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Developing educational material on self-stigma for type 2 diabetes patients

Research Project

Project/Area Number 15H06910
Research Category

Grant-in-Aid for Research Activity Start-up

Allocation TypeSingle-year Grants
Research Field Clinical nursing
Research InstitutionThe Health Care Science Institute

Principal Investigator

Asuka Kato  公益財団法人医療科学研究所, 研究員育成委員会, 研究員 (60756360)

Research Collaborator KADOWAKI Takashi  東京大学, 大学院医学系研究科・糖尿病・代謝内科, 教授
FUJIMORI Shin  帝京大学, 医学部・内科, 名誉教授
YOSHIUCHI Kazuhiro  東京大学, 大学院医学系研究科・ストレス防御・心身医学, 准教授
KAYAMA Mami  聖路加国際大学, 大学院看護学研究科・精神看護学, 教授
HASHIMOTO Hideki  東京大学, 大学院医学系研究科・公共健康医学専攻, 教授
Project Period (FY) 2015-08-28 – 2017-03-31
Project Status Completed (Fiscal Year 2016)
Budget Amount *help
¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2016: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2015: ¥520,000 (Direct Cost: ¥400,000、Indirect Cost: ¥120,000)
Keywords2型糖尿病 / スティグマ / 質的研究 / 患者教育 / 糖尿病
Outline of Final Research Achievements

This qualitative study aims to investigate type 2 diabetes patients with current good glycemic control and prior poor glycemic control, focusing on factors facilitating adjustment to illness and long-term maintenance of self-worth. Patients recruited at two university hospitals participated in semi-structured interviews that were recorded and transcribed verbatim. Then data were coded and analyzed by a qualitative descriptive method using NVivo 10 software. Data triangulation and peer debriefing were employed to enhance trustworthiness. The following major themes were identified: (1) Patients gained "control" over their illness by living a "normal life." (2) Patients discovered positive aspects of type 2 diabetes by feeling "healthier" thanks to treatment. (3) Patients discovered a new sense of self-worth by moving toward goals for type 2 diabetes treatment and experienced inner growth through positive lifestyle choices.

Report

(3 results)
  • 2016 Annual Research Report   Final Research Report ( PDF )
  • 2015 Annual Research Report
  • Research Products

    (10 results)

All 2017 2016

All Journal Article (4 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 4 results,  Open Access: 3 results,  Acknowledgement Compliant: 1 results) Presentation (5 results) (of which Int'l Joint Research: 2 results) Book (1 results)

  • [Journal Article] Psychological and behavioural patterns of stigma among patients with type 2 diabetes: A cross-sectional study2017

    • Author(s)
      Kato A, Fujimaki Y, Fujimori S, Isogawa A, Onishi Y, Suzuki R, Yamauchi T, Ueki K, Kadowaki T, Hashimoto H.
    • Journal Title

      BMJ Open

      Volume: 7 Issue: 3 Pages: e013425-e013425

    • DOI

      10.1136/bmjopen-2016-013425

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Type 2 Diabetes Patients and Stigma:2016

    • Author(s)
      加藤明日香
    • Journal Title

      Iryo To Shakai

      Volume: 26 Issue: 2 Pages: 197-206

    • DOI

      10.4091/iken.26.197

    • NAID

      130005262130

    • ISSN
      0916-9202, 1883-4477
    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] A qualitative study on the impact of internalized stigma on type 2 diabetes self-management2016

    • Author(s)
      Kato A, Fujimaki Y, Fujimori S, Izumida Y, Suzuki R, Ueki K, Kadowaki T, Hashimoto H
    • Journal Title

      Patient Education and Counseling

      Volume: 99 Issue: 7 Pages: 1233

    • DOI

      10.1016/j.pec.2016.02.002

    • Related Report
      2016 Annual Research Report 2015 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Association between self-stigma and self-care behaviors in patients with type 2 diabetes: A cross-sectional study2016

    • Author(s)
      Kato A, Fujimaki Y, Fujimori S, Isogawa A, Onishi Y, Suzuki R, Yamauchi T, Ueki K, Kadowaki T, Hashimoto H
    • Journal Title

      BMJ Open Diabetes Res Care

      Volume: 4 Issue: 1 Pages: 1

    • DOI

      10.1136/bmjdrc-2015-000156

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research / Acknowledgement Compliant
  • [Presentation] 2型糖尿病患者における病気を含めた自己価値観の維持と促進要因 ―質的研究法を用いて―2017

    • Author(s)
      加藤明日香, 吉内一浩, 藤巻祐子, 藤森新, 小林由佳, 山田朋英, 小林正稔, 泉田欣彦, 鈴木亮, 門脇孝.
    • Organizer
      第60回日本糖尿病学会年次学術集会
    • Place of Presentation
      名古屋
    • Year and Date
      2017-05-18
    • Related Report
      2016 Annual Research Report
  • [Presentation] Processes through which Self-Stigma Affects Self-Care Behaviors in Type 2 Diabetes Patients: Path Analysis.2016

    • Author(s)
      Kato A, Fujimaki Y, Fujimori S, Isogawa A, Onishi Y, Suzuki R, Yamauchi T, Ueki K, Kadowaki T, Hashimoto H.
    • Organizer
      American Diabetes Association 76th Scientific Sessions
    • Place of Presentation
      New Orleans, LA, USA
    • Year and Date
      2016-06-10
    • Related Report
      2016 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Processes through which Self-Stigma Affects Self-Care Behaviors in Type 2 Diabetes Patients: Path Analysis2016

    • Author(s)
      Kato A, Fujimaki Y, Fujimori S, Isogawa A, Onishi Y, Suzuki R, Yamauchi T, Ueki K, Kadowaki T, Hashimoto H
    • Organizer
      American Diabetes Association 76th Scientific Sessions
    • Place of Presentation
      Ernest N. Morial Convention Center, New Orleans, LA, USA
    • Year and Date
      2016-06-10
    • Related Report
      2015 Annual Research Report
    • Int'l Joint Research
  • [Presentation] セルフスティグマが2型糖尿病患者の自己管理行動に影響を及ぼすプロセス-パス解析を用いて-2016

    • Author(s)
      加藤明日香, 藤巻祐子, 藤森新, 五十川陽平, 大西由希子, 鈴木亮, 山内敏正, 植木浩二郎, 門脇孝, 橋本英樹
    • Organizer
      第59回日本糖尿病学会年次学術集会
    • Place of Presentation
      みやこめっせ、京都市
    • Year and Date
      2016-05-19
    • Related Report
      2015 Annual Research Report
  • [Presentation] セルフスティグマが2型糖尿病患者の自己管理行動に影響を及ぼすプロセス-パス解析を用いて-2016

    • Author(s)
      加藤明日香, 藤巻祐子, 藤森新, 五十川陽平, 大西由希子, 鈴木亮, 山内敏正, 植木浩二郎, 門脇孝, 橋本英樹.
    • Organizer
      第59回日本糖尿病学会年次学術集会
    • Place of Presentation
      京都
    • Year and Date
      2016-05-18
    • Related Report
      2016 Annual Research Report
  • [Book] 糖尿病学20172017

    • Author(s)
      橋本英樹, 加藤明日香
    • Total Pages
      11
    • Publisher
      診断と治療社
    • Related Report
      2016 Annual Research Report

URL: 

Published: 2015-08-26   Modified: 2018-03-22  

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