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.

中文翻译：

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使用自我肯定开发基于网络的支持以激励 2 型糖尿病患者改变生活方式：一项评估患者对自我管理的观点和对数字生活方式干预的看法的定性研究

目标

本研究的目的是探讨患者对糖尿病自我管理的体验以及对使用自我肯定来激励生活方式改变的数字生活方式干预的看法。

方法

对来自斯堪尼亚全新糖尿病患者 (ANDIS) 队列的 22 名 2 型糖尿病患者进行了侧重于糖尿病自我管理的需求、态度和障碍的半结构化访谈。采访之后是另外三个研究访问，参与者根据自我肯定对基于计算机的作业提供反馈。使用主题分析对访谈和反馈进行定性分析。

结果

参与者描述了糖尿病自我管理的一系列障碍，以及与糖尿病管理相关的不同紧迫感和痛苦感。报告了对可访问、可靠和相关信息的需求，以及需要改变生活方式与当前生活状况不相容的感觉。此外，自我肯定的使用被描述为相关、激励和参与。

结论

在支持糖尿病自我管理时，需要解决糖尿病自我管理的障碍，例如，通过谨慎地将支持与患者的改变准备程度相匹配，支持患者自主和关注长期变化。使用自我肯定可以提高数字生活方式干预的可接受性，并通过引导患者关注个人相关性，帮助将糖尿病自我管理与整体生活环境联系起来。