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Moving between ideologies in self-management support: A qualitative study

Moving between ideologies in self-management support: A qualitative study
Moving between ideologies in self-management support: A qualitative study
Background:
Reforms in current health policy explicitly endorse health promotion through group‐based self‐management support for people with long‐term conditions. Health promotion and traditional medicine are based on different logics. Accordingly, health professionals in health‐promoting settings demand the adoption of new practices and ways of thinking.

Objectives:
The objective of our study was to investigate how health professionals perceive the health‐promoting group‐based self‐management support that is politically initiated for people with long‐term conditions.

Design:
This study had a qualitative research design that included focus group interviews and was guided by a social constructivist paradigm in which group‐based self‐management was viewed as a social construction. Different logics at play were analysed through the theoretical lens of institutional logic. Discussions among participants show frames of references seen as logics.

Setting and participants:
We recruited health professionals from group‐based health‐promoting measures for people with type 2 diabetes in Norway. Two focus groups comprising four and six participants each were invited to discuss the practices and value of health promotion through group‐based self‐management support.

Results:
The analysis resulted in three themes of discussion among participants that contained reflections of logics in movement. Health professionals’ discussions moved between different logics based on the importance of expert‐based knowledge on compliance and on individual lifestyle choices.

Discussion and conclusion:
The study indicates that health promotion through self‐management support is still a field “in the making” and that professionals strive to establish new logics and practices that are not considered difficult to manage or do not contain incompatible understandings.
1369-6513
Bossy, Dagmara
e6fd2372-7bb5-4b10-8997-5cdf61653db9
Knutsen, Ingrid Ruud
d6df3abd-8f90-4e2b-997d-04878b207c6a
Rogers, Anne
105eeebc-1899-4850-950e-385a51738eb7
Foss, Christina
23aae9c1-0d1a-451f-80f7-537fe82d038b
Bossy, Dagmara
e6fd2372-7bb5-4b10-8997-5cdf61653db9
Knutsen, Ingrid Ruud
d6df3abd-8f90-4e2b-997d-04878b207c6a
Rogers, Anne
105eeebc-1899-4850-950e-385a51738eb7
Foss, Christina
23aae9c1-0d1a-451f-80f7-537fe82d038b

Bossy, Dagmara, Knutsen, Ingrid Ruud, Rogers, Anne and Foss, Christina (2018) Moving between ideologies in self-management support: A qualitative study. Health Expectations. (doi:10.1111/hex.12833).

Record type: Article

Abstract

Background:
Reforms in current health policy explicitly endorse health promotion through group‐based self‐management support for people with long‐term conditions. Health promotion and traditional medicine are based on different logics. Accordingly, health professionals in health‐promoting settings demand the adoption of new practices and ways of thinking.

Objectives:
The objective of our study was to investigate how health professionals perceive the health‐promoting group‐based self‐management support that is politically initiated for people with long‐term conditions.

Design:
This study had a qualitative research design that included focus group interviews and was guided by a social constructivist paradigm in which group‐based self‐management was viewed as a social construction. Different logics at play were analysed through the theoretical lens of institutional logic. Discussions among participants show frames of references seen as logics.

Setting and participants:
We recruited health professionals from group‐based health‐promoting measures for people with type 2 diabetes in Norway. Two focus groups comprising four and six participants each were invited to discuss the practices and value of health promotion through group‐based self‐management support.

Results:
The analysis resulted in three themes of discussion among participants that contained reflections of logics in movement. Health professionals’ discussions moved between different logics based on the importance of expert‐based knowledge on compliance and on individual lifestyle choices.

Discussion and conclusion:
The study indicates that health promotion through self‐management support is still a field “in the making” and that professionals strive to establish new logics and practices that are not considered difficult to manage or do not contain incompatible understandings.

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More information

Accepted/In Press date: 14 August 2018
e-pub ahead of print date: 5 October 2018

Identifiers

Local EPrints ID: 425303
URI: https://eprints.soton.ac.uk/id/eprint/425303
ISSN: 1369-6513
PURE UUID: 1df0e2a9-0f4b-42fe-a0b4-84513be7cff5

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Date deposited: 12 Oct 2018 16:30
Last modified: 13 Mar 2019 17:57

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