Motivation for self-management among adults with type 2 diabetes
Year: 2011
Type: dissertation
Study design: Observational Study
Abstract: Background: The demands of daily diabetes self-management\nbehaviours have been described as challenging and many individuals\nfail to adhere to this regimes. There is, therefore, a growing recognition\nof the need to focus on the motivation to maintain self-management\nbehaviours among people with type 2 diabetes. However, although\nmany researchers have identified motivation as critical for diabetes\nself-management, few studies have explicitly focused on this topic.\nAims: The overall aim of this thesis is to use both qualitative and\nquantitative approaches to develop knowledge about factors that may\nbe related to motivation for self-management among adults with type 2\ndiabetes. These factors include ability expectations, values, and social\nsupport and their relationship with diabetes self-management\nbehaviours.\nMethods: In 2007, 19 adults with type 2 diabetes participated in focus\ngroup interviews about factors that may stimulate motivation for\ndiabetes management. The analysis of the interview text was inspired\nby the qualitative content analysis method. In 2008, 425 adults with\ntype 2 diabetes completed the questionnaire about diet and exercise\nmanagement, ability expectations, values, and social support from\nhealthcare practitioners, family and friends, as well as data about sociodemographic\nfactors. Several statistical procedures were applied.\nResults: Six life-values were identified, several of which are related to\nfundamental human needs. The results indicated that life values may be\ncritical motivational factors for engaging in a diabetes selfmanagement.\nThe results also suggested that goals related to selfmanagement\nwere formulated in more general than specific terms.\nDescriptive analysis revealed a pattern of high scores on intrinsic\nmotivation (ability expectations and values) and a more moderate level\nof diet and exercise management. Moreover, relatively few participants\nreported that diet and exercise implied negative values for them. In the\nmultiple regression analysis, results showed a tendency for respondents\nwith higher exercise ability expectations to report taking more exercise;\nv\nthe same tendency was found for diet management. However,\nindicators of intrinsic motivational factors explained more variances for\nexercise management than for diet management. [...]
Author: Bjørg Oftedal
Language: English
Subfield: Endocrinology, Diabetes and Metabolism
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W2473369345