Conceptualising diabetes self-management as an occupation

Youngson, Annabel ORCID: https://orcid.org/0000-0003-1482-0029 , Wilby, Helen ORCID: https://orcid.org/0000-0001-6976-2052 , Cole, Fiona and Cox, Diane ORCID: https://orcid.org/0000-0003-2691-6423 (2016) Conceptualising diabetes self-management as an occupation. British Journal of Occupational Therapy, 79 (8_supp). p. 13.

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Abstract

Diabetes self management requires the ability to cope with the symptoms of diabetes, manage testing and medication, deal with psychosocial consequences and make lifestyle changes. Approaches to self-management are typically medical, although occupational therapists have recently started to recognise the opportunities for the profession in understanding self-management in terms of an individual’s life context, roles and routines (Fritz 2014 Pyatak 2011 Thompson 2014). Following ethical approval from the University of Cumbria, a total of 22 participants with type 1, type 2, gestational or pre-diabetes were recruited in three separate stages to the first author’s doctoral study exploring the role of occupational therapy in diabetes self-management. Following initial analysis of digitally recorded semi-structured interviews on the lived experience of diabetes, the findings were taken as a whole to conceptualise the experience of diabetes self-management as an occupation, using the Model of Human Occupation (MOHO) (Kielhofner 2008). The presentation will discuss the occupational forms of the occupation of diabetes self-management, the impact of other occupations on diabetes self-management, and the impact of diabetes on other occupations. Using MOHO and examples from the participants, it will illustrate the interaction between occupational identity, volition, habituation and the environment on diabetes self-management. This research adds to the growing literature on an occupational therapy approach to diabetes. Understanding diabetes self management as an occupation brings a particular non-medical focus that may complement existing services and show how occupational therapy could enable improved diabetes management for those who require it.

References
Fritz, H (2014) The influence of daily routines on engaging in diabetes self-management, Scandinavian Journal of Occupational Therapy, 21 (3), 232–240.
Kielhofner, G (2008) Model of Human Occupation 4th Ed Philadelphia: Lippincott Williams & Wilkins.
Pyatak, E (2011) The role of occupational therapy in diabetes self-management interventions OTJR: Occupation, Participation and Health 31(2) 89–96.
Thompson, M (2014) Occupations, habits and routines: perspectives from persons with diabetes, Scandinavian Journal of Occupational Therapy 21, 153–160.

Item Type:	Article
Journal / Publication Title:	British Journal of Occupational Therapy
Publisher:	SAGE Publications / College of Occupational Therapists
ISSN:	1477-6006
Departments:	Academic Departments > Health, Psychology & Social Studies (HPSS) > Rehabilitation Professional Services > Research Office & Graduate School (ROGS)
Additional Information:	COT Conference Book of Abstracts 2016 (College of Occupational Therapists 40th Annual Conference and Exhibition, 28-30 June 2016, Harrogate, UK). See the presentation here: http://insight.cumbria.ac.uk/id/eprint/2589/
Depositing User:	Anna Lupton
Date Deposited:	09 Jul 2019 11:46
Last Modified:	11 Jan 2024 16:47
URI:	https://insight.cumbria.ac.uk/id/eprint/4992

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