Redefining Diabetes and the Concept of Self-Management from a Patient's Perspective: Implications for Disease Risk Factor Management

Autor/inn/en	Masupe, T. K.; Ndayi, K.; Tsolekile, L.; Delobelle, P.; Puoane, T.
Titel	Redefining Diabetes and the Concept of Self-Management from a Patient's Perspective: Implications for Disease Risk Factor Management
Quelle	In: Health Education Research, 33 (2018) 1, S.40-54 (15 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0268-1153
DOI	10.1093/her/cyx077
Schlagwörter	Foreign Countries; Diabetes; Qualitative Research; Self Management; Interviews; Focus Groups; Health Behavior; Knowledge Level; Life Style; Health Education; Health Services; Definitions; Social Influences; Cultural Influences; Phenomenology; Adults; South Africa (Cape Town) + Suchen Sie Ihr Suchwort? Ausland; Qualitative Forschung; Selbstmanagement; Interviewing; Interviewtechnik; Health behaviour; Gesundheitsverhalten; Wissensbasis; Lebensstil; Gesundheitsaufklärung; Gesundheitsbildung; Gesundheitserziehung; Health service; Gesundheitsdienst; Gesundheitswesen; Begriffsbestimmung; Sozialer Einfluss; Cultural influence; Kultureinfluss; Phenomenological psychology; Phänomenologie; Psychologie
Abstract	The colliding epidemics of non-communicable diseases including diabetes with chronic infectious diseases in Sub-Saharan Africa requires contextualized innovative disease management strategies. This qualitative study conducted in a peri-urban township near Cape Town, South Africa aimed to identify and gain in-depth understanding of contextual and environmental issues pertinent to the patient that could influence Type 2-diabetes mellitus (T2DM) care and self-management. Participants included purposively sampled diabetics or pre-diabetics from the community, PURE study database, facility health club and health care providers. Data collection employed in-depth interviews, focus group discussions (FGDs) using structured interviews and FGD topic guides. Thematic data analysis was done to identify recurrent themes. Themes identified: knowledge and awareness about T2DM; health-seeking behaviour; weight perceptions; healthy lifestyles; self-management; health education needs and health care provider experiences. Patients defined T2DM as a physically and emotionally dangerous disease caused by socio-cultural factors, influenced by the sufferers' food and socio-cultural environment with significance placed on physical, social and emotional effects of T2DM diagnosis. Patient-centred definition of T2DM is key to enhancing T2DM self-management. Patients suggested that personally rewarding benefits of physical activity and healthy diet such as anti-ageing, brain boosting, energy boosting which are commonly harnessed by food, tobacco and beauty industry should be considered in T2DM self-management strategies. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01