• Catherina Væversted Lauritzen
  • Karina Brix Nissen
4. term, Public Health, Master (Master Programme)
Background: The prevalence of type 2 diabetes (DM2) is increasing, and is estimated to continue to increase, which is problematic, both socio-economic, but also for the life quality of the individuals living with DM2. The municipal prevention of DM2 includes a type 2 diabetes rehabilitation program (DM2 rehabilitation program), that aims at changing the health behavior of the citizen with DM2, which highlights the importance of the citizen experience. DM2 programs shows varying degrees of achieved health behavior change. It is therefore problematic if the citizen is not motivated, and does not maintain, and possibly improve, the achieved health behaviors, which he has acquired through the rehabilitation program.

Objective: To examine how the citizen with DM2 experience their own achieved health behaviors during the participation of a DM2 rehabilitation program and follow-ups. And how change management initiatives can be designed for the follow-ups, so the citizen is motivated to maintain, and possibly improve, health behaviors.

Method: The method is based on a qualitative theory-interpretative case study, based on empirical data gathered through a participating observation of a 12 month follow-up, as well as three semi-structured individual interviews with citizens of the program. The theoretical perspective was based on a phenomenological-hermeneutic approach. The analysis seeking meaning consists of a theoretical interpretation of the empirical data, by using the Self-determination Theory (SDT) and Sense of Coherence (SOC) in an effort to gain understanding of the empirical data.

Results: Four categories appeared with relevance to the citizen experience of the achieved health behavior change from the program and follow-ups, along with what motivates to maintain and potentially improve the health behavior. The first category contained “Experience of achieved health behavior change from the DM2 rehabilitation program and follow-ups”. The second category contained “The community among the participants”. The third category contained “Clarification of the risk of late diabetic complications”. The fourth category contained “Establishment and visualization of health related goals”.

Conclusion: Citizens experienced varying degrees of SOC and achieved health behavior change during the DM2 rehabilitation program. However, none of the citizens experienced that the follow-ups contributed to SOC and health behavior change. Change management initiatives can assist with citizen’s experience of SOC and motivation for maintaining, and possibly improving, health behavior during the follow-ups, through the following points: “The establishment of a Facebook group”, “The establishment of a workout buddy” and “Establishment and visualization of health related goals”.
Publication date27 May 2016
Number of pages246
ID: 234258216