Initiating activation in diabetes self-management from patients’ perspective
Patients’ active role is crucial in managing chronic illnesses like type 2 diabetes. Current evidence demonstrated patients who were activated had better clinical outcomes. Some factors influencing patient activation have been identified but there is little knowledge on how patients successfully...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Pusat Perubatan Universiti Kebangsaan Malaysia
2022
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| Online Access: | http://journalarticle.ukm.my/19676/ http://journalarticle.ukm.my/19676/1/20_ms0584_pdf_12816.pdf |
| _version_ | 1848814902906454016 |
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| author | Syahnaz Mohd Hashim, Idayu Badilla Idris, Nasrin J, Rafidah B, Shalisah Sharip, |
| author_facet | Syahnaz Mohd Hashim, Idayu Badilla Idris, Nasrin J, Rafidah B, Shalisah Sharip, |
| author_sort | Syahnaz Mohd Hashim, |
| building | UKM Institutional Repository |
| collection | Online Access |
| description | Patients’ active role is crucial in managing chronic illnesses like type 2 diabetes.
Current evidence demonstrated patients who were activated had better clinical
outcomes. Some factors influencing patient activation have been identified but
there is little knowledge on how patients successfully start to take their role in
managing diabetes. This study aimed to explore how patients begin to activate
themselves in self-management. The narrative inquiry was taken as the qualitative
methodological approach. Ten participants with type 2 diabetes were purposively
sampled from a public primary care clinic in Malaysia. In-depth interviews were
conducted and recorded. The data were analysed with thematic analysis. Three
themes and four subthemes were generated. The first theme, “Learning what to do”
describes the learning process from social networks and healthcare professionals
that helped to define their role. The second theme highlighted that patients wished
for a gradual approach in initiating activation, i.e. “Taking one step at a time”. They
started with a more straightforward self-management task and needed more time
to take up their role. The third theme pointed out that when patients could not
perform certain self-management tasks, they would engage with someone else
to help: “Engaging with someone for challenging tasks.” In conclusion, diabetes
self-management education is substantial in developing ‘patient activation,’ i.e.
patient’s ability to self-manage. The self-management plan should also be realistic
and suit patients’ circumstances. Having a health partner or buddy among family
members or peers is helpful when trying to adopt good dietary habits and perform
regular exercise. |
| first_indexed | 2025-11-15T00:41:28Z |
| format | Article |
| id | oai:generic.eprints.org:19676 |
| institution | Universiti Kebangasaan Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T00:41:28Z |
| publishDate | 2022 |
| publisher | Pusat Perubatan Universiti Kebangsaan Malaysia |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | oai:generic.eprints.org:196762022-09-12T03:19:15Z http://journalarticle.ukm.my/19676/ Initiating activation in diabetes self-management from patients’ perspective Syahnaz Mohd Hashim, Idayu Badilla Idris, Nasrin J, Rafidah B, Shalisah Sharip, Patients’ active role is crucial in managing chronic illnesses like type 2 diabetes. Current evidence demonstrated patients who were activated had better clinical outcomes. Some factors influencing patient activation have been identified but there is little knowledge on how patients successfully start to take their role in managing diabetes. This study aimed to explore how patients begin to activate themselves in self-management. The narrative inquiry was taken as the qualitative methodological approach. Ten participants with type 2 diabetes were purposively sampled from a public primary care clinic in Malaysia. In-depth interviews were conducted and recorded. The data were analysed with thematic analysis. Three themes and four subthemes were generated. The first theme, “Learning what to do” describes the learning process from social networks and healthcare professionals that helped to define their role. The second theme highlighted that patients wished for a gradual approach in initiating activation, i.e. “Taking one step at a time”. They started with a more straightforward self-management task and needed more time to take up their role. The third theme pointed out that when patients could not perform certain self-management tasks, they would engage with someone else to help: “Engaging with someone for challenging tasks.” In conclusion, diabetes self-management education is substantial in developing ‘patient activation,’ i.e. patient’s ability to self-manage. The self-management plan should also be realistic and suit patients’ circumstances. Having a health partner or buddy among family members or peers is helpful when trying to adopt good dietary habits and perform regular exercise. Pusat Perubatan Universiti Kebangsaan Malaysia 2022-06 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/19676/1/20_ms0584_pdf_12816.pdf Syahnaz Mohd Hashim, and Idayu Badilla Idris, and Nasrin J, and Rafidah B, and Shalisah Sharip, (2022) Initiating activation in diabetes self-management from patients’ perspective. Medicine & Health, 17 (1). pp. 267-281. ISSN 2289-5728 https://www.medicineandhealthukm.com/toc/17/1 |
| spellingShingle | Syahnaz Mohd Hashim, Idayu Badilla Idris, Nasrin J, Rafidah B, Shalisah Sharip, Initiating activation in diabetes self-management from patients’ perspective |
| title | Initiating activation in diabetes self-management from patients’ perspective |
| title_full | Initiating activation in diabetes self-management from patients’ perspective |
| title_fullStr | Initiating activation in diabetes self-management from patients’ perspective |
| title_full_unstemmed | Initiating activation in diabetes self-management from patients’ perspective |
| title_short | Initiating activation in diabetes self-management from patients’ perspective |
| title_sort | initiating activation in diabetes self-management from patients’ perspective |
| url | http://journalarticle.ukm.my/19676/ http://journalarticle.ukm.my/19676/ http://journalarticle.ukm.my/19676/1/20_ms0584_pdf_12816.pdf |