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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.

Patient preference and adherence

Suyoung Choi, Misoon Song, Sun Ju Chang, Se-An Kim

Affiliations

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

PMID: 24627626 PMCID: PMC3931579 DOI: 10.2147/PPA.S58631

Abstract

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

PATIENTS AND METHODS: 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.

RESULTS: "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.

CONCLUSION: 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.

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

References

  1. Diabetes Care. 2013 Jan;36 Suppl 1:S100-8 - PubMed
  2. Diabetes Care. 2004 May;27(5):1047-53 - PubMed
  3. Diabetes Care. 2010 Apr;33(4):751-3 - PubMed
  4. Diabetes Care. 2002 Jul;25(7):1159-71 - PubMed
  5. Patient Educ Couns. 2008 Sep;72(3):418-23 - PubMed
  6. Lancet. 1998 Sep 12;352(9131):837-53 - PubMed
  7. Cochrane Database Syst Rev. 2005 Apr 18;(2):CD003417 - PubMed
  8. Chin J Integr Med. 2011 Dec;17(12):937-44 - PubMed
  9. Health Care Women Int. 1992 Jul-Sep;13(3):313-21 - PubMed
  10. J Am Geriatr Soc. 2003 May;51(5 Suppl Guidelines):S265-80 - PubMed
  11. Res Theory Nurs Pract. 2012;26(2):126-41 - PubMed
  12. Diabetes Care. 2010 Jan;33 Suppl 1:S89-96 - PubMed
  13. Gerontologist. 2010 Oct;50(5):657-67 - PubMed
  14. Int J Older People Nurs. 2010 Sep;5(3):211-8 - PubMed
  15. Diabetes Care. 2000 Jul;23(7):943-50 - PubMed
  16. Psychol Bull. 1992 May;111(3):455-74 - PubMed
  17. Patient Educ Couns. 2002 Oct -Nov;48(2):177-87 - PubMed
  18. BMJ. 2011 Feb 15;342:d715 - PubMed
  19. Int J Nurs Pract. 2013 Dec;19(6):627-35 - PubMed
  20. Diabetes Res Clin Pract. 2013 Aug;101(2):141-7 - PubMed
  21. J Clin Nurs. 2005 Feb;14(2):195-203 - PubMed
  22. J Adv Nurs. 2006 Apr;54(2):151-8 - PubMed
  23. J Gerontol Nurs. 2012 Oct;38(10):38-48 - PubMed
  24. Health Psychol. 2006 Jul;25(4):462-73 - PubMed
  25. Patient Prefer Adherence. 2010 Sep 07;4:291-9 - PubMed
  26. Patient Prefer Adherence. 2013;7:103-9 - PubMed
  27. Nurs Outlook. 2009 Jul-Aug;57(4):217-225.e6 - PubMed
  28. Occup Ther Int. 2012 Jun;19(2):67-75 - PubMed

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