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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
environmental science
Patient and provider dilemmas of type 2 diabetes self-management: A qualitative study in socioeconomically disadvantaged communities in Stockholm
International Journal of Environmental Research and Public Health, Volume 15, No. 9, Article 1810, Year 2018
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Description
Studies comparing provider and patient views and experiences of self-management within primary healthcare are particularly scarce in disadvantaged settings. In this qualitative study, patient and provider perceptions of self-management were investigated in five socio-economically disadvantaged communities in Stockholm. Twelve individual interviews and four group interviews were conducted. Semi-structured interview guides included questions on perceptions of diabetes diagnosis, diabetes care services available at primary health care centers, patient and provider interactions, and self-management support. Data was analyzed using thematic analysis. Two overarching themes were identified: adopting and maintaining new routines through practical and appropriate lifestyle choices (patients), and balancing expectations and pre-conceptions of self-management (providers). The themes were characterized by inherent dilemmas representing confusions and conflicts that patients and providers experienced in their daily life or practice. Patients found it difficult to tailor information and lifestyle advice to fit their daily life. Healthcare providers recognized that patients needed support to change behavior, but saw themselves as inadequately equipped to deal with the different cultural and social aspects of self-management. This study highlights patient and provider dilemmas that influence the interaction and collaboration between patients and providers and hinder uptake of self-management advice. © 2018 by the authors. Licensee MDPI, Basel, Switzerland.
Authors & Co-Authors
Aweko, Juliet
Sweden, Stockholm
Karolinska Institutet
De Man, Jeroen
Belgium, Antwerpen
Prins Leopold Instituut Voor Tropische Geneeskunde
Absetz, Pilvikki
Finland, Kuopio
Itä-suomen Yliopisto
Östenson, Claes Göran
Sweden, Stockholm
Karolinska Universitetssjukhuset
Peterson, Stefan Swartling
Sweden, Uppsala
Uppsala Universitet
Alvesson, Helle Mölsted
Sweden, Stockholm
Karolinska Institutet
Daivadanam, Meena
Sweden, Stockholm
Karolinska Institutet
Sweden, Uppsala
Uppsala Universitet
Statistics
Citations: 18
Authors: 7
Affiliations: 5
Identifiers
Doi:
10.3390/ijerph15091810
ISSN:
16617827
Research Areas
Health System And Policy
Noncommunicable Diseases
Study Approach
Qualitative