Abstract
The aim was to elucidate key elements deemed to be necessary for behavioural change, among those with type 2 Diabetes (T2D) to facilitate effective self-management.
The sample (n= 25; 12 males) comprised 19 Caucasians, 5 African Americans, 1 Hispanic, aged ≤55 years (M= 47.2, SD= 5.5) recruited from populations in Londonderry (N. Ireland) and Chicago (U.S.). All respondents had attended diabetes education programs.
The research was qualitative in nature, with semi-structured interviews conducted to explore participant feelings, behaviours, motivations, confidence, experiences, and perceived barriers impacting on their self-management.
Collected data, from both cities was transcribed and analysed to detect emerging themes. The analysis was conducted within the Information-Motivation-Behavioral Skills (IMB) Model Framework (Fisher et al. 2003).
Results showed key differences emerging among males and females in the sample. Although all respondents had attended diabetes education programs, males were more likely to implement their new knowledge, whilst females continued to request specific types of information. Males reported more motivation to manage their condition. As such males were more likely to exhibit positive behavioural skills, such as diet adherence, regular exercise routines and confidence in their ability to control their T2D, than females.
Using the IMB Framework, clear pathways of behavioural change emerge that appear to promote more effective self-management. These pathways held true across location, culture and health service provision.
The study holds messages for those designing diabetes education programs. Education and information provision alone is not enough to ensure behaviour change. Elements such as motivation to change and key behavioural skills need to be fostered in order to ensure behavioural change to allow for more effective self-management. The IMB Model appears to offer a framework for better understanding pathways by which behaviour change could be facilitated.
The sample (n= 25; 12 males) comprised 19 Caucasians, 5 African Americans, 1 Hispanic, aged ≤55 years (M= 47.2, SD= 5.5) recruited from populations in Londonderry (N. Ireland) and Chicago (U.S.). All respondents had attended diabetes education programs.
The research was qualitative in nature, with semi-structured interviews conducted to explore participant feelings, behaviours, motivations, confidence, experiences, and perceived barriers impacting on their self-management.
Collected data, from both cities was transcribed and analysed to detect emerging themes. The analysis was conducted within the Information-Motivation-Behavioral Skills (IMB) Model Framework (Fisher et al. 2003).
Results showed key differences emerging among males and females in the sample. Although all respondents had attended diabetes education programs, males were more likely to implement their new knowledge, whilst females continued to request specific types of information. Males reported more motivation to manage their condition. As such males were more likely to exhibit positive behavioural skills, such as diet adherence, regular exercise routines and confidence in their ability to control their T2D, than females.
Using the IMB Framework, clear pathways of behavioural change emerge that appear to promote more effective self-management. These pathways held true across location, culture and health service provision.
The study holds messages for those designing diabetes education programs. Education and information provision alone is not enough to ensure behaviour change. Elements such as motivation to change and key behavioural skills need to be fostered in order to ensure behavioural change to allow for more effective self-management. The IMB Model appears to offer a framework for better understanding pathways by which behaviour change could be facilitated.
| Original language | English |
|---|---|
| Pages (from-to) | A195 |
| Number of pages | 1 |
| Journal | Diabetes |
| Volume | 64 |
| Issue number | Supplement 1 |
| DOIs | |
| Publication status | Published - 2015 |
