Perceived needs for supported self-management of type 2 diabetes: a qualitative investigation of the potential for a web-based intervention

Cassimatis, Mandy, Kavanagh, David J. and Smith, Anthony C. (2014) Perceived needs for supported self-management of type 2 diabetes: a qualitative investigation of the potential for a web-based intervention. Australian Psychologist, 49 2: 75-85. doi:10.1111/ap.12050


Author Cassimatis, Mandy
Kavanagh, David J.
Smith, Anthony C.
Title Perceived needs for supported self-management of type 2 diabetes: a qualitative investigation of the potential for a web-based intervention
Journal name Australian Psychologist   Check publisher's open access policy
ISSN 0005-0067
1742-9544
Publication date 2014-04-01
Sub-type Article (original research)
DOI 10.1111/ap.12050
Open Access Status Not Open Access
Volume 49
Issue 2
Start page 75
End page 85
Total pages 11
Place of publication Chichester, West Sussex, United Kingdom
Publisher John Wiley & Sons
Language eng
Formatted abstract
The estimated one million Australians with type 2 diabetes face significant risks of morbidity and premature mortality. Inadequate diabetes self-management is associated with poor glycaemic control, which is further impaired by comorbid dysphoria. Regular access to ongoing self-management and psychological support is limited, especially in rural and regional locations. Web-based interventions can provide complementary support to patients' usual care. Semi-structured interviews were undertaken with two samples that comprised (a) 13 people with type 2 diabetes and (b) 12 general practitioners (GPs). Interviews explored enablers and barriers to self-care, emotional challenges, needs for support, and potential web-based programme components. Patients were asked about the potential utility of a web-based support programme, and GPs were asked about likely circumstances of patient referral to it. Thematic analysis was used to summarise responses. Most perceived facilitators and barriers to self-management were similar across the groups. Both groups highlighted the centrality of dietary self-management, valued shared decision-making with health professionals, and endorsed the idea of web-based support. Some emotional issues commonly identified by patients varied to those perceived by GPs, resulting in different attributions for impaired self-care. A web-based programme that supported self-management and psychological/emotional needs appears likely to hold promise in yielding high acceptability and perceived utility.
Keyword Chronic disease
Diabetes
Emotional disorders
Health psychology
Online intervention
Qualitative research
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

 
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Created: Wed, 19 Mar 2014, 00:58:55 EST by Burke, Eliza on behalf of Centre for On-Line Health