Bendixen Bente Elisabeth, Wilhelmsen-Langeland Ane, Lomborg Kirsten, Måkestad Eirin, Skogheim Trine L, Schønberg Anne, Iversen Marjolein M, Kvale Gerd, Søfteland Eirik, Haugstvedt Anne
Department of Health and Caring Sciences, Western Norway University of Applied Sciences, Bergen, Norway.
Helse i Hardanger, Øystese, Norway.
Sci Diabetes Self Manag Care. 2025 Feb;51(1):36-46. doi: 10.1177/26350106241304422. Epub 2025 Feb 3.
The purpose of this study was to explore experiences with an interdisciplinary micro-choice-based concentrated group intervention for people with type 2 diabetes.
A qualitative study with individual semistructured interviews were conducted with 14 adults (8 women, ages 45-74 years) with type 2 diabetes. Purposive sampling was used, and participants from 3 different intervention groups in the micro-choice-based concentrated group intervention were recruited. Thematic analysis was used for the data analysis.
Three main themes were identified: (1) group intervention tailored to individual needs through friendly and skilled professionals, (2) valuable social interactions and an experience of fellowship, and (3) commitment to change through goal setting and conscious micro-choices. The participants described a readiness for change that was met by important knowledge from skilled professionals in the concentrated intervention. They reported that new knowledge, particularly about micro-choices and the focus on how insulin works in the body, led to change in their awareness and self-management. The concentrated group intervention was a preferred setting that contained a sense of community without compromising on meeting individual needs. Participants described internalized changes after the intervention and a willingness to adhere to changes necessary for their self-management.
Study findings showed that a micro-choice-based concentrated group intervention for people with type 2 diabetes can be a valuable approach contributing to improved patient activation and diabetes self-management. The findings underpin the importance of increased diabetes knowledge and support from an interprofessional team to bring about significant changes in everyday life.
本研究旨在探索针对2型糖尿病患者的基于微观选择的跨学科集中小组干预的经验。
对14名2型糖尿病成年人（8名女性，年龄45 - 74岁）进行了定性研究，采用个人半结构化访谈。采用目的抽样法，招募了基于微观选择的集中小组干预中3个不同干预组的参与者。数据分析采用主题分析法。
确定了三个主要主题：（1）通过友好且专业的人员提供符合个体需求的小组干预；（2）有价值的社交互动和团体体验；（3）通过设定目标和有意识的微观选择来致力于改变。参与者表示，集中干预中专业人员提供的重要知识满足了他们对改变的准备。他们报告说，新知识，特别是关于微观选择以及胰岛素在体内作用方式的知识，导致了他们意识和自我管理的改变。集中小组干预是一个理想的环境，既有一种社区感，又不影响满足个体需求。参与者描述了干预后的内在变化以及愿意坚持自我管理所需的改变。
研究结果表明，针对2型糖尿病患者的基于微观选择的集中小组干预可能是一种有助于提高患者积极性和糖尿病自我管理的有价值方法。这些发现强调了增加糖尿病知识以及跨专业团队支持对于在日常生活中带来显著改变的重要性。
