{"title":"A mixed methods study to examine the difficulties experienced and coping behaviours used by people with Type 2 diabetes of working age in Japan","authors":"T. Nakao, Y. Shimizu, K. Nunoi, Yuichi Sato","doi":"10.1080/20573316.2017.1394626","DOIUrl":"https://doi.org/10.1080/20573316.2017.1394626","url":null,"abstract":"Objective: The aim of this study was to investigate measures to support people of working age with Type 2 diabetes by clarifying their coping behaviours. Research methods: Mixed research methods were adopted. The questionnaires investigated PAID, SDSCA, and biomedical test data. After the questionnaires were completed, a qualitative survey in which the participants were asked to discuss any difficulties and corresponding coping measures was conducted. Results: The participants were 100 individuals (77 men). The following three aspects of difficulties felt in coordinating work and diabetes management were revealed: ‘Difficulty readjusting living hours’, ‘The presence of stress inhibiting a treatment lifestyle’, and ‘Conflict between maintaining interpersonal relationships and implementing treatment behaviors’. Among the factors associated with coping behaviours, a significant difference was seen in the presence or absence of coping measures for ‘Difficulty readjusting living hours’ and body mass index. Conclusions: When assessing patients, it is best to perform assessments from the three perspectives described in the present study.","PeriodicalId":305627,"journal":{"name":"International Diabetes Nursing","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127258535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cathrine Astermark, A‐C Bramhagen, I. Hallström, A. Carlsson, Irén Tiberg
{"title":"Health-related quality of life in children with Type 1 diabetes: an RCT of hospital-based care and hospital-based home care at diagnosis","authors":"Cathrine Astermark, A‐C Bramhagen, I. Hallström, A. Carlsson, Irén Tiberg","doi":"10.1080/20573316.2018.1426257","DOIUrl":"https://doi.org/10.1080/20573316.2018.1426257","url":null,"abstract":"Introduction:When a child is diagnosed with Type 1 diabetes, it involves extensive lifestyle changes for the whole family. There is limited knowledge of the impact the initial care has for children and parents over time. The aim was to compare children’s diabetes-specific health-related quality of life (HRQOL) in hospital-based care and hospital-based home care (HBHC), 12 and 24 months after the onset of Type 1 diabetes. The aim was also to compare the children’s and parents’ proxy-report of the children’s diabetes-specific HRQOL after 12 and 24 months, regardless of the form of care. Method: The trial took place at a university hospital in Sweden and had a randomised controlled design evaluating the hospital-based care and HBHC, referring to specialist care in a home-based setting. Children aged 5–16 and their parents answered the PedsQLTM 3.0 Diabetes Module, 12 months and 24 months after the onset of the illness. Results: The results showed no difference regarding the children’s diabetes-specific HRQOL. However, 12 months from diagnosis, the children and parents who received HBHC experienced more worry than those who had received hospital-based care at diagnosis (p = .012). Irrespective of the form of care, children reported more discomfort of the disease than their parents reported that the children would have (p = .017). Conclusion: Overall, the result indicates that both hospital-based care and HBHC provide equivalent outcomes in terms of the children’s diabetes-specific HRQOL. However, a more home-based model of care might put more strain on some families. Those families need to be identified and the routines should be flexible in order to meet each family’s need.","PeriodicalId":305627,"journal":{"name":"International Diabetes Nursing","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128906443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Rossen, H. Lööf, A. Yngve, M. Hagströmer, K. Brismar, U. Johansson
{"title":"‘This is why I’m doing a lot of exercise’ — a qualitative study of participant’s experiences of the Sophia Step Study","authors":"J. Rossen, H. Lööf, A. Yngve, M. Hagströmer, K. Brismar, U. Johansson","doi":"10.1080/20573316.2018.1437940","DOIUrl":"https://doi.org/10.1080/20573316.2018.1437940","url":null,"abstract":"Introduction: Support for physical activity (PA) is central in diabetes care. The Sophia Step Study is a three-armed randomised controlled trial aiming to evaluate different levels of support for increased PA in prediabetes and Type 2 diabetes. With the purpose to reveal the programme components and the mediating factors from the participants’ perspective this paper aims to report a qualitative exploration of adhering participants’ experiences after two years’ study participation. Methods: Semi-structured interviews were conducted with 18 participants (men, n = 11, women, n = 7, prediabetes, n = 5, Type 2 diabetes, n = 13, median age 68.5 years) who completed a two-year multi-component (n = 7), single-component (n = 6) intervention or served as controls (n = 5) at a primary care center in Stockholm, Sweden. The interviews were analysed using content analysis with an inductive approach. Sophia Step Study is registered at ClinicalTrials.gov with Identifier: NCT02374788. Results: The participants recalled the frequent study assessments as providing feedback of health outcomes; positive reinforcement; a sense of sentinel and a personalised approach. Group meetings, pedometers and health check-ups were valued as resources for increased awareness and motivation of PA; establishment of new routines and control over the own health. The long program duration allowed for maintenance of awareness and routines for PA Conclusion: Adhering participants in theory-based interventions, but also in the control group, identified key mediators to support for PA. Feedback of results, personalised encouragement, emotional support and self-monitoring should be regarded in self-management of PA to optimise patient motivation and outcomes.","PeriodicalId":305627,"journal":{"name":"International Diabetes Nursing","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128753049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Y. Shimizu, M. Mizuno, Kyoko Uchiumi, Natsuko Seto, H. Masaki
{"title":"Qualitative study on nursing processes to support blood glucose pattern management in Japan","authors":"Y. Shimizu, M. Mizuno, Kyoko Uchiumi, Natsuko Seto, H. Masaki","doi":"10.1080/20573316.2017.1402421","DOIUrl":"https://doi.org/10.1080/20573316.2017.1402421","url":null,"abstract":"A structured approach to self-monitoring of blood glucose and blood glucose pattern management (BGPM) is crucial in diabetes management. However, nursing processes for supporting BGPM among people with diabetes has not been studied. Here we described the process used by nurses certified in diabetes nursing in Japan to support BGPM among people with diabetes. Eleven nurses certified in diabetes nursing in Japan, with actual experience in supporting BGPM. We conducted semi-structured interviews with participants using an interview guide. The interview content was recorded on an IC recorder after obtaining consent. Qualitative analyses of data were conducted by qualitative synthesis. Based on the interviews with the 11 participants, 8 themes regarding the process of supporting BGPM were identified. These themes were as follows: ‘underlying supportive environment: a place where you can state what has been on your mind’, ‘sharing goals: exploring the person’s interest and finding clues’, ‘collaboration: finding patterns and devising measures’, ‘collaboration: considering effective and less burdensome blood glucose measurement and recording methods’, ‘leading to the next step: a long-range step-by-step perspective’, ‘support of active learning: utilising experiences and fostering independent thinking’, ‘mutual confidence: reward their efforts and trust their potential’ and ‘team approach: multilateral care’. Thereafter, the eight themes were schematised and the process of supporting BGPM was determined. Thus, we clarified the process of supporting BGPM and provided suggestions on how to utilise BGPM in ordinary nursing.","PeriodicalId":305627,"journal":{"name":"International Diabetes Nursing","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131478502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Perceptions, attitudes and beliefs among allied healthcare professionals managing people with Type 2 diabetes: an international cross-sectional survey","authors":"A. Felton, M. McGill","doi":"10.1080/20573316.2017.1409868","DOIUrl":"https://doi.org/10.1080/20573316.2017.1409868","url":null,"abstract":"Introduction: Many individuals with Type 2 diabetes (T2DM) do not achieve their glycaemic targets, and allied healthcare professionals (HCPs) have a central role in their care. Methods: Allied HCPs who advise/treat people with T2DM completed a cross-sectional, Internet-based survey to examine clinical practice patterns and identify barriers to achieving glycaemic control. Responses from 280 allied HCPs from 51 countries were analysed. Results: Participants were mostly from North America (46%), Australia/Oceania (17%) and Europe (16%). Many (65%) respondents reported that ≤60% of their patients achieve their HbA1c targets. Lack of motivation by HCPs and patients, as well as poor patient adherence to therapy, were identified as major barriers to achieving glycaemic targets. Strategies most frequently selected by HCPs to improve glycaemic outcomes were patient-focused. Conclusions: Greater awareness among HCPs of their role in supporting and motivating patients to self-manage their condition may improve rates of glycaemic control among individuals with T2DM.","PeriodicalId":305627,"journal":{"name":"International Diabetes Nursing","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121165923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Malin Rising Holmström, Marie Häggström, Åsa Audulv, Lena Junehag, I. Coyne, S. Söderberg
{"title":"To integrate and manage diabetes in school: Youth’s experiences of living with Type 1 diabetes in relation to school – a qualitative study","authors":"Malin Rising Holmström, Marie Häggström, Åsa Audulv, Lena Junehag, I. Coyne, S. Söderberg","doi":"10.1080/20573316.2017.1375599","DOIUrl":"https://doi.org/10.1080/20573316.2017.1375599","url":null,"abstract":"In Sweden, each year approximately 700 children develop Type 1 diabetes. Living with the illness is a challenge for youth and requires adjustments to lifestyle, and to manage school. The aim was to describe youths’ experiences of living with Type 1 diabetes in relation to school. A qualitative research design was used and interviews were performed with eight girls and five boys with Type 1 diabetes. The interviews were subjected to qualitative content analysis. Three themes were identified: to be friends with the diabetes, striving for normality and receiving support from others. Results showed a need to increase the understanding of T1D and diabetic competence within the Swedish school system and knowledge of youths’ own experiences is vital in this work. Living with T1D was a struggle for normality, independency and the youth needed to be friends with diabetes to handle everyday self-management. Although there are demanding life and school circumstances, it eventually becomes possible for the youth to handle the illness and to integrate and manage diabetes in school.","PeriodicalId":305627,"journal":{"name":"International Diabetes Nursing","volume":"768 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129314206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Samuel Jara Josefsson, Minna Allar, Kajsa Landgren, Irén Tiberg
{"title":"Promoting health in children and adolescents with – or at risk of – Type 2 diabetes mellitus in the United States: An interview – study of nurses’ experiences of their role","authors":"Samuel Jara Josefsson, Minna Allar, Kajsa Landgren, Irén Tiberg","doi":"10.1080/20573316.2017.1370567","DOIUrl":"https://doi.org/10.1080/20573316.2017.1370567","url":null,"abstract":"Introduction: Type 2 diabetes mellitus (T2DM) in children and adolescents is increasing throughout the world and the USA. Previous research has shown that the nurses have an important role in the management of T2DM in children and adolescents, but few studies have covered how the nurses perceive and experience their role. Aim: This paper aims to describe how nurses experience their role in the care of children and adolescents with T2DM and their families. Methods: Semi-structured interviews were used to collect the data from eight registered nurses and nurse practitioners who worked in an American university hospital area participated in the study. An inductive qualitative approach was used and the data were analysed through the content analysis. The findings were described in four categories: overcoming challenges; improving life quality; being cooperative and being committed to one’s role as a diabetes nurse forming the theme Promoting health. Conclusions: The diabetes nurse has a key role in the work of promoting health and the results elucidate the complexity of the role. To be able to plan for and to implement an evidence-based approach based on theoretical models of behaviour and consideration of the child’s needs, not only requires a commitment from health professionals but also involves education and discussions that require both commitment and managerial and economic support from leaders in children’s healthcare and managers of health services.","PeriodicalId":305627,"journal":{"name":"International Diabetes Nursing","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134321432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
E. C. Maclean, Anwar Mohammad, Noureen Khatoon, S. Abraham, M. Carballo
{"title":"Perceptions of body size among a multi-ethnic population in Kuwait","authors":"E. C. Maclean, Anwar Mohammad, Noureen Khatoon, S. Abraham, M. Carballo","doi":"10.1080/20573316.2017.1394627","DOIUrl":"https://doi.org/10.1080/20573316.2017.1394627","url":null,"abstract":"Objectives: This analysis aimed to determine how people living in Kuwait perceive their body size and to identify possible determinants of this. Design: Data on perceived body size were gathered as part of a larger cross-sectional Knowledge, Attitudes, Behaviours and Practices (KABP) survey of 1124 participants. Results: Over 60% of participants were either overweight or obese. The overall rate of body size misperception was also high, with 19% of participants underestimating their body size. Gender and diabetes status were found to be associated with body size perception. Conclusions: Many overweight individuals may be underestimating their body size. As such, they may not appreciate the need for behavioural interventions designed to control weight and promote health. There is an evident need to strengthen health education and to address this issue within national policies and community engagement activities.","PeriodicalId":305627,"journal":{"name":"International Diabetes Nursing","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126876452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The last hurrah!","authors":"A. Halkoaho, M. Gershater, A. Forbes","doi":"10.1080/20573316.2018.1468683","DOIUrl":"https://doi.org/10.1080/20573316.2018.1468683","url":null,"abstract":"Dear colleagues, as this is the last edition of the journal, the editors would like to share some thoughts and reflections on clinical research in diabetes nursing and give some thanks. The world o...","PeriodicalId":305627,"journal":{"name":"International Diabetes Nursing","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115952950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Everyday life in a family of an adult person with Type 1 diabetes","authors":"Tuula-Maria Rintala","doi":"10.1080/20573316.2017.1401201","DOIUrl":"https://doi.org/10.1080/20573316.2017.1401201","url":null,"abstract":"The purpose of this study was to develop a substantive theory of everyday life in a family with an adult with Type 1 diabetes. The data consist of interviews conducted with people with diabetes (n = 19) and their family members (n = 19). Based on the results, diabetes is visible or invisible, present in the everyday life. Life must be carefully planned and diabetes must be taken into consideration in everything. A person with diabetes tries to keep the balance with his/her self-management. Keeping the balance with self-management is demanding to a person with diabetes and the family members’ support is needed. Managing with hypoglycaemia touches the everyday life of the whole family. The family lives with changing feelings. The family becomes acquainted with diabetes little by little and the process promotes the family's participation in the self-management. The family's contribution to self-management varies. Based on the results, it is recommended to develop family-centered interventions.","PeriodicalId":305627,"journal":{"name":"International Diabetes Nursing","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129453328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}