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Personcentrerad IKT-tjänst för personer med typ 2-diabetes
Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna. Linnéuniversitetet.ORCID iD: 0000-0002-2848-8277
2018 (English)Licentiate thesis, comprehensive summary (Other academic)
Abstract [en]

Background: Diabetes is a chronic disease affecting more and more people and placing increasing demands on health care. The increasing numbers of adults diagnosed with type 2 diabetes are in need of self-management strategies. Learning self-management includes mastering the skills required to complete the complex emotional and physical tasks necessary to manage well-being and to prevent future complications. A technological service developed with the participation of stakeholders may be an alternative way to meet rising needs for self-management. The involvement of various stakeholders enables cooperation, facilitates patient empowerment, and takes into consideration how adults with type 2 diabetes manage their everyday activities.

Aim: The overall aim of the licentiate thesis is, by participatory research methods identify self-management support of a future ICT service to facilitate adults with type 2-diabetes.

Methods: Two studies were conducted using participatory design (PD) with qualitative methods. Data were collected among recently diagnosed adults and those with longer experience of type 2 diabetes. The adults were recruited from a primary healthcare centre and from a diabetes hospital clinic in Sweden. Study I identified perceived challenges related to self-management among recently diagnosed adults and those with longer experience of type 2 diabetes by using multistage focus groups. Study II reported needs and wishes for an ICT self-management service to facilitate their everyday life and to deal with type 2 diabetes by using a future workshop.

Results: Three main challenges were identified; understanding; developing skills and abilities; and mobilizing personal strengths. Both recently diagnosed adults and those with longer experience of diabetes 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 were more challenged by learning to accept the diagnosis and becoming motivated to change habit while the experienced group were mainly challenged by issues about complications and medications. The adults with type 2 diabetes expressed needs and wishes for an ICT service all fell under the broad category of Acceptance of the diagnosis, with the three suggestions; Trust in partnerships, Communication and Individualized information. Acceptance of the diagnosis was a prerequisite for managing diabetes successfully. Acceptance of the diagnosis also made the participants accept information, learn about their condition, and understand how to personally manage their everyday lives. Trust in partnership with caregivers and Communication facilitated that acceptance and understanding of the disease.

Main findings: The adults with type 2 diabetes stated different needs for support during different phases of the disease. The expressed needs and wishes 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 participatory methodology as a democratic process and their appreciation of mutual learning contributed to these results, which are consistent with the aims of person centred care.

Conclusions: 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. Healthcare practitioners need to address the knowledge needs of patients with type 2 diabetes and support them in developing self-management skills. Consistent with person-centred care, practitioners should also encourage patients’ abilities to mobilize their own personal strengths to maintain self-management.

Place, publisher, year, edition, pages
Växjö: Linnaeus University Press , 2018. , p. 64
Keywords [sv]
Typ 2-diabetes, flerstegsfokusgrupper, framtidsverkstad, IKT-service, egenvård, personcentrerad vård, deltagarbaserad forskning
National Category
Health Sciences
Identifiers
URN: urn:nbn:se:hkr:diva-17819ISBN: 978-91-88761-24-8 (print)ISBN: 978-91-88761-25-5 (electronic)OAI: oai:DiVA.org:hkr-17819DiVA, id: diva2:1180443
Opponent
Supervisors
Note

Forskningsfinansiärer: Kommunerna i Skåne Nordost, Högskolan Kristianstad och Region Skåne

Available from: 2018-02-05 Created: 2018-02-05 Last updated: 2018-02-05Bibliographically approved
List of papers
1. Designing an ICT self-management service: suggestions from persons with type 2 diabetes
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

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