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A mixed methods study to develop a self-care management tool for both people living with diabetes and their families

Thesis (PhD (Nursing Science))--University of Pretoria, 2024.

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Other Authors: Bhana-Pema, Varshika
Format: Thesis
Language:English
Published: University of Pretoria 2025
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access_status_str Open Access
author2 Bhana-Pema, Varshika
author_browse Bhana-Pema, Varshika
author_facet Bhana-Pema, Varshika
collection Thesis
dc_rights_str_mv © 2023 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria.
description Thesis (PhD (Nursing Science))--University of Pretoria, 2024.
format Thesis
id oai:repository.up.ac.za:2263/101698
institution University of Pretoria (South Africa)
language English
last_indexed 2026-06-10T12:37:01.683Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from UPSpace — University of Pretoria Institutional Repository
publishDate 2025
publishDateRange 2025
publishDateSort 2025
publisher University of Pretoria
publisherStr University of Pretoria
record_format dspace
source_str UPSpace — University of Pretoria Institutional Repository
spelling oai:repository.up.ac.za:2263/101698 A mixed methods study to develop a self-care management tool for both people living with diabetes and their families Bhana-Pema, Varshika jd-vdh@hotmail.com Legodi, Heather Jumat, Jennifer Denise UCTD Sustainable Development Goals (SDGs) Diabetes mellitus Diabetes self-care management tool Orem’s theory Mixed-methods Family support Person-centeredness Coding Thematic analysis Delphi technique Thesis (PhD (Nursing Science))--University of Pretoria, 2024. Introduction and background: The progressive nature of Diabetes Mellitus requires lifelong selfcare, which refers to the deliberate decisions and practices of the people living with diabetes (PLWD) and supporting family. The essence of self-care is to prevent risks and complications, but health education programs are lacking, and support for care is weak. Aim and objective: To create a self-care tool that will support and improve self-care habits, it was necessary to investigate how PLWD perceive self-care and how the family is involved. Research design and methods: This Mixed methods study followed a qualitatively driven, descriptive and explanatory approach. In Phase 1, 104 individuals living with diabetes provided data using the DSSQ-Fv. Phase 1 reliability analysis revealed that the five constructs obtained high Cronbach Alpha values, ranging from 0.803 to 0.989, and had good discriminating power. Phase 2 Stage 1 data collection involved conducting fifteen telephone interviews after a focus group with four individuals. Phase 2 Stage 2 data collection involved four family members in a focus group, and eight telephone interviews were conducted afterwards. Coding, categorisation, and theming were used in the analysis process. Phase 3 involved the Delphi consensus-building process being used to collect information from ten experts. Results: The general self-care regimen was deemed inadequate. Most PLWD concentrate primarily on the diet, paying little attention to medication or exercise as a means of controlling blood sugar levels. An easy-to-use self-care tool was developed. Conclusion: The study revealed inadequate self-care behaviours and a weakness in DSME/S. Developing a daily self-care regimen is necessary to enhance self-care practices. Nursing Department, University of Pretoria Bursary Nursing Science PhD (Nursing Science) Unrestricted Faculty of Health Sciences SDG-03: Good health and well-being 2025-03-25T10:27:17Z 2025-03-25T10:27:17Z 2025-04 2024-12 Thesis * A2025 http://hdl.handle.net/2263/101698 https://doi.org/10.25403/UPresearchdata.28658951 en © 2023 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. application/pdf University of Pretoria
spellingShingle UCTD
Sustainable Development Goals (SDGs)
Diabetes mellitus
Diabetes self-care management tool
Orem’s theory
Mixed-methods
Family support
Person-centeredness
Coding
Thematic analysis
Delphi technique
A mixed methods study to develop a self-care management tool for both people living with diabetes and their families
title A mixed methods study to develop a self-care management tool for both people living with diabetes and their families
title_full A mixed methods study to develop a self-care management tool for both people living with diabetes and their families
title_fullStr A mixed methods study to develop a self-care management tool for both people living with diabetes and their families
title_full_unstemmed A mixed methods study to develop a self-care management tool for both people living with diabetes and their families
title_short A mixed methods study to develop a self-care management tool for both people living with diabetes and their families
title_sort mixed methods study to develop a self care management tool for both people living with diabetes and their families
topic UCTD
Sustainable Development Goals (SDGs)
Diabetes mellitus
Diabetes self-care management tool
Orem’s theory
Mixed-methods
Family support
Person-centeredness
Coding
Thematic analysis
Delphi technique
url http://hdl.handle.net/2263/101698
https://doi.org/10.25403/UPresearchdata.28658951