ArticleBMJ open2021
Striving for autonomy in everyday diabetes self-management-qualitative exploration via grounded theory approach.
Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Effects of a health literacy program on self-management behaviors of patients with uncontrolled type 2 diabetes in Thailand: A quasi-experimental study.Belitung nursing journal · 2026Article
- Exploring the Role of Time in Diabetes Self-Management: A Scoping Review of Challenges, Intervention Strategies, and Implications for Clinical Care.Diabetes spectrum : a publication of the American Diabetes Association · 2025Article
- Technology use and health behavior among patients with diabetes: do underlying motives for technology adoption matter?Frontiers in digital health · 2025Article
- Translation, Validation and Exploration of the Chinese Version of the Health Care Climate Questionnaire Among Hypertensive Patients in Healthcare Settings.Patient preference and adherence · 2025Article
- Social exclusion in people with diabetes: cross-sectional and longitudinal results from the German Ageing Survey (DEAS).Scientific reports · 2023Article
- Modified e-Delphi Process for the Selection of Patient-Reported Outcome Measures for Children and Families With Type 1 Diabetes Using Continuous Glucose Monitors: Delphi Study.JMIR diabetes · 2022Article
- Measuring Quality of Life in Parkinson's Disease-A Call to Rethink Conceptualizations and Assessments.Journal of personalized medicine · 2022Article
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5 authors.
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Abstract
objectivesThe rapid worldwide increase in the incidence of diabetes significantly influences the lives of individuals, families and communities. Diabetes self-management requires personal autonomy and the presence of a supportive social environment. These attributes can considerably ameliorate the outcomes of the chronic condition. However, little is known about individual variations in overcoming the illness-related challenges and in the achievement of autonomy in daily activities. This paper seeks to bridge this knowledge gap.
designThis qualitative study used the grounded theory approach. Semi-structured interviews were conducted, and the data collection and data analysis probed participant experiences of autonomy through the self-management of their daily socio-physical environments.
settingParticipants were recruited from the outpatient ward of a university clinic in Hungary.
participantsThe study was conducted with 26 adult patients with type 2 diabetes mellitus (15 females and 11 males aged between 26 and 80 years; M=62.6 years; SD=13.1). The inclusion criteria were: T2D diagnosis at least 1 year before the beginning of the study; prescribed insulin injection therapy; aged over 18 years; native Hungarian speaker and not diagnosed with dementia or any form of cognitive impairment.
resultsThe study established three principal aspects of the active construction of personal autonomy in diabetes self-management: coping strategies vis-à-vis threats posed by the symptoms and the treatment of the disease; autonomous ways of creating protective space and time and relationship processes that support everyday experiences of self-directedness.
conclusionsThe results of this study confirm the validity of the self-determination theory in diabetes self-management. They also imply that pathways towards constructing everyday experiences of self-directedness in participants lead through self-acceptance, supporting family relationships and a doctor-patient relationship characterised by partnership. The tentative empirical model of pathways towards patients' experience of self-directedness can serve as a framework for future research, patient-centred clinical practice, and education.
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