Perceived needs for supported self-management of type 2 diabetes : a qualitative investigation of the potential for a web-based intervention


Autoria(s): Cassimatis, Mandy; Kavanagh, David J.; Smith, Anthony C.
Data(s)

01/04/2014

Resumo

The estimated one million Australians with type 2 diabetes face significant risks of morbidity and premature mortality. Inadequate diabetes self-management is associated with poor glycaemic control, which is further impaired by comorbid dysphoria. Regular access to ongoing self-management and psychological support is limited, especially in rural and regional locations. Web-based interventions can provide complementary support to patients’ usual care. Semi-structured interviews were undertaken with two samples that comprised (a) 13 people with type 2 diabetes and (b) 12 general practitioners (GPs). Interviews explored enablers and barriers to self-care, emotional challenges, needs for support, and potential web-based programme components. Patients were asked about the potential utility of a web-based support programme, and GPs were asked about likely circumstances of patient referral to it. Thematic analysis was used to summarise responses. Most perceived facilitators and barriers to self-management were similar across the groups. Both groups highlighted the centrality of dietary self-management, valued shared decision-making with health professionals, and endorsed the idea of web-based support. Some emotional issues commonly identified by patients varied to those perceived by GPs, resulting in different attributions for impaired self-care. A web-based programme that supported self-management and psychological/emotional needs appears likely to hold promise in yielding high acceptability and perceived utility.

Identificador

http://eprints.qut.edu.au/79245/

Publicador

John Wiley & Sons Ltd.

Relação

DOI:10.1111/ap.12050

Cassimatis, Mandy, Kavanagh, David J., & Smith, Anthony C. (2014) Perceived needs for supported self-management of type 2 diabetes : a qualitative investigation of the potential for a web-based intervention. Australian Psychologist, 49(2), pp. 75-85.

Direitos

Copyright 2014 The Australian Psychological Society

Fonte

Faculty of Health; Institute of Health and Biomedical Innovation; School of Psychology & Counselling

Palavras-Chave #170106 Health Clinical and Counselling Psychology #chronic disease #diabetes #emotional disorders #health psychology #online intervention #qualitative research
Tipo

Journal Article