PMID- 29535506
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220316
IS  - 1177-889X (Print)
IS  - 1177-889X (Electronic)
IS  - 1177-889X (Linking)
VI  - 12
DP  - 2018
TI  - Written reflection in an eHealth intervention for adults with type 2 diabetes 
      mellitus: a qualitative study.
PG  - 311-320
LID - 10.2147/PPA.S154612 [doi]
AB  - BACKGROUND: Individuals with type 2 diabetes mellitus (T2DM) are responsible for 
      the daily decisions and actions necessary to manage their disease, which makes 
      self-management the cornerstone of diabetes care. Many patients do not reach 
      recommended treatment goals, and thus it is important to develop and evaluate 
      innovative interventions that facilitate optimal motivation for adequate 
      self-management of T2DM. OBJECTIVE: The aim of the current study was to explore 
      how adults with T2DM experience using reflection sheets to stimulate written 
      reflection in the context of the Guided Self-Determination (GSD) eHealth 
      intervention and how written reflection might affect their motivation for 
      self-management of T2DM. METHODS: We used a qualitative design in which data were 
      collected through individual interviews. The sample consisted of 10 patients who 
      completed the GSD eHealth intervention, and data were analyzed using qualitative 
      content analysis. RESULTS: The qualitative content analysis yielded 2 main 
      themes. We labeled the first theme as "Written reflection affects awareness and 
      commitment in diabetes self-management", which reflects 2 subthemes, namely, 
      "Writing creates space and time for autonomous reflection" and "Writing 
      influences individuals' focus in diabetes self-management". We labeled the second 
      theme as "Written reflection is perceived as inapplicable in diabetes 
      self-management", which reflects 2 subthemes, namely, "Responding in writing is 
      difficult" and "The timing of the writing is inappropriate". CONCLUSION: Our 
      findings indicate that written reflection in the context of the GSD eHealth 
      intervention may be conducive to motivation for diabetes self-management for some 
      patients. However, it seems that in-person consultation with the diabetes nurse 
      may be necessary to achieve the full potential benefit of the GSD as an eHealth 
      intervention. We advocate further development and examination of the GSD as a 
      "blended" approach, especially for those who consider written reflection to be 
      difficult or unfamiliar.
FAU - Lie, Silje S
AU  - Lie SS
AD  - Department of Public Health, Faculty of Health Sciences, University of Stavanger, 
      Stavanger, Norway.
FAU - Karlsen, Bjorg
AU  - Karlsen B
AD  - Department of Public Health, Faculty of Health Sciences, University of Stavanger, 
      Stavanger, Norway.
FAU - Niemiec, Christopher P
AU  - Niemiec CP
AD  - Department of Clinical and Social Sciences in Psychology, University of 
      Rochester, Rochester, NY, USA.
FAU - Graue, Marit
AU  - Graue M
AD  - Center for Evidence-Based Practice, Western Norway University of Applied 
      Sciences, Bergen, Norway.
FAU - Oftedal, Bjorg
AU  - Oftedal B
AD  - Department of Public Health, Faculty of Health Sciences, University of Stavanger, 
      Stavanger, Norway.
LA  - eng
PT  - Journal Article
DEP - 20180228
PL  - New Zealand
TA  - Patient Prefer Adherence
JT  - Patient preference and adherence
JID - 101475748
PMC - PMC5836696
OTO - NOTNLM
OT  - eHealth
OT  - guided self-determination
OT  - self-determination theory
OT  - self-management
OT  - type 2 diabetes mellitus
OT  - written reflection
COIS- Disclosure The authors report no conflicts of interest in this work.
EDAT- 2018/03/15 06:00
MHDA- 2018/03/15 06:01
PMCR- 2018/02/28
CRDT- 2018/03/15 06:00
PHST- 2018/03/15 06:00 [entrez]
PHST- 2018/03/15 06:00 [pubmed]
PHST- 2018/03/15 06:01 [medline]
PHST- 2018/02/28 00:00 [pmc-release]
AID - ppa-12-311 [pii]
AID - 10.2147/PPA.S154612 [doi]
PST - epublish
SO  - Patient Prefer Adherence. 2018 Feb 28;12:311-320. doi: 10.2147/PPA.S154612. 
      eCollection 2018.