4.4 Article

Developing a web-based support using self-affirmation to motivate lifestyle changes in type 2 diabetes: A qualitative study assessing patient perspectives on self-management and views on a digital lifestyle intervention

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ELSEVIER
DOI: 10.1016/j.invent.2021.100384

Keywords

Type 2 diabetes; Self-management; Digital health interventions; Motivation

Funding

  1. Ragnar Soderbergs stiftelse
  2. Swedish Foundation for Strategic Research
  3. ALF

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This study aimed to explore patients' experiences of diabetes self-management and views on a digital lifestyle intervention using self-affirmation. Results showed that participants described barriers to diabetes self-management and the effectiveness of self-affirmation, indicating the need to address barriers, match support to patients' readiness to change, and focus on long-term changes when supporting diabetes self-management.
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 selfmanagement, 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.

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