A spotlight on the surfacing of self-management of employees with diabetes seen by professional nurses in selected occupational health clinics in Cape Town

Background: Diabetes is considered one of the largest global health challenges of this century and one of the top 10 causes of death across the world. Studies indicate an increased economic burden in relation to diabetes, not only on government revenue but also within private industries. Exploring the perceptions of employees with diabetes mellitus as related to their self-management practices could assist in encouraging behaviours that are associated with positive management outcomes.Aim: The purpose of this study was to explore and describe the perceptions of employees with diabetes mellitus, seen by professional nurses in selected occupational health clinics, about the self-management of their disease.Methods: A qualitative, exploratory, descriptive contextual design was followed through 17 individual interviews with 17 employees working in various industries in Cape Town, using a semi-structured interview schedule. Open coding of the data followed, and four themes emerged. Measures to ensure trustworthiness were also adhered to in the study, and approval for the study was granted.Results: The study findings gave insight into the manner in which employees perceived their behaviour changes in terms of their self-management practices. Various emotions were expressed by employees relating to the disease as well as the lifestyle adaptations required for self-management thereof. Employees noted that knowledge acquisition and greater understanding of the motivators for lifestyle changes could improve aspects of their day-to-day living as well as the disease outcomes.Conclusion: Employees expressed an awareness of the changes and lifestyle adaptations needed but found aspects thereof to be an ongoing challenge. The areas of challenge varied amongst employees. A consciousness of the possible consequences of poor self-management practices and self-modification behavior to address these was observed.

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Do Diabetes Self-Management Education (DSME) Programs Merit more Consideration in the Indian Setting?

International Journal of User-Driven Healthcare ◽

10.4018/ijudh.2012070107 ◽

2012 ◽

Vol 2 (3) ◽

pp. 77-81

Author(s):

Vijairam Selvaraj

Keyword(s):

Diabetes Mellitus ◽

Management Education ◽

Lifestyle Changes ◽

Self Management ◽

Health Educators ◽

Resource Limited ◽

Indian Setting ◽

Diabetes Educators ◽

Management Behaviors

Many individuals in India are nowadays either being diagnosed early with type 2 diabetes or lack optimal control of their diabetes. Reducing the burden and impact of diabetes mellitus in India is a major priority among the healthcare system. Diabetes educators, through DPP models, have shown to reduce the risk of developing diabetes among pre-diabetics through lifestyle changes. Among diabetics, DSME is seen as an essential intervention and as a cornerstone of diabetes care. Short-lived benefits and presence of barriers & challenges limit the inclusion of sufficient numbers of health educators or trained individuals in resource limited Indian settings to educate high risk individuals and improve self-management behaviors.

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Association of health literacy and self-management practices and psychological factor among patients with type 2 diabetes mellitus in Saudi Arabia

Saudi Medical Journal ◽

10.15537/smj.2019.11.24585 ◽

2019 ◽

Vol 40 (11) ◽

pp. 1158-1166

Author(s):

Turky Almigbal ◽

Khalid Almutairi ◽

Jason Vinluan ◽

Mohammed Batais ◽

Abdulaziz Alodhayani ◽

...

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Saudi Arabia ◽

Health Literacy ◽

Management Practices ◽

Psychological Factor ◽

Self Management

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The effect of Bandura's self-efficacy concepts to improve diabetes self-management practices

Journal of Kidney Care ◽

10.12968/jokc.2020.5.2.58 ◽

2020 ◽

Vol 5 (2) ◽

pp. 58-61

Author(s):

Pandora Goode

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Chronic Kidney Disease ◽

Type 2 Diabetes Mellitus ◽

End Stage Renal Disease ◽

Management Practices ◽

Self Management ◽

Stage Renal Disease ◽

End Stage

Poor diabetes self-management practices may lead to the development of chronic kidney disease (CKD), which, if left untreated, can progress to end stage renal disease (ESRD). Type 2 diabetes mellitus is the leading cause of ESRD for adults. Improving diabetes self-management practices is an important strategy to decrease the risk of developing CKD.

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Effect of Educational Intervention Programme on Self- Management Practices of Individuals with Type 2 Diabetes Mellitus in South-East, Nigeria

International Journal of Diabetes and Clinical Research ◽

10.23937/2377-3634/1410145 ◽

2021 ◽

Vol 8 (3) ◽

Author(s):

Okafor Christiana Nkiru ◽

Ezenduka Pauline Ojinaka ◽

Onyenekwe Chinedu Charles ◽

Ani Kenneth Umezulike ◽

Odira Chika Chioma H ◽

...

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Educational Intervention ◽

Management Practices ◽

Self Management ◽

Intervention Programme

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Self-management experiences among men and women with type 2 diabetes mellitus: a qualitative analysis

10.32920/14639025.v1 ◽

2021 ◽

Author(s):

Rebecca Mathew ◽

Enza Gucciardi ◽

Margaret Margaret ◽

Paula Barata

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Support Groups ◽

Management Practices ◽

Integrated Management ◽

Diabetes Education ◽

Self Management ◽

Men And Women

Background: The purpose of this study is to better understand differences in diabetes self-management, specifically needs, barriers and challenges among men and women living with type 2 diabetes mellitus (T2DM).Methods: 35 participants were recruited from a diabetes education center (DEC) in Toronto, Canada. Five focus groups and nine individual interviews were conducted to explore men and women's diabetes self-management experiences.Results: The average age of participants was 57 years and just over half (51.4%) were female. Analyses revealed five themes: disclosure and identity as a person living with diabetes; self-monitoring of blood glucose (SMBG); diet struggles across varying contexts; utilization of diabetes resources; and social support. Women disclosed their diabetes more readily and integrated management into their daily lives, whereas men were more reluctant to tell friends and family about their diabetes and were less observant of self-management practices in social settings. Men focused on practical aspects of SMBG and experimented with various aspects of management to reduce reliance on medications whereas women focused on affective components of SMBG. Women restricted foods from their diets perceived as prohibited whereas many men moderated their intake of perceived unhealthy foods, except in social situations. Women used socially interactive resources, like education classes and support groups whereas men relied more on self-directed learning but also described wanting more guidance to help navigate the healthcare system. Finally, men and women reported wanting physician support for both affective and practical aspects of self-management.Conclusions: Our findings highlight the differences in needs and challenges of diabetes self-management among men and women, which may inform gender-sensitive diabetes, care, counseling and support.Keywords: Diabetes, Self-management, Type 2 Diabetes Mellitus, Sex, Gender

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Medication adherence in diabetes mellitus and self management practices among type-2 diabetics in Ethiopia

North American Journal of Medical Sciences ◽

10.4297/najms.2011.3418 ◽

2011 ◽

pp. 418-423 ◽

Cited By ~ 42

Author(s):

Nasir Wabe ◽

Mulugeta Angamo ◽

Sadikalmahdi Hussein

Keyword(s):

Diabetes Mellitus ◽

Medication Adherence ◽

Management Practices ◽

Self Management ◽

Type 2 Diabetics

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Diabetes Identity: A Mechanism of Social Change

Qualitative Health Research ◽

10.1177/1049732320984740 ◽

2021 ◽

pp. 104973232098474

Author(s):

Heather R. Walker ◽

Michelle L. Litchman

Keyword(s):

Social Change ◽

Theoretical Model ◽

Online Community ◽

Management Practices ◽

Structured Interview ◽

Self Management ◽

Individual Level ◽

Making Sense ◽

The Social ◽

The Individual

Historically, diabetes identity has been examined at the individual level as it relates to clinical outcomes and self-management practices. Yet, identity is not experienced as an individually isolated phenomenon. The purpose of this study is twofold: (a) examine the social meaning of diabetes identity and (b) formulate a theoretical model of diabetes identity through a sociopolitical lens. Adults living with diabetes engaged in a diabetes online community ( N = 20) participated in a 60-minute semi-structured interview focused on social diabetes experiences and diabetes identity. Seven themes emerged related to illness, individuation, and culture, resulting in a novel theoretical model of diabetes identity: willingness to identify, tales of the un-sick, legends of the responsible, a tradition of change-making, sense of sameness, mystification of difference, and diabetes as a unifying social category. Our study extends previous literature focused on self-management practices and compliance, resulting in a theoretical model of diabetes identity centered around social change.

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Self-management experiences among men and women with type 2 diabetes mellitus: a qualitative analysis

10.32920/ryerson.14638911 ◽

2021 ◽

Author(s):

Rebecca Mathew ◽

Enza Gucciardi ◽

Margaret De Melo ◽

Paula Barata

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Support Groups ◽

Management Practices ◽

Integrated Management ◽

Diabetes Education ◽

Self Management ◽

Men And Women

Background: The purpose of this study is to better understand differences in diabetes self-management, specifically needs, barriers and challenges among men and women living with type 2 diabetes mellitus (T2DM). Methods: 35 participants were recruited from a diabetes education center (DEC) in Toronto, Canada. Five focus groups and nine individual interviews were conducted to explore men and women's diabetes self-management experiences. Results: The average age of participants was 57 years and just over half (51.4%) were female. Analyses revealed five themes: disclosure and identity as a person living with diabetes; self-monitoring of blood glucose (SMBG); diet struggles across varying contexts; utilization of diabetes resources; and social support. Women disclosed their diabetes more readily and integrated management into their daily lives, whereas men were more reluctant to tell friends and family about their diabetes and were less observant of self-management practices in social settings. Men focused on practical aspects of SMBG and experimented with various aspects of management to reduce reliance on medications whereas women focused on affective components of SMBG. Women restricted foods from their diets perceived as prohibited whereas many men moderated their intake of perceived unhealthy foods, except in social situations. Women used socially interactive resources, like education classes and support groups whereas men relied more on self-directed learning but also described wanting more guidance to help navigate the healthcare system. Finally, men and women reported wanting physician support for both affective and practical aspects of self-management. Conclusions: Our findings highlight the differences in needs and challenges of diabetes self-management among men and women, which may inform gender-sensitive diabetes, care, counseling and support.

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