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Patient Prefer Adherence. 2014 Feb 14;8:219-26. doi: 10.2147/PPA.S58631. eCollection 2014.

Strategies for enhancing information, motivation, and skills for self-management behavior changes: a qualitative study of diabetes care for older adults in Korea.

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College of Nursing, Jeju National University, Jeju, Korea.
College of Nursing, and The Research Institute of Nursing Science, Seoul National University, Seoul, Korea.
Department of Nursing Science, Chungbuk National University, Cheongju, Korea.
College of Nursing, Seoul National University, Seoul, Korea.



To describe strategies for enhancing information, motivation, and skills related to changes in diabetes self-management behavior among community-dwelling older adults in Korea.


A total of five focus group interviews (three separate focus groups) were conducted with 12 older adults with type 2 diabetes and five diabetes educators. Qualitative content analysis was used.


"One's own willingness and ability" emerged as a fundamental belief about the strategies for diabetes self-management. Six major themes under three categories were identified. Under the information category, the recurrent themes were: 1) repeatedly offering detailed knowledge regarding self-management, 2) providing information about current health status, and 3) identifying experiential knowledge of blood glucose control. The recurrent themes in the motivation category were: 1) ensuring a positive attitude regarding self-management, and 2) encouragement or feedback from significant others. Furthermore, in the skills category, we found that the following theme emerged: hands-on skills training with numerical standards.


This study identified six tailored strategies for enhancing information, motivation, and skills for diabetes self-management behavior changes. These strategies can be used in the development of a culturally sensitive diabetes self-management program for older adults.


aged; focus group; geriatric nursing; self-care; type 2 diabetes mellitus

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