Influencing factors of self-management in elderly type 2 diabetes patients in community based on socio-ecological model and theoretical domain framework:a qualitative study
LI Xiaolin
HUANG Xia
JIA Peipei
GUO Xiaohan
WANG Ning
ZHU Kai
Abstract：Objective:To combine the different perspectives of patients and medical staff to analyze the influencing factors of self-management of elderly type 2 diabetes patients in the community,so as to select more targeted and comprehensive behavior change techniques.Methods:From August to November 2022,the interview outline was designed based on the social ecological model,and 11 elderly patients with type 2 diabetes and 8 medical workers from different communities in Qingdao were selected by the purpose sampling method for semi-structured interviews.The interview data were deductively classified based on the theoretical domain framework by the subject framework analysis method,and summarized by the content analysis method.Results:A total of 4 themes and 19 sub-themes were extracted.That is,the patient's personal level(knowledge,skills,emotions,optimism,outcome beliefs,ability beliefs,social/occupational role identity,memory/attention and decision making,goals,reinforcement,intention,behavioral regulation,environment and resources),the community environment level(environment and resources,social/occupational role identity,intention,ability beliefs),the interpersonal level(social impact),and the policy circle environmental dimension(environment and resources).Conclusions:The maintenance of self-management behavior in elderly patients with type 2 diabetes mellitus in the community is affected by multiple factors,and it is necessary to identify and pay attention to the potential determinants of behavior change,so as to select effective individualized behavior change techniques according to the factors,and then standardize the self-management behavior of patients.
Keywords：communitytype 2 diabetes mellitussocial-ecological modeltheoretical domains frameworkself-managementqualitative research
Publication Date：2024-10-31
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 3882-3886 )