Q-Methodology and Psychological Phenotyping to Design Patient-Centered Diabetes Education for Persons With Type 2 Diabetes on Insulin Therapy.
Sci Diabetes Self Manag Care
; 48(2): 98-110, 2022 04.
Article
in En
| MEDLINE
| ID: mdl-35118919
ABSTRACT
PURPOSE:
The purpose of this study was to identify the psychological phenotypes of persons with type 2 diabetes (T2D) on insulin therapy to better inform personalized diabetes education strategies to improve self-management behaviors.METHODS:
Q-methodology, a research approach combining the quantitative rigor of statistical analysis with qualitative data on perception of diabetes self-management by persons with T2D on insulin therapy, was used. The Summary of Diabetes Self-Care Activity measure and A1C in the past 6 months were used to further describe self-management behaviors of each P-sample, Q-sorter. Of 160 statements, 33 Q-sample statements were selected as Q-set. Then, 37 P-samples (24 men; 13 women) were recruited from a university-affiliated diabetes clinic in South Korea. Data obtained from each P-sample with a Q-set and a Q-sorting table, a forced-choice normal distribution table, were analyzed using varimax rotation.RESULTS:
Forty-one percent of the variance was explained with 5 factors represented by 27 Q-sorters, explaining variance ranging from 5% to 17% for each factor Factor A (n = 6) those showing self-management education need but possessing inadequate health literacy; Factor B (n = 4) those valuing lifestyle modification to control diabetes; Factor C (n = 5) those valuing antidiabetic medication to control diabetes; Factor D (n = 6) carpe diem, accepting diabetes as destiny; and Factor E (n = 6) those overestimating their competencies to control diabetes. Ten Q-sorters fell into either confounded or nonsignificant.CONCLUSIONS:
Tailoring messages and educational approaches based on patients' psychological phenotypes are necessary to promote optimal self-management behaviors.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Diabetes Mellitus, Type 2
/
Self-Management
Type of study:
Prognostic_studies
/
Qualitative_research
Limits:
Female
/
Humans
/
Male
Language:
En
Journal:
Sci Diabetes Self Manag Care
Year:
2022
Type:
Article
Affiliation country:
South Korea