ArticleHealth expectations : an international journal of public participation in health care and health policy2017
Group affiliation in self-management: support or threat to identity?
Article in Health expectations : an international journal of public participation in health care and health policy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
What it found
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The trial behind it
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Who cites it
9 citing papers in PubMed, 21 citations in OpenAlex.
- Effect of community based practice of Baduanjin on self-efficacy of adults with cardiovascular diseases.PloS one · 2018Trial
- Trial
- Using codesign workshops to develop a conceptual framework for a mobile health app targeting chronic low back pain self-management.BMJ open · 2025Article
- Social dignity for marginalized people in public healthcare: an interpretive review and building blocks for a non-ideal theory.Medicine, health care, and philosophy · 2021Article
- Moving between ideologies in self-management support-A qualitative study.Health expectations : an international journal of public participation in health care and health policy · 2019Article
- Development of an mHealth platform for HIV Care: Gathering User Perspectives Through Co-Design Workshops and Interviews.JMIR mHealth and uHealth · 2018Article
- Type 2 Diabetes Education and Support in a Virtual Environment: A Secondary Analysis of Synchronously Exchanged Social Interaction and Support.Journal of medical Internet research · 2018Article
- "They called me a terrorist": Social and Internalized Stigma in Latino Youth with Type 1 Diabetes.Health psychology report · 2018Article
- Interventions and working relationships of voluntary organisations for diabetes self-management: A cross-national study.International journal of nursing studies · 2017Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSelf-management is considered important in chronic illness, and contemporary health policy recommends participation in support groups for individuals with chronic conditions. Although withdrawal from or non-participation in support groups is an important problem, there is limited knowledge about individuals' own motivation for participation in or withdrawal from self-management support groups.
objectivesTo investigate how individuals with type 2 diabetes perceive participation in group-based self-management support.
designThis is a qualitative focus group study using a semi-structured interview guide. SETTING AND
participantsSixteen participants diagnosed with type 2 diabetes were included in the study. Individuals with and without group affiliations were mixed in three focus groups to trigger discussions. In the analysis, reoccurring themes of engagement and discussions between participants were focused within a theoretical frame of institutional logic. The focus groups are seen as social spaces where participants construct identity.
resultsBoth participation and non-participation in group-based self-management support are associated with dealing with the stigma of having type 2 diabetes. Negotiations contribute to constructing an illness dignity as a response to the logic of moral responsibility for the disease. DISCUSSION AND
conclusionContemporary policy contributes to societal understandings of individuals with type 2 diabetes as morally inadequate. Our study shows that group-based self-management support may counteract blame and contribute in negotiations of identity for individuals with type 2 diabetes. This mechanism makes participation in groups beneficial for some but stigma inducing for others.
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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.