PMID- 19390053 OWN - NLM STAT- MEDLINE DCOM- 20091006 LR - 20090730 IS - 0193-9459 (Print) IS - 0193-9459 (Linking) VI - 31 IP - 5 DP - 2009 Aug TI - Health literacy self-management by patients with type 2 diabetes and stage 3 chronic kidney disease. PG - 627-47 LID - 10.1177/0193945909334096 [doi] AB - This is a qualitative study report from a parent study that used a concurrent mixed methods design whose aim was to describe the transition and self-management experiences of patients diagnosed with type 2 diabetes mellitus (T2DM) and stage 3 chronic kidney disease (CKD). Six adult men and women recruited from outpatient clinics completed two focus group interviews. Discerned in the ethnographic analysis of interviews and field notes using ATLAS/ti was a pattern of Health Literacy Self-Management with two major threads: (a) transition experience to self-advocacy characterized as seeking useful resources and difficulties in resource use and (b) partnering with the health care provider (HCP) characterized as helpful messaging and messaging confusion. Self-management support includes a shared responsibility and developmental process by the patient and the HCP to achieve quality care. Description of behavioral factors and self-management processes provides a foundation for future study. FAU - Sakraida, Teresa J AU - Sakraida TJ AD - University of Colorado Denver, USA. Teresa.Sakraida@ucdenver.edu FAU - Robinson, Marylou V AU - Robinson MV LA - eng PT - Journal Article DEP - 20090423 PL - United States TA - West J Nurs Res JT - Western journal of nursing research JID - 7905435 SB - IM MH - Diabetes Mellitus, Type 2/complications/*therapy MH - Humans MH - Kidney Failure, Chronic/complications/*therapy MH - *Patient Education as Topic MH - *Self Care EDAT- 2009/04/25 09:00 MHDA- 2009/10/07 06:00 CRDT- 2009/04/25 09:00 PHST- 2009/04/25 09:00 [entrez] PHST- 2009/04/25 09:00 [pubmed] PHST- 2009/10/07 06:00 [medline] AID - 0193945909334096 [pii] AID - 10.1177/0193945909334096 [doi] PST - ppublish SO - West J Nurs Res. 2009 Aug;31(5):627-47. doi: 10.1177/0193945909334096. Epub 2009 Apr 23.