Focusing on life beyond numers. Guided Self-Determination (GSD)

Bidragets oversatte titel: Fokus på liv fremfor tal.: Guidet Egen Beslutning (GEB).

Anne Prip, Anette Wendelboe Christiansen, Vibeke Zoffmann

    Publikation: Konferencebidrag uden forlag/tidsskriftPosterForskning

    1441 Downloads (Pure)


    Studies in young adulthood have identified difficulties for young adult women in particular, who struggle with a combination of long term poor glycaemic control, weight concern, misuse of insulin, late complications and psychosocial distress or depression. Research thus calls for interventions which are especially tailored to young adult women with poorly controlled Type 1 Diabetes (T1D), applicable by clinicians in practice and effective in promoting health and preventing complications. Susan, a 24-year-old woman, was one of 200 patients between 18 and 35 years old with type 1 diabetes who took part in a randomised controlled trial (RCT), testing the effectiveness in this age group of a flexible version of Guided Self-Determination (GSD) prior proven effective in adult care.

    To examine how an individual with complex chronic disease experience GEB. The case study should provide
    insight into how the autonomy supportive intervention is experienced, from the person perspective.

    A case study was conducted one year after Susan had finished the trial. Susan was interviewed by two external interviewers who were not involved in the intervention. The interview was thematically analysed according to a procedure suggested by Braun and Clarke. An overview of Susan’s diabetes management from onset until after the GSD intervention was made based on the interview and electronic patient record data on HbA1c, treatment and complication status. Finally, changes on psychometric scales, measured before and after the intervention, were included.

    Implications for practice
    We consider GSD applicable by HCPs in order to facilitate a process of change in young adults with a complex of poorly controlled T1D and psychosocial distress. Time is used more efficiently when patients work at home to clarify their difficulties. Shifting the focus from ‘numbers’ to the patients’ life with diabetes can increase attendance and release the potential for change.

    Susan benefitted from this flexible intervention, breaking out of her isolation by focusing on what was personally important for her and going through an empowering process with improved HbA1c and psychosocial functioning.

    Bidragets oversatte titelFokus på liv fremfor tal.: Guidet Egen Beslutning (GEB).
    Publikationsdato15 sep. 2014
    StatusUdgivet - 15 sep. 2014
    BegivenhedSygeplejefestival 2014 - Lokomotivværkstedet, København, Danmark
    Varighed: 15 sep. 201415 sep. 2014


    KonferenceSygeplejefestival 2014