Barriers to self-management in type II diabetes

Abstract

Thesis title: Barriers to self-management in type II diabetes. Conducted at The University of Manchester by Emily Bland for the award of Master of Philosophy (MPhil)Research questions: The primary research question is to identify barriers to self-management for people with diabetes in type II diabetes. The secondary research question is to assess the effectiveness of the normalisation process theory when looking at how individuals implement practices in their everyday livesBackground: Type II diabetes is both a worldwide and national healthcare. Certain self-management practices can help people with diabetes to control the condition, these include dietary changes, increasing physical exercise and adhering to a medication regime. However, not all people with diabetes are undertaking these practices. A literature review identified gaps in the literature reviewed relating to social processes and contextual barriers. The normalisation process theory: To address these gaps the normalisation process theory was used to develop interview questions and analyse data. Methods: This study was nested in a National Institute for Health Research funded Collaboration for Leadership in Applied Health Research and Care (CLAHRC) study. Twenty six participants from the CLAHRC study were interviewed in Greater Manchester and the surrounding area. Data were analysed employing the framework analysis approach, using a framework devised from the normalisation process theory. Results: The results of this study supported and expanded on the findings of the literature review. New contextual, social and individual barriers came to light. The use of the normalisation process theory was both a strength and a weakness of the study. Using the theory sensitised the analysis to social and contextual barriers, but barriers relating to individual differences did not sit well in the theory.Conclusions and Contribution of Research: Supports previous evidence of the importance social networks, expanding by identifying that this work is not recognised. Identifies barriers associated with the urban environment and employment. There is tension between quality of life and self-management for participants. Contributed to the know ledge about how people understand diabetes and how that understanding affects self-management. To be able to apply the normalisation process theory more effectively to individuals, work should focus on using it in conjunction with the theory of planned behaviour.

Date of Award	31 Dec 2015
Original language	English
Awarding Institution	The University of Manchester
Supervisor	Stephen Campbell (Supervisor), Anne Kennedy (Supervisor) & Ivaylo Vassilev (Supervisor)