Exploring the thoughts, emotions, and behaviours related to the self-management practices of adults with type 2 diabetes.

IF 1.7 Q3 PSYCHOLOGY, CLINICAL

Health Psychology Open Pub Date : 2024-09-08 eCollection Date: 2024-01-01 DOI:10.1177/20551029241278976

Elné Visagie, Elmari Deacon, Rümando Kok

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Abstract

This qualitative research study explored the thoughts, emotions, and behaviours of adults aged between 35 and 45 who managed their type 2 diabetes effectively and adults who struggled with diabetes self-management in a South African setting. Semi-structured interviews were conducted with 17 adults who engaged in either successful self-management or who struggled with self-management. Effective management was characterised by an HbA1c level of 8% or lower. This group comprised of nine individuals. The participants who faced challenges with self-management had HbA1c levels ranging between 10% and 14%. This group consisted of eight participants. The data were analysed using inductive thematic analysis, and four main themes were identified: the emotional experience, prominent cognitions, practising acceptance and the mechanisms of behavioural change. These themes identified key determinants of individuals' self-management practices and can contribute to providing information for future cognitive behaviour therapy interventions to be developed that target specific components to improve self-management practices.

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探索与 2 型糖尿病成人患者自我管理实践相关的思想、情感和行为。

这项定性研究探讨了南非 35 至 45 岁之间有效管理 2 型糖尿病的成年人和在糖尿病自我管理中挣扎的成年人的思想、情感和行为。我们对 17 名成功进行自我管理或在自我管理中挣扎的成年人进行了半结构式访谈。有效管理的特征是 HbA1c 水平达到或低于 8%。这一组有 9 人。在自我管理方面面临挑战的参与者的 HbA1c 水平在 10% 到 14% 之间。该组有 8 名参与者。我们采用归纳式主题分析法对数据进行了分析，并确定了四大主题：情感体验、突出认知、实践接受和行为改变机制。这些主题确定了个人自我管理实践的关键决定因素，有助于为今后开发认知行为疗法干预措施提供信息，这些干预措施将针对特定的组成部分，以改善自我管理实践。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Health Psychology Open Psychology-Clinical Psychology

CiteScore

5.90

自引率

0.00%

发文量

审稿时长

12 weeks

期刊介绍： Health Psychology Open (HPO) is an international, peer-reviewed, open access, online-only journal providing rapid publication. HPO is dedicated to publishing cutting-edge research in health psychology from around the world. HPO seeks to provide a platform for both traditional empirical analyses and more qualitative and/or critically oriented approaches to health psychology. All areas of health psychology are covered, but these topics are of particular interest: Clinical health psychology Critical health psychology Community health psychology Health psychology practice Health psychology through a social, cultural or regional lens The journal particularly favours papers that focus on health psychology in practice, including submissions concerning community and/or clinical applications and interventions. Review articles are also welcomed. There is no fixed limit to the length of manuscripts, which is normally strictly limited in other journals, for example HPO’s sister journal, Journal of Health Psychology (JHP). Studies published in this journal are required to obtain ethical approval from an Institutional Review Board. Such approval must include informed, signed consent by all research participants. Any manuscript not containing an explicit statement concerning ethical approval and informed consent will not be considered.