it
- Can primary care team-based transition to insulin improve outcomes in adults with type 2 diabetes: the stepping up to insulin cluster randomized controlled trial protocol.Implementation science : IS · 2014Trial
- Effectiveness of general practice based, practice nurse led telephone coaching on glycaemic control of type 2 diabetes: the Patient Engagement and Coaching for Health (PEACH) pragmatic cluster randomised controlled trial.BMJ (Clinical research ed.) · 2013Trial
- Trial
- The role of social networks in supporting self-management in CKD: a narrative synthesis.BMC nephrology · 2025Review
- Impact of negative attitudes and information-seeking behavior of adults with type 2 diabetes on treatment in Japan.Frontiers in public health · 2025Article
- From Self-Management to Shared-Management: A Relational Approach for Equitable Chronic Care.Public health ethics · 2024Article
- Article
- Needs and resources of people with type 2 diabetes in peri-urban Cochabamba, Bolivia: a people-centred perspective.International journal for equity in health · 2021Article
- Mediating engagement in a social network intervention for people living with a long-term condition: A qualitative study of the role of facilitation.Health expectations : an international journal of public participation in health care and health policy · 2020Article
- Acculturation is associated with older Turkish immigrants' self-management abilities.BMC public health · 2019Article
- Patients' perspective on self-management: type 2 diabetes in daily life.BMC health services research · 2019Article
- Health care professionals' views towards self-management and self-management education for people with type 2 diabetes.BMJ open · 2019Article
- Factors influencing patient adherence with diabetic eye screening in rural communities: A qualitative study.PloS one · 2018Article
- Role of illness perception and self-efficacy in lifestyle modification among non-alcoholic fatty liver disease patients.World journal of gastroenterology · 2017Observational
- Self-management support from the perspective of patients with a chronic condition: a thematic synthesis of qualitative studies.Health expectations : an international journal of public participation in health care and health policy · 2016Review
- Do everyday problems of people with chronic illness interfere with their disease management?BMC public health · 2015Article
- Diabetes self-management arrangements in Europe: a realist review to facilitate a project implemented in six countries.BMC health services research · 2014Review
- Lay and health care professional understandings of self-management: A systematic review and narrative synthesis.SAGE open medicine · 2014Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSupport for patient self-management is an accepted role for health professionals. Little evidence exists on the appropriate basis for the role of health professionals in achieving optimum self-management outcomes. This study explores the perceptions of people with type 2 diabetes about their self-management strategies and how relationships with health professionals may support this.
methodsFour focus groups were conducted with people with type 2 diabetes: two with English-speaking and one each with Turkish and Arabic-speaking. Transcripts from the groups were analysed drawing on grounded hermeneutics and interpretive description.
resultsWe describe three conceptually linked categories of text from the focus groups based on emotional context of self management, dominant approaches to self management and support from health professionals for self management. All groups described important emotional contexts to living with and self-managing diabetes and these linked closely with how they approached their diabetes management and what they looked for from health professionals. Culture seemed an important influence in shaping these linkages.
conclusionOur findings suggest people construct their own individual self-management and self-care program, springing from an important emotional base. This is shaped in part by culture and in turn determines the aims each person has in pursuing self-management strategies and the role they make available to health professionals to support them. While health professionals' support for self-care strategies will be more congruent with patients' expectations if they explore each person's social, emotional and cultural circumstances, pursuit of improved health outcomes may involve a careful balance between supporting as well as helping shift the emotional constructs surrounding a patient life with diabetes.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.