Perceived support from healthcare practitioners among adults with type 2 diabetes

J Adv Nurs. 2010 Jul;66(7):1500-9. doi: 10.1111/j.1365-2648.2010.05329.x. Epub 2010 May 21.

Abstract

Aim: This paper is a report of a study of how adults with type 2 diabetes perceive different attributes of support provided by healthcare practitioners and how various attributes of support can influence people's motivation to self-manage their disease.

Background: Motivational problems seem to be a major reason for poor diabetes management. According to well-known theories of motivation, expectations of being able to perform certain behaviours are a key element. Different attributes of support from healthcare practitioners are likely to influence such expectations. To date, no researchers have specifically examined how people with type 2 diabetes perceive different attributes of support from healthcare practitioners and how these may influence their motivation to manage their disease themselves.

Methods: A descriptive/explorative qualitative design and focus groups were used to collect data. The sample consisted of 19 adults with type 2 diabetes, and the data were collected in 2007 and analysed using qualitative content analysis.

Findings: Five themes were identified, reflecting perceived attributes of support from healthcare practitioners: (1) an empathetic approach, (2) practical advice and information, (3) involvement in decision-making, (4) accurate and individualized information and (5) ongoing group-based support.

Conclusion: Healthcare practitioners may strengthen the self-management motivation among adults with type 2 diabetes by enhancing expectations of being able to perform the necessary diabetes care, and through the provision of empathetic, individualized, practical and ongoing group-based support.

MeSH terms

  • Adult
  • Delivery of Health Care / standards*
  • Diabetes Mellitus, Type 2 / psychology*
  • Diabetes Mellitus, Type 2 / therapy*
  • Female
  • Focus Groups
  • Humans
  • Male
  • Middle Aged
  • Motivation
  • Norway
  • Patient Satisfaction
  • Physician-Patient Relations
  • Primary Health Care
  • Qualitative Research
  • Self Care / psychology*
  • Social Support*