Type 2 diabetes self-management schemas across diverse health literacy levels: a qualitative investigation.

Ayre, J; Bonner, C; Muscat, DM; Bramwell, S; McClelland, S; Jayaballa, R; Maberly, G; McCaffery, K

Type 2 diabetes self-management schemas across diverse health literacy levels: a qualitative investigation.

Ayre, J

Bonner, C Muscat, DM Bramwell, S McClelland, S Jayaballa, R Maberly, G McCaffery, K

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Publisher:: Informa UK Limited
Publication Type:: Journal Article
Citation:: Psychology & health, 2021, pp. 1-21
Issue Date:: 2021-04-30

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Field	Value	Language
dc.contributor.author	Ayre, J https://orcid.org/0000-0002-5279-5189
dc.contributor.author	Bonner, C
dc.contributor.author	Muscat, DM
dc.contributor.author	Bramwell, S
dc.contributor.author	McClelland, S
dc.contributor.author	Jayaballa, R
dc.contributor.author	Maberly, G
dc.contributor.author	McCaffery, K
dc.date.accessioned	2021-11-18T03:14:10Z
dc.date.available	2021-11-18T03:14:10Z
dc.date.issued	2021-04-30
dc.identifier.citation	Psychology & health, 2021, pp. 1-21
dc.identifier.issn	0887-0446
dc.identifier.issn	1476-8321
dc.identifier.uri	http://hdl.handle.net/10453/151700
dc.description.abstract	<h4>Objective</h4>The aim of this study was to explore how people with diabetes and diverse health literacy levels conceptualise their experience and efforts to engage in self-management behaviours (their self-management 'schemas').<h4>Design</h4>A qualitative design was applied.<h4>Methods</h4>Twenty-six people in Sydney, Australia, took part in semi-structured interviews, which were audio-recorded and coded using Framework analysis.<h4>Results</h4>Half the participants (54%) had limited health literacy, whereas 38% adequate health literacy (using Newest Vital Sign). Regardless of health literacy, people described how monitoring increased self-management awareness and signalled periods of low self-management ('lulls'). Accounts of monitoring to sustain motivation were more apparent for participants with adequate health literacy. Most participants described simple and flexible rules (e.g. use artificial sweeteners; eat in moderation). Two schemas related to 'lulls': a 'problem-solving orientation' depicted lulls as inevitable and was associated with varied coping strategies; a 'willpower orientation' attributed lulls to lack of 'willpower,' and described willpower as a main coping strategy.<h4>Conclusion</h4>There is considerable variation in how people think about their diabetes self-management and the strategies they use. Health literacy may contribute to some of this variation. Self-management interventions could benefit from depicting motivation as fluctuating and challenging ideas about willpower and self-blame.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Informa UK Limited
dc.relation.ispartof	Psychology & health
dc.relation.isbasedon	10.1080/08870446.2021.1909023
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1302 Curriculum and Pedagogy, 1701 Psychology
dc.subject.classification	Clinical Psychology
dc.title	Type 2 diabetes self-management schemas across diverse health literacy levels: a qualitative investigation.
dc.type	Journal Article
utslib.location.activity	England
utslib.for	1302 Curriculum and Pedagogy
utslib.for	1701 Psychology
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Public Health
utslib.copyright.status	closed_access	*
dc.date.updated	2021-11-18T03:14:08Z
pubs.publication-status	Published

Abstract:

Objective

The aim of this study was to explore how people with diabetes and diverse health literacy levels conceptualise their experience and efforts to engage in self-management behaviours (their self-management 'schemas').

Design

A qualitative design was applied.

Methods

Twenty-six people in Sydney, Australia, took part in semi-structured interviews, which were audio-recorded and coded using Framework analysis.

Results

Half the participants (54%) had limited health literacy, whereas 38% adequate health literacy (using Newest Vital Sign). Regardless of health literacy, people described how monitoring increased self-management awareness and signalled periods of low self-management ('lulls'). Accounts of monitoring to sustain motivation were more apparent for participants with adequate health literacy. Most participants described simple and flexible rules (e.g. use artificial sweeteners; eat in moderation). Two schemas related to 'lulls': a 'problem-solving orientation' depicted lulls as inevitable and was associated with varied coping strategies; a 'willpower orientation' attributed lulls to lack of 'willpower,' and described willpower as a main coping strategy.

Conclusion

There is considerable variation in how people think about their diabetes self-management and the strategies they use. Health literacy may contribute to some of this variation. Self-management interventions could benefit from depicting motivation as fluctuating and challenging ideas about willpower and self-blame.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/151700