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Practitioners' actions inhibited patient participation in self care decision making.(Brief Article)
QUESTION: How do people with long standing type 1 diabetes mellitus manage self care decision making and relationships with practitioners?
Design
Grounded theory, guided by symbolic interactionism.
Setting
Vancouver, British Columbia, Canada.
Participants
22 Caucasian adults (mean age 43 y, 64% women) with type 1 diabetes of [greater than or equal to] 15 years' duration (mean 30 y) who nominated themselves or were nominated by their physicians as expert self care managers (ie, able to make trustworthy decisions about self management and to maintain good glycaemic control).
Methods
Data were collected from audiotaped think aloud periods, in which participants described their self care decision making over three 1 week periods; individual interviews held before and after think aloud periods; and a 2 hour focus group interview at the study …
