ArticleJournal of medical Internet research2020
Digital Health Interventions for People With Type 2 Diabetes to Develop Self-Care Expertise, Adapt to Identity Changes, and Influence Other's Perception: Qualitative Study.
Article in Journal of medical Internet research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 32 citations in OpenAlex.
- Digital Health Interventions for Diabetes Distress in Type 2 Diabetes: Protocol for a Scoping Literature Review Focused on Equity and Inclusion.JMIR research protocols · 2026Article
- Effects of a Digital Health Intervention for Adults With Type 2 Diabetes Mellitus on Health Care Resource Use and Health Care Charges in the United States: Retrospective Cohort Study.Journal of medical Internet research · 2025Article
- Understanding the patients' experience in Primary Technology Enhanced Care Home HbA1c Testing (PTEC HAT) programme-a qualitative study.BMC primary care · 2025Article
- Identity with Diabetes: Unpacking an Overlooked but Essential Dimension of the Diabetes Experience.Current diabetes reports · 2025Review
- Uptake of Digital Health Interventions for Cardiometabolic Disease in British South Asian Individuals: Think Aloud Study.JMIR human factors · 2024Article
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- Effect of digital based nursing intervention on knowledge of self-care behaviors and self-efficacy of adult clients with diabetes.BMC nursing · 2024Article
- Access to technology, internet usage, and online health information-seeking behaviors in a racially diverse, lower-income population.Frontiers in public health · 2024Article
- Delineating and clarifying the concept of self-care monitoring: a concept analysis.International journal of qualitative studies on health and well-being · 2023Review
- Perspectives and Needs of Malaysian Patients With Diabetes for a Mobile Health App Support on Self-Management of Diabetes: Qualitative Study.JMIR diabetes · 2023Article
- Key Considerations for Understanding Usability of Digital Health Initiatives for Adults With Type 2 Diabetes: A Systematic Qualitative Literature Review.Journal of diabetes science and technology · 2023Review
- Inequities in Health Care Services Caused by the Adoption of Digital Health Technologies: Scoping Review.Journal of medical Internet research · 2022Article
- The role of economic, educational and social resources in supporting the use of digital health technologies by people with T2D: a qualitative study.BMC public health · 2021Article
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Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA diagnosis of type 2 diabetes (T2D) results in widespread changes to a person's life and can be experienced as an assault on their sense of self. The resources available to an individual influence how the individual adapts to their diabetic identity and subsequently engages in self-care. Digital interventions can be viewed as a resource that people can draw on to adapt to the diagnosis. However, there is an indication that people from disadvantaged groups find digital health technologies more challenging to access and use, which may increase health inequalities.
objectiveThis study aims to gain insights into how and why people with T2D use digital self-care technology and how experiences vary between individuals and social groups.
methodsA purposive sample of people who had used a digital intervention to help them self-care for their T2D were recruited for the study. Semistructured interviews were conducted, and data were analyzed thematically.
resultsA diverse sample of 21 participants were interviewed. Participants used digital interventions to help them to understand and feel more in control of their bodies. Digital interventions were used by participants to project their chosen identity to others. Participants selected technology that allowed them to confirm and enact their preferred positive identities, both by avoiding stigma and by becoming experts in their disease or treatment. Participants preferred using digital interventions that helped them conceal their diabetes, including by buying discrete blood glucose monitors. Some participants used technology to increase their sense of power in their interaction with clinicians, whereas others used technology to demonstrate their goodness.
conclusionsThe technology that people with T2D have access to shapes the way they are able to understand and control their bodies and support preferred social identities.
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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.