Location of Repository

Patient engagement with a diabetes self-management intervention\ud

By Antje Lindenmeyer, Sandra Whitlock, Jackie Sturt and Frances Griffiths


Objectives: To explore how people living with type 2 diabetes self-manage their condition in everyday life and the impact of the Diabetes Manual programme, a one-to-one structured educational intervention aiming to increase skills and confidence for self-management. \ud \ud Method: Semi-structured interviews with 12 participants on the Diabetes Manual trial, sampled purposively according to baseline self-efficacy and educational attainment. \ud \ud Results: When describing their experience of living with diabetes, there was little difference between intervention and control participants, although those who had received the programme talked more about the use of blood glucose self-assessment. Programme users were grouped into three categories, Programme Engagers (n = 2), Programme Browsers (n = 4) and Information Seekers (n = 6). Of the two participants engaging with the programme, one described a very positive experience, the other felt unsupported by their practice. None noticed a difference in the approach used by their health professional. Participants’ approach to the Diabetes Manual programme suggests they will continue to use it as a resource in the future. \ud \ud Conclusion: Participants used the Diabetes Manual programme in different ways, choosing the timing and depth of engagement. Their experience suggests that the programme requires close communication and openness towards collaborative approaches to improve skills and confidence for self-management. \ud \u

Topics: RC
Publisher: Sage Publications Ltd.
Year: 2010
OAI identifier: oai:wrap.warwick.ac.uk:3737

Suggested articles



  1. (2003). Achieving national service standards for cardiac rehabilitation and secondary prevention. BMJ doi
  2. (1998). Adapting to and managing diabetes. doi
  3. (1994). Adherence consistency across treatment regimens. Diabetes Care doi
  4. (2007). An interview with Juliet Corbin. doi
  5. (1990). Basics of qualitative research: grounded theory procedures and techniques. doi
  6. Chapter 7: Analysing Qualitative Data. In: doi
  7. (1988). Coming to terms with diabetes: coping strategies and non-compliance.
  8. (2004). Controlling diabetes, controlling diabetics: moral language in the management of diabetes type 2. Soc Sci Med doi
  9. (2005). Diabetes patient education: time for a new era. Diabet Med doi
  10. (2008). Education and self-management for people newly diagnosed with type 2 diabetes: a qualitative study of patients' views. Chronic Illn doi
  11. (2001). Effectiveness of self-management training in type 2 diabetes: a systematic review of randomized controlled trials. Diabetes Care doi
  12. (2008). Effectiveness of the diabetes education and self management for ongoing and newly diagnosed (DESMOND) programme for people with newly diagnosed type 2 diabetes: cluster randomised controlled trial. BMJ doi
  13. (1992). Effects of self-help post myocardial infarction rehabilitation on psychological adjustment and use of health services. Lancet doi
  14. (2009). Empowerment and its application in health promotion in acute care settings: nurses' perceptions. doi
  15. (2003). Evaluating metaethnography: a synthesis of qualitative research on lay experiences of diabetes and diabetes care. Soc Sci Med doi
  16. (2003). for Clinical Excellence. Guidance on the use of patient-education models for diabetes.
  17. (2003). Foundation. International standards for diabetes education.
  18. (2001). Health. The expert patient: a new approach to chronic disease management for the 21st century. London: Department of Health,
  19. NVivo qualitative data analysis software; doi
  20. (2010). Patient empowerment: myths and misconceptions. Patient Educ Couns doi
  21. (2005). Patient empowerment: reflections on the challenge of fostering the adoption of a new paradigm. Patient Educ Couns doi
  22. (1991). Patterns of diet related self-care in diabetes. Soc Sci Med doi
  23. (2005). Role of habit in adherence to medical treatment. Diabet Med doi
  24. (1991). Shaping the course of a marathon: using the Trajectory Framework for diabetes mellitus. Sch Inq Nurs Pract
  25. (2008). structured education in primary care. Diabet Med doi
  26. (2003). The adherence of type 2 diabetes patients to their therapeutic regimens: a qualitative study from the patient's perspective. Practical Diabetes International doi
  27. (2008). The clinical effectiveness of diabetes education models for type 2 diabetes: a systematic review. Health Technol Assess doi
  28. (2007). Understanding the diversity and dynamics of living with diabetes: a feasibility study focusing on the case. Chronic Illn doi
  29. (2007). Variation of patients' views on Type 2 diabetes management over time. Diabet Med doi

To submit an update or takedown request for this paper, please submit an Update/Correction/Removal Request.