Identifying Key Moments in Type 2 Diabetes Management

A Qualitative Study of the Experiences of People With Type 2 Diabetes and Diabetes Health Coaches

Datos Bibliográficos

ID19508024
AutoresJ B Joyce (0000-0001-9499-1471, Nuffield Department of Primary Care Health Sciences University of Oxford Oxford UK, autor de correspondencia), Carolyn Newbert (Patient and Public Involvement Member of the Study Team), Nicola Guess (0000-0001-6829-0671, Nuffield Department of Primary Care Health Sciences University of Oxford Oxford UK), K Fryer (0000-0001-8685-0679, School of Medicine and Population Health, University of Sheffield Sheffield UK), Caroline Mitchell (0000-0002-4790-0095, Faculty of Medicine and Health Sciences, Keele University Keele UK), Liliia Bespala (0000-0002-6127-369X, Nuffield Department of Primary Care Health Sciences University of Oxford Oxford UK), Elizabeth Morris (0000-0002-9913-6041, Nuffield Department of Primary Care Health Sciences University of Oxford Oxford UK), Paul Aveyard (0000-0002-1802-4217, Nuffield Department of Primary Care Health Sciences University of Oxford Oxford UK), Susan A Jebb (0000-0001-9190-2920, Nuffield Department of Primary Care Health Sciences University of Oxford Oxford UK), Charlotte Albury (0000-0002-1036-6626, Nuffield Department of Primary Care Health Sciences University of Oxford Oxford UK)
Año2024
Volumen27
Número6
Páginase70108-e70108
Fecha de publicación2024-12-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaHealth Expectations (JOURNAL)
Identificadores de la revistaISSN: 1369-6513 • E-ISSN: 1369-7625
EditorialWiley (PUBLISHER • GB)
DOI10.1111/hex.70108
PMID39572877
OpenAlexW4404622368
IdiomaEN
Referencias citadas46

OBJECTIVE: For people with type 2 diabetes who are overweight, weight loss increases the likelihood of achieving diabetes remission. The aim here was to draw on the experiences of people living with type 2 diabetes and coaches who deliver type 2 diabetes prevention and remission programmes. This was done to develop a service that increases the proportion of people who achieve remission by identifying an effective weight management service. RESEARCH DESIGN AND METHODS: A qualitative researcher and co-researcher with type 2 diabetes conducted 37 narrative interviews with adults with type 2 diabetes (October 2022-June 2023) and 16 semi-structured interviews with health coaches delivering type 2 diabetes programmes in England. Data were analysed using Reflexive Thematic Analysis. Participants were diverse in ethnicity, socioeconomic status, age, gender and years since diabetes diagnosis. RESULTS: Four themes were generated relating to moments in a person's diabetes care: (1) coming to terms with diagnosis, (2) lightbulb moments, (3) sustaining change as normal and (4) becoming expert/building confidence. These four themes were united under a high-level interpretivist theme: 'Same journey, different experience', capturing the mismatch between a linear rigid care pathway described by coaches and the diversity of experience of people living with type 2 diabetes. CONCLUSIONS: Coaches and people with type 2 diabetes are aligned on their reports of key moments in adapting to diabetes. Participants' desire for flexibility in their care contrasted with coach reports of rigid service provision. These insights may enable more people with type 2 diabetes to engage and adhere to weight management services aimed at diabetes remission

Diabetes management · Diabetes mellitus · Family medicine · Health care · Population · Qualitative research · Socioeconomic status · Sociology · Thematic analysis · Type 2 diabetes · Diabetes Management and Education · Diabetes, Cardiovascular Risks, and Lipoproteins · Medicine · Nursing · Obesity and Health Practices · Psychology · Gerontology