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Per Johnsson psykologi samhällsvetenskapliga institutionen

Per Johnsson

Senior lecturer

Per Johnsson psykologi samhällsvetenskapliga institutionen

Developing a web-based support using self-affirmation to motivate lifestyle changes in type 2 diabetes : A qualitative study assessing patient perspectives on self-management and views on a digital lifestyle intervention

Author

  • Emelia Mellergård
  • Per Johnsson
  • Frida Eek

Summary, in English

Aims: The aim of the present study was to explore patients' experiences of diabetes self-management and views on a digital lifestyle intervention using self-affirmation to motivate lifestyle changes.

Methods: Semi-structured interviews focusing on needs, attitudes, and barriers to diabetes self-management were conducted with 22 individuals with type 2 diabetes recruited from the All New Diabetics in Scania (ANDIS) cohort. The interviews were followed by three additional study visits, where participants gave feedback on computer-based assignments based on self-affirmation. Interviews and feedback were qualitatively analyzed using thematic analysis.

Results: Participants described a range of barriers to diabetes self-management, and a varying sense of urgency and distress related to diabetes management. A need for accessible, reliable, and relevant information was reported, as well as a sense that required lifestyle changes was incompatible with current life situation. Further, the use of self-affirmation was described as relevant, motivating and engaging.

Conclusions: Barriers to diabetes self-management need to be addressed when supporting diabetes self-management, e.g. through carefully matching the support to the patient's readiness to change, supporting patient autonomy and focusing on long-term changes. Using self-affirmation may raise acceptability of a digital lifestyle intervention and help connect diabetes self-management with overall life context, by guiding the patient to focus on personal relevance.

Department/s

  • Human Movement: health and rehabilitation
  • Department of Psychology

Publishing year

2021-04

Language

English

Pages

100384-100384

Publication/Series

Internet Interventions

Volume

24

Document type

Journal article

Publisher

Elsevier

Topic

  • Health Care Service and Management, Health Policy and Services and Health Economy

Keywords

  • ANDIS
  • diabetes

Status

Published

Research group

  • Human Movement: health and rehabilitation

ISBN/ISSN/Other

  • ISSN: 2214-7829