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dc.contributor.authorMurphy, Kathy
dc.contributor.authorCasey, Dympna
dc.contributor.authorDinneen, Sean
dc.date.accessioned2014-02-20T11:50:30Z
dc.date.available2014-02-20T11:50:30Z
dc.date.issued2011-04-15
dc.identifier.citationMurphy, K,Casey, D,Dinneen, S,Lawton, J,Brown, F (2011) 'Participants' perceptions of the factors that influence Diabetes Self-Management Following a Structured Education (DAFNE) programme'. Journal Of Clinical Nursing, 20 :1282-1292.en_US
dc.identifier.issn1282-1292
dc.identifier.urihttp://hdl.handle.net/10379/4199
dc.descriptionJournal articleen_US
dc.description.abstractAim.The aim of this study was to understand the experience of participants in the Dose Adjustment for Normal Eating programme and to identify factors that influence participants' implementation of the self-management guidelines.Background.The literature revealed that structured education programmes, such as Dose Adjustment for Normal Eating programme, have many positive outcomes for people with Type 1 diabetes including: a decrease in HbA1c levels, reductions in hypoglycaemic events, reduction in hospital admissions and increased and sustained quality of life. Few researchers, however, have gathered participants' perspectives on the impact of participation in a Dose Adjustment for Normal Eating programme on self-management capacity.Design.A grounded theory design focused on description guided by Corbin and Strauss was used. Data collection and analysis were concurrent using the constant comparative technique.Methods.Over 24 months, 2006-2008, interviews were undertaken with 40 participants who had completed a Dose Adjustment for Normal Eating programme in one of five study sites across Ireland. Purposive sampling was used, initially, with theoretical relational sampling towards the end of the interviews as concepts emerged. The interviews lasted from 30-60 minutes and were transcribed verbatim.Results.Five factors that influenced participants' self-management of their diabetes following dose adjustment for normal eating were identified. These were knowledge, support, motivation, relationship shift and empowerment, and these were all related to the core category, 'Being in Control'.Conclusion.Understanding the factors that influence self-management in Ireland is important as it broadens prior knowledge and confirms the factors that are important to facilitate self-management.Relevance to clinical practice.Understanding the factors that influence the implementation of dose adjustment for normal eating principles can help health professionals give more focused and empowering care to persons with diabetes. Using the persons' experience and expertise is essential as it can help them develop their internal resources.en_US
dc.description.sponsorshipHealth Research Board (HRB) Ireland, HS-2005¿25en_US
dc.formatapplication/MSWorden_US
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.ispartofJournal Of Clinical Nursingen
dc.subjectChronic disease managementen_US
dc.subjectSelf-managementen_US
dc.subjectStructured education programmesen_US
dc.subjectType 1 diabetesen_US
dc.subjectChronic illnessen_US
dc.subjectCareen_US
dc.subjectPatienten_US
dc.subjectInterventionsen_US
dc.subjectPerspectivesen_US
dc.subjectEmpowermenten_US
dc.subjectBarriersen_US
dc.subjectMellitusen_US
dc.subjectOutcomesen_US
dc.subjectDiseaseen_US
dc.titleParticipants' perceptions of the factors that influence Diabetes Self-Management Following a Structured Education (DAFNE) programmeen_US
dc.typeArticleen_US
dc.date.updated2014-02-17T09:46:35Z
dc.identifier.doiDOI 10.1111/j.1365-2702.2010.03564.x
dc.local.publishedsourcehttp://dx.doi.org/10.1111/j.1365-2702.2010.03564.xen_US
dc.description.peer-reviewedpeer-reviewed
dc.contributor.funder|~|
dc.internal.rssid1126979
dc.local.contactSean Finbarr Dinneen, School Of Medicine, Nui Galway. 5290 Email: sean.dinneen@nuigalway.ie
dc.local.copyrightcheckedNo
dc.local.versionACCEPTED
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