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Gardsten, Cecilia
Publications (4 of 4) Show all publications
Gardsten, C., Blomqvist, K., Rask, M., Larsson, Å., Lindberg, A. & Olsson, G. (2018). Challenges in everyday life among recently diagnosed and more experienced adults with type 2 diabetes: a multistage focus group study. Journal of Clinical Nursing, 27(19-20), 3666-3678
Open this publication in new window or tab >>Challenges in everyday life among recently diagnosed and more experienced adults with type 2 diabetes: a multistage focus group study
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2018 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, no 19-20, p. 3666-3678Article in journal (Refereed) Published
Abstract [en]

AIM AND OBJECTIVES: The aim of this study was to identify perceived challenges related to self-management among recently diagnosed adults and those with longer experience of type 2 diabetes as a foundation for the future development of a person-centred information and communication technology service.

BACKGROUND: Learning self-management of type 2 diabetes includes mastering the skills required to complete complex emotional and physical tasks. A service developed with the participation of stakeholders may be an alternative way to meet rising needs for self-management.

DESIGN: Qualitative descriptive design influenced by a participatory approach.

METHODS: Multistage focus group interviews among one group of recently diagnosed (≤3yrs, n=4) adults and one group with longer experience (≥5yrs, n=7) of type 2 diabetes.

RESULTS: Challenges in self-management in everyday life with type 2 diabetes were identified: understanding; developing skills and abilities; and mobilizing personal strengths. Both groups described challenges in understanding the causes of fluctuating blood glucose and in, developing and mobilizing skills for choosing healthful food and eating regularly. The recently diagnosed group was more challenged by learning to accept the diagnosis and becoming motivated to change habits while the experienced group was mainly challenged by issues about complications and medications.

CONCLUSION: Adults with diabetes have different needs for support during different phases of the disease. From a person-centred perspective, it would be desirable to meet individual needs for self-management on peoples' own terms through a technological service that could reach and connect to a large number of people. This article is protected by copyright. All rights reserved.

Keywords
Chronic illness, focus groups, patient teaching, patient-centred care, self-management, type 2 diabetes
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hkr:diva-17908 (URN)10.1111/jocn.14330 (DOI)000444077000024 ()29495094 (PubMedID)
Available from: 2018-03-08 Created: 2018-03-08 Last updated: 2018-09-27Bibliographically approved
Gardsten, C., Mörtberg, C. & Blomqvist, K. (2017). Designing an ICT self-management service: suggestions from persons with type 2 diabetes. Health and Technology, 7(2-3), 197-206
Open this publication in new window or tab >>Designing an ICT self-management service: suggestions from persons with type 2 diabetes
2017 (English)In: Health and Technology, ISSN 2190-7188, E-ISSN 2190-7196, Vol. 7, no 2-3, p. 197-206Article in journal (Refereed) Published
Abstract [en]

This paper reports the wishes and needs of people with type 2 diabetes (T2DM) for a future information and communication technology (ICT) self-management service to help manage their condition and their everyday life. Diabetes is a chronic disease affecting more and more people and placing increasing demands on health care. The self-management of diabetes includes instrumental and, decision-making skills and skills in managing daily activities, which may be supported by an ICT service. In this study we used a participatory design including two sessions of Future Workshop (FW) as part of a larger research project on the self-management of diabetes. Adults with type 2 diabetes participated in two FW sessions in which their expressed wishes and needs for an ICT service all fell under the broad category of Acceptance of the diagnosis, with three other suggestions; Trust in partnerships, Communication, and Individualized information. The participants’ experience of the FW as a democratic process and their appreciation of mutual learning contributed to these results, which are consistent with the aims of person-centred care.

Keywords
Type 2 diabetes, Future workshop, ICTservice, Chronic disease selfmanagement, Person-centred care, Participatory design
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hkr:diva-16428 (URN)10.1007/s12553-016-0176-9 (DOI)000423997100005 ()29201589 (PubMedID)
Available from: 2017-01-17 Created: 2017-01-12 Last updated: 2018-02-22Bibliographically approved
Gardsten, C., Blomqvist, K. & Mörtberg, C. (2014). Ethical considerations in Participatory Action Research (PAR). In: : . Paper presented at Nordic Conference in Nursing Research.
Open this publication in new window or tab >>Ethical considerations in Participatory Action Research (PAR)
2014 (English)Conference paper, Poster (with or without abstract) (Other academic)
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hkr:diva-13409 (URN)
Conference
Nordic Conference in Nursing Research
Available from: 2015-01-15 Created: 2015-01-15 Last updated: 2015-01-19Bibliographically approved
Gardsten, C., Blomqvist, K., Larsson, Å. & Olsson, G. (2013). Challenges in daily life with type 2 diabetes. In: : . Paper presented at Nordic Conference in Nursing Research .
Open this publication in new window or tab >>Challenges in daily life with type 2 diabetes
2013 (English)Conference paper, Poster (with or without abstract) (Other academic)
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hkr:diva-13408 (URN)
Conference
Nordic Conference in Nursing Research 
Projects
Egenvård vid diabetes typ 2 - utveckling av IT service
Available from: 2015-01-15 Created: 2015-01-15 Last updated: 2015-01-19Bibliographically approved
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