The emotional context of self-management in chronic illness: A qualitative study of the role of health professional support in the self-management of type 2 diabetes

Background: Support for patient self-management is an accepted role for health professionals. Little evidence exists on the appropriate basis for the role of health professionals in achieving optimum self-management outcomes. This study explores the perceptions of people with type 2 diabetes about their self-management strategies and how relationships with health professionals may support this.

Methods: Four focus groups were conducted with people with type 2 diabetes:  two with English speaking and one each with Turkish and Arabic-speaking. Transcripts from the groups were analysed drawing on grounded hermeneutics and interpretive description.

Results: We describe three conceptually linked categories of text from the focus groups based on emotional context of self management, dominant approaches to self management and support from health professionals for self management. All groups described important emotional contexts to living with and self-managing diabetes and these linked closely with how they approached their diabetes management and what they looked for from health professionals. Culture seemed an important influence in shaping these linkages.

Conclusion: Our findings suggest people construct their own individual self-management and self-care program, springing from an important emotional base. This is shaped in part by culture and in turn determines the aims each  person has in pursuing self-management strategies and the role they make available to health professionals to support them. While health professionals'  support for self-care strategies will be more congruent with patients' expectations if they explore each person's social, emotional and cultural circumstances, pursuit of improved health outcomes may involve a careful balance between supporting as well as helping shift the emotional constructs surrounding a patient life with diabetes.

Filming for professional learning : collaborations in innovation

It is not unusual for academics to bemoan the reticence of teachers in adopting innovative tools and pedagogies, never more so than in the area of new technologies and multimodal literacies in classrooms. Typically, educational bureaucracies seek to dictate change in new technologies through a diffusion-adoption model of professional learning where ‘inservicing’ or ‘professional development’ of teachers is used to influence them to implement curriculum innovations. Typically a set of resources are developed for this purpose and teachers engage with workshop leaders as passive recipients of knowledge rather than active knowledge constructors. This paper explores an alternative form of engagement in which teachers are co-opted as collaborators and documenters of educational change. Its innovation is to use filming of teacher interviews and classroom practice – in this case to extend the teachers’ repertories.

This article will discuss the film-infused model of professional learning which was developed within the context of a research project on literacy teachers’ engagement with multimodality, but has potential for wider application. The research context will be outlined and four elements of a film-infused professional learning model will be discussed in detail. The effects of this model on the resource development and professional learning will then be addressed.

Science professional development for early childhood educators : some identified issues

In a small research project, using a qualitative approach we surveyed eleven pre-school teachers/coordinators asking them for information about the science experiences within their EC setting. We identified the opportunities they had for science professional development and clarified the level of their qualifications and those of a further 22 staff. In addition, we conducted four case studies to interrogate this further, and interviewed four early childhood educators asking for more detail about the science they provided and about their comfort in teaching science. The interviews revealed that although early childhood educators indicated that they provided a large number of varied experiences, often they were unsure of the science content or the science understanding. This limited their abilities to develop the activities further. Early childhood educators also indicated that whilst there was access to some science professional development, more would be welcome. The types of professional development which they felt would be most beneficial were "hands-on" play experiences - a "quick fix" approach. This presentation will discuss the findings of the research through a socio-cultural framework, noting some of the issues being raised in our discussions with the educators.