Eborall - And now for the good news - 2015-02-24 - submittedversion.pdf (302.61 kB)
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“And now for the good news…” the impact of negative and positive messages in self-management education for people with Type 2 diabetes: a qualitative study in an ethnically diverse population.

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journal contribution
posted on 08.04.2015, 10:44 by Helen C. Eborall, S. K. Virdee, Naina Patel, S. Redwood, S. M. Greenfield, Margaret A. Stone
Objectives: To explore the impact of DESMOND Foundation education, particularly from interviewees’ narratives regarding recall of good and bad news messages and behaviour changes. Methods: In-depth, semi-structured interviews were conducted with a purposive sample (n=19) of people who had attended education sessions as part of a randomised controlled trial in two UK sites with ethnically diverse populations. Data collection and analysis were informed by the constant comparative approach and facilitated through charting. Results: Findings were similar in people from different ethnic backgrounds. Exploration of levels of recall of the sessions suggested that this was variable and sometimes very limited, but that interviewees had all assimilated some relevant learning. Key themes emerged relating to the way in which interviewees recalled and had been influenced by positive (good news) and negative (bad news) messages within the education sessions, including biomedical explanations. Both types of message appeared to have an important role in terms of motivation to change behaviour, but a notable observation was that none of the interviewees recalled receiving bad news messages when diagnosed. Discussion: Our findings have highlighted the importance of providing and combining both negative and positive messages within education designed to promote self-management behaviour change.


This study was funded by the National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care - Leicestershire, Northamptonshire and Rutland and Birmingham and Black Country. NP and MAS acknowledge support from the National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care – East Midlands (NIHR CLAHRC – EM), the Leicester Clinical Trials Unit and the NIHR Leicester-Loughborough Diet, Lifestyle and Physical Activity Biomedical Research Unit, which is a partnership between University Hospitals of Leicester NHS Trust, Loughborough University and the University of Leicester



Chronic Illness March 30, 2015 1742395315577965

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/Organisation/COLLEGE OF MEDICINE, BIOLOGICAL SCIENCES AND PSYCHOLOGY/School of Medicine/Department of Health Sciences


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Chronic Illness March 30


SAGE Publications Ltd.





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