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Connectivity, contest and the ties of self-management support for type 2 diabetes: a meta-synthesis of qualitative literature

Connectivity, contest and the ties of self-management support for type 2 diabetes: a meta-synthesis of qualitative literature
Connectivity, contest and the ties of self-management support for type 2 diabetes: a meta-synthesis of qualitative literature
This paper presents a meta-synthesis of the literature on community-based self-management to support experiences of people diagnosed with type 2 diabetes. The aim was to synthesise findings on both formal and informal self-management support with particular reference to the relevance and influence of the social context operating at different levels. The review forms part of EU-WISE, a project financed through EU's 7th Framework Programme. The review was performed by systematically searching MEDLINE, PubMed, EMBASE, CINAHL, PsycINFO and Web of Science for English language publications between 2005 and 2014 presenting research conducted in Europe on the experiences and perspectives of self-management concerns of patients diagnosed with type 2 diabetes. The search yielded 587 abstracts, which were reduced through search strategy refinement and eligibility and quality criteria to 29 papers that were included in the review. This review highlights the relevance of contextual factors operating at micro- and macro-levels. The synthesis yielded six second-order thematic constructs relating to self-management: sense of agency and identity, the significance and meaning of social networks, minimal disruption of everyday life, economic hardship, the problem of assigning patients' responsibility and structural influences of primary care. Using a line of argument synthesis, these themes were revisited, and a third-order construct, connectivity emerged which refers to how links in daily life are interwoven with peoples' social networks, local communities, economic and ideological conditions in society in a way which support self-management activities. This meta-synthesis indicates a need to heed the notion of connectivity as a means of mobilising and supporting the self-management strategies of people with type 2 diabetes in everyday life.
chronic illness, meta-synthesis, qualitative research, self-management, type 2 diabetes
0966-0410
672-686
Foss, Christina
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Knutsen, Ingrid
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Kennedy, Anne
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Todorova, Elka
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Wensing, Michel
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Lionis, Christos
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Portillo, Mari Carmen
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Serrano-Gil, Manuel
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Koetsenruijter, Jan
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Mujika, Agurtzane
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Rogers, Anne
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Foss, Christina
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Knutsen, Ingrid
ef9ce766-e750-455b-9fa9-a2b8f83d00e8
Kennedy, Anne
d1c93666-c487-4c08-be0a-8114ac6480ca
Todorova, Elka
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Wensing, Michel
8702046c-6c87-404a-81a7-fcfcdebfb9cc
Lionis, Christos
458b4c43-ceff-4226-820d-c3db2cc8d08b
Portillo, Mari Carmen
f913b5c5-b949-48f2-b1d0-eb7505484d5c
Serrano-Gil, Manuel
c20fdb26-6a23-409b-b2c5-225fd13d9a5e
Koetsenruijter, Jan
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Mujika, Agurtzane
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Rogers, Anne
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Foss, Christina, Knutsen, Ingrid and Kennedy, Anne et al. (2016) Connectivity, contest and the ties of self-management support for type 2 diabetes: a meta-synthesis of qualitative literature. Health & Social Care in the Community, 24 (6), 672-686. (doi:10.1111/hsc.12272). (PMID:26429546)

Record type: Article

Abstract

This paper presents a meta-synthesis of the literature on community-based self-management to support experiences of people diagnosed with type 2 diabetes. The aim was to synthesise findings on both formal and informal self-management support with particular reference to the relevance and influence of the social context operating at different levels. The review forms part of EU-WISE, a project financed through EU's 7th Framework Programme. The review was performed by systematically searching MEDLINE, PubMed, EMBASE, CINAHL, PsycINFO and Web of Science for English language publications between 2005 and 2014 presenting research conducted in Europe on the experiences and perspectives of self-management concerns of patients diagnosed with type 2 diabetes. The search yielded 587 abstracts, which were reduced through search strategy refinement and eligibility and quality criteria to 29 papers that were included in the review. This review highlights the relevance of contextual factors operating at micro- and macro-levels. The synthesis yielded six second-order thematic constructs relating to self-management: sense of agency and identity, the significance and meaning of social networks, minimal disruption of everyday life, economic hardship, the problem of assigning patients' responsibility and structural influences of primary care. Using a line of argument synthesis, these themes were revisited, and a third-order construct, connectivity emerged which refers to how links in daily life are interwoven with peoples' social networks, local communities, economic and ideological conditions in society in a way which support self-management activities. This meta-synthesis indicates a need to heed the notion of connectivity as a means of mobilising and supporting the self-management strategies of people with type 2 diabetes in everyday life.

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Accepted/In Press date: 13 July 2015
e-pub ahead of print date: 1 October 2015
Published date: 3 October 2016
Keywords: chronic illness, meta-synthesis, qualitative research, self-management, type 2 diabetes
Organisations: Faculty of Health Sciences

Identifiers

Local EPrints ID: 382668
URI: http://eprints.soton.ac.uk/id/eprint/382668
ISSN: 0966-0410
PURE UUID: 51e0afc3-4b15-491c-9123-ddc86fc16a6a
ORCID for Mari Carmen Portillo: ORCID iD orcid.org/0000-0003-1583-6612

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Date deposited: 03 Nov 2015 12:56
Last modified: 04 Mar 2020 01:35

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