دورية أكاديمية
The impact of a social network based intervention on self-management behaviours among patients with type 2 diabetes living in socioeconomically deprived neighbourhoods : a mixed methods approach
| العنوان: | The impact of a social network based intervention on self-management behaviours among patients with type 2 diabetes living in socioeconomically deprived neighbourhoods : a mixed methods approach |
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| المؤلفون: | Vissenberg, Charlotte, Associate lector, Nierkens, Vera, Overig, Valkengoed,van, Irene, Overig, Nijpels, Giel, Overig, Uitewaal, Paul, Overig, Middelkoop, Barend, Overig, Stronks, Karien, Overig |
| المساهمون: | Klantenperspectief in ondersteuning en zorg, Hogeschool Windesheim@@@Domein Windesheim in Almere |
| المصدر: | Scandinavian Journal of Public Health. 2017:569-583 |
| بيانات النشر: | Almere: Hogeschool Windesheim, 2017. Sage Publishers. |
| سنة النشر: | 2017 |
| مصطلحات موضوعية: | diabetes self-management, socioeconomically deprived neighbourhoods, type 2 diabetes, social network, social influences, social support |
| الوصف: | Aims: This paper aims to explore the effect of the social network based intervention Powerful Together with Diabetes on diabetes self-management among socioeconomically deprived patients. This 10-month group intervention targeting patients and significant others aimed to improve self-management by stimulating social support and diminishing social influences that hinder self-management. Methods: This intervention was evaluated in a quasi-experimental study using a mixed methods approach. Of 131 socioeconomically deprived patients with suboptimal glycaemic control, 69 were assigned to the intervention group and 62 to the control group (standard diabetes education). 27 qualitative in-depth interviews with the participants and 24 with their group leaders were held to study the subjective impact of the intervention. Further, self management behaviours (medication adherence, diet and physical activity) were assessed at baseline, 10 and 16 months. Data were analysed using framework analyses and a linear mixture model. Results: Qualitative data showed that the intervention group had a better understanding of the way self-management influences diabetes. The intervention group showed more complex self-management behaviours, such as planning ahead, seeking adequate food and physical activity alternatives, and consistently taking their diabetes into consideration when making choices. In participants with complete follow-up data, we found a significant increase in physical activity in the intervention group (3.78 vs. 4.83 days) and no changes in medication adherence and diet. Conclusions: This study indicates that an intensive support group and simultaneously involving significant others might improve diabetes self-management behaviours among socioeconomically deprived patients. More studies are needed to justify further implementation of the intervention. |
| نوع الوثيقة: | article |
| اللغة: | English |
| الوصول الحر: | https://surfsharekit.nl/public/d75aebaf-fd38-4b17-a25f-e1b4a27becadTest https://surfsharekit.nl/objectstore/ed6cc136-bfb4-4282-96cc-6c5e52209894Test |
| الإتاحة: | http://www.hbo-kennisbank.nl/en/page/hborecord.view/?uploadId=sharekit_windesheim:oai:surfsharekit.nl:d75aebaf-fd38-4b17-a25f-e1b4a27becadTest |
| رقم الانضمام: | edshbo.sharekit.windesheim.oai.surfsharekit.nl.d75aebaf.fd38.4b17.a25f.e1b4a27becad |
| قاعدة البيانات: | HBO Kennisbank |
| الوصف غير متاح. |