ArticleInternational journal for equity in health2019
'Learning to shape life' - a qualitative study on the challenges posed by a diagnosis of diabetes mellitus type 2.
Article in International journal for equity in health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.
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Who cites it
12 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Impact of the Interprofessional Collaborative Education Program (IPCEP) on the knowledge, attitudes, and practices of diabetic foot care among individuals with type 2 diabetes mellitus: a narrative review.BMC health services research · 2025Pooled it
- Prevalence of Poor Diabetes Self-Management Behaviors among Ethiopian Diabetes Mellitus Patients: A Systematic Review and Meta-Analysis.Ethiopian journal of health sciences · 2020Pooled it
- Patients' awareness of the cardiovascular risk factors - results of the primary care arm of EUROASPIRE V study in Croatia.BMC cardiovascular disorders · 2025Article
- Striving for autonomy in everyday diabetes self-management-qualitative exploration via grounded theory approach.BMJ open · 2021Article
- The Experiences of Women who Live with Pelvic Floor Disorders: A Qualitative Study.International journal of community based nursing and midwifery · 2021Article
- Understanding the Turning Point of Patients with Diabetes.Korean journal of family medicine · 2021Article
- Awareness regarding COVID-19 and problems being faced by young adults with type 1 diabetes mellitus amid nationwide lockdown in India: A qualitative interview study.Primary care diabetes · 2021Article
- Patterns and associated factors of diabetes self-management: Results of a latent class analysis in a German population-based study.PloS one · 2021Article
- User Experiences With a Type 2 Diabetes Coaching App: Qualitative Study.JMIR diabetes · 2020Article
- Participation in structured diabetes mellitus self-management education program and association with lifestyle behavior: results from a population-based study.BMJ open diabetes research & care · 2020Article
- Article
- Exploring the thoughts, emotions, and behaviours related to the self-management practices of adults with type 2 diabetes.Health psychology openArticle
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3 authors.
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Abstract
backgroundDiabetes mellitus type 2 is a central challenge for health policy and healthcare in all advanced countries. For the affected persons, living with a diagnosis of type 2 diabetes is difficult because the disease and its treatment have a considerable effect on daily life. The aim of this study was to investigate the challenges associated with a diagnosis of type 2 diabetes for those affected and the range, depth and complexities of the subjective perspectives of the patients under the conditions of the German healthcare system.
methodsA cross-sectional qualitative study was conducted using a sample of 19 adult patients with type 2 diabetes mellitus. Patients were recruited successively from two specialized diabetological practices, three general practitioner's offices, and two hospitals. The patients were interviewed once in person using semi-structured interviews. All interviews were recorded, transcribed, and analysed based on grounded theory.
resultsPersons affected by diabetes mellitus type 2 seem to feel responsible for managing their disease. Two strategies of action could be identified: 1) patients strictly followed the recommendations of the physicians, or 2) they showed that they are knowledgably managing their diabetes mellitus type 2. The action strategy to address the disease seemed to be influenced by patients' confidence in themselves, the effectiveness of the interventions, or the patients' locus of control. Minor differences in educational status could be discovered, and patients who were less educated tended to follow the recommendations of the physicians very strictly and seemed to place more emphasis on being compliant, which goes hand in hand with a life with prohibitions and restrictions. In contrast, being perceived as competent patients who make their own rules to manage the disease in daily life appeared to be more important for people with higher education levels.
conclusionPatient education and self-management programmes for diabetes mellitus type 2 should take different types of learners into account. Giving less-educated patients specific recommendations for successful diabetes self-management is particularly important.
trial registrationGerman clinical trial register (DRKS-ID: DRKS00007847 ).
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