Skip to main content

Table 3 Translation of second order constructs

From: A qualitative synthesis of diabetes self-management strategies for long term medical outcomes and quality of life in the UK

Third order construct Second order constructs Summary definition of the second order construct(s) Papers that include the second order constructs
Patient as stakeholder Building a picture Patients respond better to advice that is tailored to their needs –but staff do not always do this. [25; 28; 31; 38; 39]
Personalised advice
Appropriateness
Meaning/Understanding
  Sharing and finding common ground Patients feel ownership when their views and experiences are valued - but staff attitudes can undermine this. [25; 26; 32; 38; 39]
Ownership
  Resource allocation Patients value sustainable support and information provision - but this is resource intensive [27; 28; 34; 37; 48; 51]
Resource use
Timeliness Timeliness Patients benefit from having gaps in their knowledge addressed at their own pace (e.g. if they can ask fundamental questions beyond the initial assessment) – without these opportunities lay interpretations develop. [25; 31; 35; 42]
Access
Phased approach
Contextual knowing
  Consciousness raising Patients value having information and support that matches their current perspective (e.g. if/when they are ready to understand their responsibility) – otherwise patients can disengage with service provision and/or self-management.  
Aligning patients’ needs
Responsive advice
  Implementing a sustainable plan Patients are motivated to change their behaviour, when practices are perceived as improving their quality of life –but suggestions from staff that are perceived as impairing quality of life can be perceived of as out of touch with reality [11; 26; 28; 32; 45]
Self-management behaviours
Empowerment Empowerment With understanding, some patients are able to develop a flexible regimen (e.g. titrate exercise to treats and cheats) – but without ongoing support some do not develop appropriate causal models. [25; 26; 28; 35; 36; 37; 41; 42; 45]
Down to me/Up to them
  Sustainability Flexible regimens can enhance both control of blood glucose and quality of life – but without tailored/ ongoing education that goes beyond ‘learning by rote’ many patients find this difficult to achieve. [28; 32; 34; 35; 36; 43; 44; 45]
Commitment
Accounts as resources
Forgetfulness