Managing type 1 diabetes in the context of work life: A matter of containment

Hansen, Ulla Møller; Cleal, Bryan; Willaing, Ingrid; Tjørnhøj‐Thomsen, Tine

doi:10.1016/j.socscimed.2018.10.016

Cited by 26 publications

(35 citation statements)

References 23 publications

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“…According to Alonzo, situational commitment is related to a person's identity [36]. In a previous study by Hansen and colleagues which investigated the management of type 1 diabetes in the context of work, the authors found that participants experienced tensions between logics of being a patient and logics of being a worker [39]. Similarly, women in this study navigated between several identities such as being pregnant, being the main care provider and being a student or an employee.…”

Section: Containment Of Signs and Symptoms In Everyday Situationsmentioning

confidence: 59%

“…Alonzo has argued that the situational-adaptation perspective is suitable for application across different disciplines. Examples of previous studies using the situational-adaptation framework include backache as an everyday illness [38], diabetes as a chronic illness [39] and cancer as a life-threatening illness [40]. Although an uncomplicated pregnancy may be viewed as a normal event in life rather than an illness [41], situational-adaptation can be useful in explaining how women perceive signs and symptoms and take action to potential complications during the pregnancy period.…”

Section: Situational Adaptationmentioning

confidence: 99%

“…Both types of illness behaviors are influenced by informal and formal social relations and the relations of power symmetry or asymmetry existing between them [36]. To add to these components, we also draw upon Gannik's elaboration of the situational-adaptation concept [39]. She takes the perspective of disease as a social and relational phenomenon-a phenomenon developed and shaped through the interaction of people in a social everyday world.…”

Section: Situational Adaptationmentioning

confidence: 99%

“…Women who worked or went to school also carried many domestic responsibilities. Gannik uses the term 'the disease action field' to reflect the freedom to act within the present life situation [39]. This includes structural factors such as education, work, and income that affect both economic and time resources.…”

Section: Suppressing Symptoms and Postponing Medical Attentionmentioning

confidence: 99%

See 3 more Smart Citations

Contextual Factors Influencing the MAMAACT Intervention: A Qualitative Study of Non-Western Immigrant Women’s Response to Potential Pregnancy Complications in Everyday Life

Johnsen

Christensen

Juhl

et al. 2020

IJERPH

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In western countries, immigrant women have an increased risk of negative birth outcomes. Immigrant women’s and maternity care system’s delayed response to pregnancy complications contribute to ethnic inequities in reproductive health. The MAMAACT intervention was developed to improve midwives’ and women’s response to pregnancy complications in Denmark. The study examines the context of the implementation of the MAMAACT intervention and investigates how the intended intervention mechanisms regarding response to pregnancy complications were affected by barriers in non-Western immigrant women’s everyday life situations. Twenty-one interviews with non-Western immigrant women were undertaken. Systematic text condensation and the situational-adaptation framework by Alonzo were used to analyze data. Four main categories were identified: ‘Sources of knowledge during pregnancy’, ‘Containment of pregnancy warning signs’, ‘Barriers during the onset of acute illness’ and ‘Previous situations with maternity care providers’. Attention to potential pregnancy complications may conflict with immigrant women’s everyday life situations and result in the containment of symptoms as well as causing delays in seeking medical assistance. It is probable that barriers in women’s everyday life will impact the intended intervention mechanisms and thus the full potential of the intervention may not be reached.

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Section: Containment Of Signs and Symptoms In Everyday Situationsmentioning

confidence: 59%

Section: Situational Adaptationmentioning

confidence: 99%

Section: Situational Adaptationmentioning

confidence: 99%

Section: Suppressing Symptoms and Postponing Medical Attentionmentioning

confidence: 99%

See 2 more Smart Citations

Contextual Factors Influencing the MAMAACT Intervention: A Qualitative Study of Non-Western Immigrant Women’s Response to Potential Pregnancy Complications in Everyday Life

Johnsen

Christensen

Juhl

et al. 2020

IJERPH

View full text Add to dashboard Cite

show abstract

“…Recent studies on work life and diabetes have, however, highlighted how contextual factors influence diabetes self-care at work significantly, with the main strategies being to keep blood glucose levels higher than medically optimal to avoid hypoglycaemia. Doing so is unhealthy and increases the risk [33] stated in 2018 that work life and diabetes can be characterized as a matter of containment: '. .…”

Section: The Past 25 Yearsmentioning

confidence: 99%

State of the art: understanding and integration of the social context in diabetes care

2020

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We review the past 25 years of research addressing challenges people living with diabetes experience in their daily lives related to social contexts, i.e. in their family, at work and in society at large, and identify research gaps. We found that young people with diabetes, as they develop through to adulthood, are exposed to considerable risks to their physical and mental health. Family‐system interventions have had mixed outcomes. Research in this area would benefit from attention to ethnic/cultural diversity, and involving fathers and other family members. In adults with diabetes, social support relates to better diabetes outcomes. While family member involvement in care is likely to affect health and psychosocial outcomes of the person with diabetes, key elements and mediators of effective family interventions need to be identified. The challenges of diabetes management at work are under‐researched; distress and intentional hyperglycaemia are common. When depression is comorbid with diabetes, there are increased work‐related risks, e.g. unemployment, sickness absence and reduced income. Research to support people with diabetes at work should involve colleagues and employers to raise awareness and create supportive environments. Stigma and discrimination have been found to be more common than previously acknowledged, affecting self‐care, well‐being and access to health services. Guidance on stigma‐reducing choice of language has been published recently. Resilience, defined as successful adaptation to adversity such as stigma and discrimination, requires studies relevant to the specific challenges of diabetes, whether at diagnosis or subsequently. The importance of the social context for living well with diabetes is now fully recognized, but understanding of many of the challenges, whether at home or work, is still limited, with much work needed to develop successful interventions.

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Across and Within- Individual Associations Between Everyday Activities and Quality of Life Relevant Measures, in Workers with Type 1 Diabetes

Hernandez

Schneider

Pham

et al. 2023

Applied Research Quality Life

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Relationships between activity engagement and health related quality of life (HRQOL) can differ based on the level of analyses. For instance, greater exercise on average may be linked with lower fatigue across individuals (between-person level), whereas the momentary experience of exercise may be associated with increased fatigue within an individual (within-person level). Disentangling the between- and within-person associations between everyday activities and HRQOL outcomes may provide insights for personalized lifestyle-oriented health promotion efforts for individuals with chronic conditions. The purpose of this paper was to examine the between- and within-person relationships between activity engagement and HRQOL relevant measures in a sample of 92 workers with type 1 diabetes (T1D), from whom we collected ecological momentary assessment (EMA) data 5–6 times daily over 14 days. At each EMA prompt, information was collected on the activity participants just engaged in, and HRQOL relevant metrics (e.g. mental health, blood glucose, fatigue, functioning). Momentary reports of “caring for others”, and more frequently “caring for others”, were both associated with decreased HRQOL. Reporting napping 10% or more of the time during a person’s waking hours, but not the momentary experience of napping, was associated with decreased HRQOL. Momentary reports of sleeping were associated with low activity satisfaction relative to other activities, but higher activity importance. Study results provided a quantitative representation of the lived experience of T1D covering multiple types of activity engagement, which potentially has health promotion implications for workers with T1D.

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Managing type 1 diabetes in the context of work life: A matter of containment

Cited by 26 publications

References 23 publications

Contextual Factors Influencing the MAMAACT Intervention: A Qualitative Study of Non-Western Immigrant Women’s Response to Potential Pregnancy Complications in Everyday Life

Contextual Factors Influencing the MAMAACT Intervention: A Qualitative Study of Non-Western Immigrant Women’s Response to Potential Pregnancy Complications in Everyday Life

State of the art: understanding and integration of the social context in diabetes care

Across and Within- Individual Associations Between Everyday Activities and Quality of Life Relevant Measures, in Workers with Type 1 Diabetes

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