PMID- 33054888
OWN - NLM
STAT- MEDLINE
DCOM- 20210920
LR  - 20210920
IS  - 1477-1128 (Electronic)
IS  - 1463-4236 (Print)
IS  - 1463-4236 (Linking)
VI  - 21
DP  - 2020 Oct 15
TI  - Experiences of self-management support in patients with diabetes and 
      multimorbidity: a qualitative study in Norwegian general practice.
PG  - e44
LID - 10.1017/S1463423620000432 [doi]
LID - e44
AB  - AIM: The purpose of this study was to explore how patients with diabetes and 
      multimorbidity experience self-management support by general practitioners (GPs), 
      nurses and medical secretaries in Norwegian general practice. BACKGROUND: 
      Self-management support is recognised as an important strategy to improve the 
      autonomy and well-being of patients with long-term conditions. Collaborating 
      healthcare professionals (cHCPs), such as nurses and medical secretaries, may 
      have an important role in the provision of self-management support. No previous 
      study has explored how patients with diabetes and multimorbidity experience 
      self-management support provided by cHCPs in general practice in Norway. METHODS: 
      Semi-structured interviews with 11 patients with type 1 diabetes mellitus (T1DM) 
      or type 2 diabetes mellitus (T2DM) with one or more additional long-term 
      condition were performed during February-May 2017. FINDINGS: Patients experienced 
      cHCPs as particularly attentive towards the psychological and emotional aspects 
      of living with diabetes. Compared to GPs, whose appointments were experienced as 
      stressful, patients found cHCPs more approachable and more likely to address 
      patients' questions and worries. In this sense, cHCPs complemented GP-led 
      diabetes care. However, neither cHCPs nor GPs were perceived to involve patients' 
      in clinical decisions or goal setting during consultations.
FAU - Sorensen, Monica
AU  - Sorensen M
AUID- ORCID: 0000-0003-2503-6459
AD  - PhD Candidate, Faculty of Health Sciences, Department of Nursing and Health 
      Promotion, OsloMet University, Oslo, Norway.
FAU - Groven, Karen Synne
AU  - Groven KS
AD  - Assistent Professor, Faculty of Health Sciences, Department of Physiotherapy, 
      OsloMet University, Oslo, Norway.
FAU - Gjelsvik, Bjorn
AU  - Gjelsvik B
AD  - Assistent Professor, MD, Department of General Practice, Institute for Health and 
      Society, University of Oslo, Oslo, Norway.
FAU - Almendingen, Kari
AU  - Almendingen K
AD  - Professor, Faculty of Health Sciences, Department of Nursing and Health 
      Promotion, OsloMet University, Oslo, Norway.
FAU - Garnweidner-Holme, Lisa
AU  - Garnweidner-Holme L
AD  - Assistent Professor, Faculty of Health Sciences, Department of Nursing and Health 
      Promotion, OsloMet University, Oslo, Norway.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20201015
PL  - England
TA  - Prim Health Care Res Dev
JT  - Primary health care research & development
JID - 100897390
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Child
MH  - Child, Preschool
MH  - *Diabetes Mellitus, Type 2
MH  - *General Practice
MH  - *General Practitioners
MH  - Humans
MH  - Middle Aged
MH  - Multimorbidity
MH  - Norway
MH  - Qualitative Research
MH  - *Self-Management
MH  - Young Adult
PMC - PMC7681169
OTO - NOTNLM
OT  - general practice
OT  - self-management support
OT  - type 1 diabetes mellitus
OT  - type 2 diabetes mellitus
COIS- All authors declare no competing interests, have approved the manuscript and 
      agree with submission to Primary Health Care Research and Development.
EDAT- 2020/10/16 06:00
MHDA- 2021/09/21 06:00
PMCR- 2020/10/15
CRDT- 2020/10/15 17:10
PHST- 2020/10/15 17:10 [entrez]
PHST- 2020/10/16 06:00 [pubmed]
PHST- 2021/09/21 06:00 [medline]
PHST- 2020/10/15 00:00 [pmc-release]
AID - S1463423620000432 [pii]
AID - 10.1017/S1463423620000432 [doi]
PST - epublish
SO  - Prim Health Care Res Dev. 2020 Oct 15;21:e44. doi: 10.1017/S1463423620000432.