Exploring illness beliefs about diabetes among individuals with type 2 diabetes

Purpose – The purpose of this paper is to explore illness beliefs among adults with type 2 diabetes (T2DM), studied in a clinical setting in the Indian context. Diabetes management lies primarily in the hands of the patient, which signifies the need for understanding the various dimensions of individuals’ illness beliefs. While past research from abroad has stressed the need for understanding the patient’s perspective in effective illness management, the lack of studies in the Indian context calls for further research in this area. Design/methodology/approach – Drawing on the Self-Regulation Model (Leventhal et al., 1980), semi-structured interviews were carried out to understand the beliefs about diabetes among individuals diagnosed to have T2DM. In total, 70 individuals with T2DM were included, taking into account the disease duration, urban-rural, age and gender distinctions. The data were analyzed using content analysis method. Findings – The results of the analysis revealed numerous sub-themes relate...

[1]  D. Cucinotta,et al.  Prospective, randomized trial on intensive SMBG management added value in non-insulin-treated T2DM patients (PRISMA): a study to determine the effect of a structured SMBG intervention , 2011, Acta Diabetologica.

[2]  R. Croyle,et al.  Mental Representation in Health and Illness , 2011 .

[3]  J. Creswell.  Research Design: Qualitative, Quantitative, and Mixed Methods Approaches , 2010 .

[4]  C. Chesla,et al.  Cultural and Family Challenges to Managing Type 2 Diabetes in Immigrant Chinese Americans , 2009, Diabetes Care.

[5]  V L Lawson,et al.  The importance of health belief models in determining self‐care behaviour in diabetes , 2009, Diabetic medicine : a journal of the British Diabetic Association.

[6]  M. Peyrot,et al.  Aade Position Statement , 2008 .

[7]  T. Revenson,et al.  Social Constraints on Disclosure and Adjustment to Cancer , 2007 .

[8]  N. Albert,et al.  Development and testing of the Survey of Illness Beliefs in Heart Failure tool. , 2007, Progress in cardiovascular nursing.

[9]  Hsiu-Fang Hsieh,et al.  Three Approaches to Qualitative Content Analysis , 2005, Qualitative health research.

[10]  A. Murphy,et al.  Secondary prevention of coronary heart disease: patient beliefs and health-related behaviour. , 2005, Journal of psychosomatic research.

[11]  Carla K. Miller,et al.  Profiles of people with type 2 diabetes mellitus: the extremes of glycemic control. , 2004, Social science & medicine.

[12]  T. Skinner,et al.  Illness representations and coping as predictors of emotional well-being in adolescents with type 1 diabetes. , 2003, Journal of pediatric psychology.

[13]  Martin S. Hagger,et al.  A Meta-Analytic Review of the Common-Sense Model of Illness Representations , 2003 .

[14]  M Quinn Patton,et al.  Book Review: Learning in the Field: An Introduction to Qualitative Research , 2002 .

[15]  N. Clark,et al.  Management of chronic disease by practitioners and patients: are we teaching the wrong things? , 2000, BMJ : British Medical Journal.

[16]  Thomas C. Kinnear,et al.  Marketing Research: An Applied Approach , 2000 .

[17]  K. Lutfey,et al.  Beyond "compliance" is "adherence". Improving the prospect of diabetes care. , 1999, Diabetes care.

[18]  Gretchen Rossman,et al.  Learning in the Field: An Introduction to Qualitative Research , 1998 .

[19]  T. Marteau,et al.  The Place of Inter-Rater Reliability in Qualitative Research: An Empirical Study , 1997 .

[20]  R. Glasgow,et al.  Personal-Model Beliefs and Social-Environmental Barriers Related to Diabetes Self-Management , 1997, Diabetes Care.

[21]  John W. Creswell,et al.  Research Design: Qualitative and Quantitative Approaches , 1997 .

[22]  P. Greenhalgh.  Diabetes in British South Asians: Nature, Nurture, and Culture , 1997, Diabetic medicine : a journal of the British Diabetic Association.

[23]  Harry F. Wolcott,et al.  Transforming Qualitative Data: Description, Analysis, and Interpretation , 1996 .

[24]  Russell E. Glasgow,et al.  Personal Models of Diabetes Among Older Adults: Relationship to Self-Management and Other Variables , 1995, The Diabetes educator.

[25]  C. Pope,et al.  Qualitative Research: Reaching the parts other methods cannot reach: an introduction to qualitative methods in health and health services research , 1995 .

[26]  L. Gitlin,et al.  Introduction to Research: Multiple Strategies for Health and Human Services , 1993 .

[27]  D R Buchanan,et al.  An Uneasy Alliance: Combining Qualitative and Quantitative Research Methods , 1992, Health education quarterly.

[28]  Wendy Sykes,et al.  Taking Stock: Issues from the Literature on Validity and Reliability in Qualitative Research , 1991 .

[29]  Howard Leventhal,et al.  Behavioral theories and the problem of compliance , 1987 .

[30]  N. Thorogood,et al.  Qualitative methods for health research , 2004 .

[31]  Howard Leventhal,et al.  The common-sense model of self-regulation of health and illness. , 2003 .

[32]  Yael Benyamini,et al.  Illness representations: Theoretical foundations. , 1997 .

[33]  L. Cameron,et al.  Symptom representations and affect as determinants of care seeking in a community-dwelling, adult sample population. , 1993, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[34]  R. Glasgow,et al.  Personal models of diabetes and their relations to self-care activities. , 1990, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[35]  S. Mazzuca,et al.  Does patient education in chronic disease have therapeutic value? , 1982, Journal of chronic diseases.