Patients' perspective on self-management: type 2 diabetes in daily life

BMC Health Serv Res. 2019 Aug 28;19(1):605. doi: 10.1186/s12913-019-4384-7.

Abstract

Background: The number of type 2 diabetes mellitus (T2DM) patients and related treatment costs are rapidly increasing. Consequentially, more cost-effective and efficient strategies for the treatment of T2DM are needed. One such strategy is improving patients' self-management. As patients are more and more expected to self-manage their disease, it is important to provide them with suitable self-management support. This way, success of self-management will increase and complications and related costs of T2DM can be reduced. Currently, self-management support is developed mainly from the perspective of health professionals and caregivers, rather than patients. This research focused on gaining a better understanding of patients' perspectives on self-management and support.

Methods: Semi-structured interviews, preceded by preparatory assignments, were conducted with ten patients with T2DM treated in Dutch primary care.

Results: We found that patients experience 'active' self-management when recently diagnosed. As time progresses and no problems occur, patients do not experience their disease-related behaviour as self-management. Diabetes has 'just' become part of their daily life, now including new routines taking diabetes into account.

Conclusions: With this knowledge, support solutions can be designed and implemented that better fit the needs, preferences and abilities of patients with T2DM.

Keywords: Chronic care; Context mapping; Lifestyle; Patient preferences; User-centred design.

MeSH terms

  • Activities of Daily Living
  • Adult
  • Aged
  • Caregivers / psychology
  • Diabetes Mellitus, Type 2 / psychology
  • Diabetes Mellitus, Type 2 / therapy*
  • Female
  • Healthy Lifestyle
  • Humans
  • Male
  • Middle Aged
  • Patient Satisfaction
  • Self-Management / methods
  • Self-Management / psychology*
  • Social Support