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Diabetes self-manag...
Diabetes self-management in three different income settings : Cross-learning of barriers and opportunities
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- De Man, Jeroen (författare)
- Inst Trop Med, Dept Publ Hlth, Antwerp, Belgium;Univ Antwerp, Dept Primary & Interdisciplinary Care, Antwerp, Belgium
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- Aweko, Juliet (författare)
- Karolinska Institutet,Karolinska Inst, Dept Publ Hlth Sci, Stockholm, Sweden
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- Daivadanam, Meena (författare)
- Karolinska Institutet,Uppsala universitet,Institutionen för kostvetenskap,Karolinska Inst, Dept Publ Hlth Sci, Stockholm, Sweden
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- Alvesson, Helle Molsted (författare)
- Karolinska Institutet,Karolinska Inst, Dept Publ Hlth Sci, Stockholm, Sweden
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- Delobelle, Peter (författare)
- Univ Western Cape, Sch Publ Hlth, Bellville, South Africa;Univ Cape Town, Chron Dis Initiat Africa, Cape Town, South Africa
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- Mayega, Roy William (författare)
- Makerere Univ, Sch Publ Hlth, Dept Epidemiol & Biostat, Coll Hlth Sci, Kampala, Uganda
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- Ostenson, Claes-Goran (författare)
- Karolinska Institutet,Karolinska Inst, Dept Mol Med & Surg, Diabet & Endocrine Unit, Stockholm, Sweden
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- Kirunda, Barbara (författare)
- Makerere Univ, Sch Publ Hlth, Dept Epidemiol & Biostat, Coll Hlth Sci, Kampala, Uganda
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- Kasujja, Francis Xavier (författare)
- Makerere Univ, Sch Publ Hlth, Dept Epidemiol & Biostat, Coll Hlth Sci, Kampala, Uganda
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- Guwattude, David (författare)
- Makerere Univ, Sch Publ Hlth, Dept Epidemiol & Biostat, Coll Hlth Sci, Kampala, Uganda
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- Puoane, Thandi (författare)
- Univ Western Cape, Sch Publ Hlth, Bellville, South Africa
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- Sanders, David (författare)
- Univ Western Cape, Sch Publ Hlth, Bellville, South Africa
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- Peterson, Stefan (författare)
- Karolinska Institutet,Karolinska Inst, Dept Publ Hlth Sci, Stockholm, Sweden
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- Tomson, Goran (författare)
- Karolinska Institutet,Karolinska Inst, Dept Publ Hlth Sci, Stockholm, Sweden;Karolinska Inst, Dept Learning Informat Management & Eth, Stockholm, Sweden
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- Sundberg, Carl Johan (författare)
- Karolinska Institutet,Karolinska Inst, Dept Learning Informat Management & Eth, Stockholm, Sweden;Karolinska Inst, Dept Physiol & Pharmacol, Stockholm, Sweden
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- Absetz, Pilvikki (författare)
- Collaborat Care Syst Finland, Helsinki, Finland;Univ Eastern Finland, Inst Publ Hlth & Clin Nutr, Kuopio, Finland
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- Van Olmen, Josefien (författare)
- Inst Trop Med, Dept Publ Hlth, Antwerp, Belgium;Univ Antwerp, Dept Primary & Interdisciplinary Care, Antwerp, Belgium
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(creator_code:org_t)
- 2019-03-19
- 2019
- Engelska.
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Ingår i: PLOS ONE. - : Public Library of Science (PLoS). - 1932-6203. ; 14:3
- Relaterad länk:
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https://doi.org/10.1...
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https://uu.diva-port... (primary) (Raw object)
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https://journals.plo...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- The burden of type 2 diabetes is increasing rapidly, not least in Sub-Saharan Africa, and disadvantaged populations are disproportionally affected. Self-management is a key strategy for people at risk of or with type 2 diabetes, but implementation is a challenge. The objective of this study is to assess the determinants of self-management from an implementation perspective in three settings: two rural districts in Uganda, an urban township in South Africa, and socio-economically disadvantaged suburbs in Sweden. Data collection followed an exploratory multiple-case study design, integrating data from interviews, focus group discussions, and observations. Data collection and analysis were guided by a contextualized version of a transdisciplinary framework for self-management. Findings indicate that people at risk of or with type 2 diabetes are aware of major self-management strategies, but fail to integrate these into their daily lives. Depending on the setting, opportunities to facilitate implementation of self-management include: improving patient-provider interaction, improving health service delivery, and encouraging community initiatives supporting self-management. Modification of the physical environment (e.g. accessibility to healthy food) and the socio-cultural environment (i.e. norms, values, attitudes, and social support) may have an important influence on people's lifestyle. Regarding the study methodology, we learned that this innovative approach can lead to a comprehensive analysis of self-management determinants across different settings. An important barrier was the difficult contextualization of concepts like perceived autonomy and self-efficacy. Intervention studies are needed to confirm whether the pathways suggested by this study are valid and to test the proposed opportunities for change.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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- Av författaren/redakt...
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De Man, Jeroen
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Aweko, Juliet
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Daivadanam, Meen ...
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Alvesson, Helle ...
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Delobelle, Peter
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Mayega, Roy Will ...
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visa fler...
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Ostenson, Claes- ...
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Kirunda, Barbara
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Kasujja, Francis ...
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Guwattude, David
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Puoane, Thandi
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Sanders, David
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Peterson, Stefan
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Tomson, Goran
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Sundberg, Carl J ...
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Absetz, Pilvikki
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Van Olmen, Josef ...
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Uppsala universitet
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Karolinska Institutet