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图像剧场工作坊在探索青少年糖尿病自我管理困境中的作用

Usefulness of Image Theater Workshops for Exploring Dilemmas in Diabetes Self-Management Among Adolescents.

作者信息

Kupper Frank, Peters Louk W H, Stuijfzand Sarah M, den Besten Heleen A A, van Kesteren Nicole M C

机构信息

Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.

Regional Public Health Services South-Limburg, Heerlen, The Netherlands.

出版信息

Glob Qual Nurs Res. 2018 Mar 15;5:2333393618755007. doi: 10.1177/2333393618755007. eCollection 2018 Jan-Dec.

Abstract

Diabetes treatment involves a demanding self-management regime that is particularly challenging to adolescents. There is a need for qualitative research into the specific contexts in which adolescents attempt to balance self-management demands with the needs and desires of adolescent life. This study investigates the usefulness of image theater, a participatory form of theater using the body as an expressive tool, to articulate these dilemmas in daily life contexts. We performed a qualitative analysis of two image theater workshops with 12- to 18-year-old adolescents living with diabetes. Our results show three areas of application: (a) unraveling the contextual complexity of lived experience, (b) the articulation of implicit understandings and underlying motives, and (c) the playful exploration of new behavior. We conclude that image theater is a promising method, especially with respect to the opportunities of a more contextual and action-oriented understanding of the trade-offs made in self-management provide for diabetes education and counseling.

摘要

糖尿病治疗需要严格的自我管理方案,这对青少年来说尤其具有挑战性。有必要对青少年试图在自我管理需求与青少年生活的需求和愿望之间取得平衡的具体背景进行定性研究。本研究调查了形象剧场(一种以身体为表达工具的参与式戏剧形式)在阐明日常生活背景下的这些困境方面的有用性。我们对两个针对12至18岁糖尿病青少年的形象剧场工作坊进行了定性分析。我们的结果显示了三个应用领域:(a)揭示生活经历的背景复杂性,(b)阐明隐含的理解和潜在动机,以及(c)对新行为的趣味性探索。我们得出结论,形象剧场是一种很有前景的方法,特别是在为糖尿病教育和咨询提供更具背景性和以行动为导向的自我管理权衡理解机会方面。

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