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Published in: Archives of Public Health 1/2017

Open Access 01-12-2017 | Research

Understanding the links between resilience and type-2 diabetes self-management: a qualitative study in South Australia

Authors: A. L. Wilson, D. McNaughton, S. B. Meyer, P. R. Ward

Published in: Archives of Public Health | Issue 1/2017

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Abstract

Background

Research conducted by Ward, Muller, Tsourtos, et al. (Soc Sci Med 72(7):1140–1148, 2011) has led to the development of the psycho-social interactive model of resilience, which reveals the interaction between individual resilience factors (i.e. coping, confidence and self esteem) and external resilience environments (i.e. employment, supportive family environments and health promoting policies) in facilitating the development of resilience. This present study explored the utility of this model of resilience for understanding how people self-manage type-2 diabetes.

Methods

Data were collected via 14 semi-structured life-history interviews with women and men living with type-2 diabetes mellitus (T2DM). Participants varied according to socio-demographics (gender, age, education level, income) and were recruited based on their self-reported management (or lack thereof) of T2DM.

Results

The inter-play of internal traits and external resources with additive and subtractive resilience strategies were consistent with the psycho-social interactive model of resilience. Self-management was influenced by life history. Differences in self-management and material disadvantage were also identified. Alongside increased disadvantage are higher levels of external barriers to self-management practices.

Conclusions

This paper supports the concepts of additive and subtractive resilience strategies for use with diabetes populations; providing health professionals and policy makers with an increased understanding of how to recognize and foster patient resilience for the improvement of self-care, disease management and ultimately health outcomes.
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Metadata
Title
Understanding the links between resilience and type-2 diabetes self-management: a qualitative study in South Australia
Authors
A. L. Wilson
D. McNaughton
S. B. Meyer
P. R. Ward
Publication date
01-12-2017
Publisher
BioMed Central
Published in
Archives of Public Health / Issue 1/2017
Electronic ISSN: 2049-3258
DOI
https://doi.org/10.1186/s13690-017-0222-8

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