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Journal of Diabetes Research
Volume 2015, Article ID 638205, 9 pages
Research Article

A Qualitative Exploration of Motivation to Self-Manage and Styles of Self-Management amongst People Living with Type 2 Diabetes

1Centre for Positive Ageing, Faculty of Education and Health, University of Greenwich, London SE9 2UG, UK
2King’s College London, Division of Population and Patient Health, Social and Behavioural Sciences Group, Dental Institute, Guy’s Hospital, Floor 18 Guy’s Tower, Great Maze Pond, London SE1 9RW, UK

Received 25 November 2014; Revised 29 April 2015; Accepted 1 May 2015

Academic Editor: Ronald G. Tilton

Copyright © 2015 Paul Newton et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


The study examined the motives that people living with type 2 diabetes (T2D) had for self-managing their condition and ways they used to assess the success of their self-management efforts. Using semistructured interviews (), focus groups (3 ×   participants), and open-ended questionnaires (), people living with and self-managing T2D were recruited from a community-based T2D participation group. Most participants were older (aged 60+) and lived in a socioeconomically deprived area in the United Kingdom. Data were analysed thematically using framework analysis. Patients’ motives for self-management included (i) concern about the anticipative effects of T2D; (ii) wishing to “stay well”; (iii) maintaining independence; (iv) reducing the need for healthcare professionals; and (v) improving quality of life. Six self-management styles were found and pertained to self-managing: (i) through routinisation; (ii) as a burden; (iii) as maintenance; (iv) through delegation; (v) through comanagement; and (vi) through autonomy. Motivators for self-management shaped the criteria people used to judge the success of their self-management practices and influenced their self-management style. The findings show that styles of T2D self-management are mediated and moderated by sociocontextual issues. Healthcare professionals should take these into account when supporting people living with T2D.