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., & 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), pp. 75-85.

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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.

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2 citations in Web of Science®
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ID Code: 79245
Item Type: Journal Article
Refereed: Yes
Keywords: chronic disease, diabetes, emotional disorders, health psychology, online intervention, qualitative research
DOI: 10.1111/ap.12050
ISSN: 0005-0067
Subjects: Australian and New Zealand Standard Research Classification > PSYCHOLOGY AND COGNITIVE SCIENCES (170000) > PSYCHOLOGY (170100) > Health Clinical and Counselling Psychology (170106)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Copyright Owner: Copyright 2014 The Australian Psychological Society
Deposited On: 08 Dec 2014 23:03
Last Modified: 23 Jun 2017 11:01

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