A mixed methods study to examine the difficulties experienced and coping behaviours used by people with Type 2 diabetes of working age in Japan

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.