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Adolescents' perceptions of participation in group education using the Guided Self-Determination-Young method: a qualitative study.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences. Karolinska Institutet Institutionen för klinisk forskning och utbildning Södersjukhuset.ORCID iD: 0000-0002-8422-2457
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2017 (English)In: BMJ Open Diabetes Research & Care, ISSN 2052-4897, Vol. 5, no 1, article id e000432Article in journal (Refereed) Published
Abstract [en]

Objective: Guided Self-Determination (GSD) is a person-centered communication and reflection method. Education in groups may have a greater impact than the content of the education, and constructive communication between parents and adolescents has been shown to be of importance. The purpose of this study was to describe adolescents' perceptions of participation in group education with the Guided Self-Determination-Young (GSD-Y) method, together with parents, in connection with the introduction of continuous subcutaneous insulin infusion.

Research design and methods: In the present qualitative interview study, 13 adolescents with type 1 diabetes were included after completing a GSD-Y group education program in connection with the introduction of continuous subcutaneous insulin infusion at three hospitals located in central Sweden. The adolescents were interviewed individually, and qualitative content analysis was applied to the interview transcripts.

Results: Two categories that emerged from the analysis were the importance of context and growing in power through the group process. An overarching theme that emerged from the interviews was the importance of expert and referent power in growing awareness of the importance of self-management as well as mitigating the loneliness of diabetes.

Conclusions: GSD-Y has, in various ways, mitigated experiences of loneliness and contributed to conscious reflection about self-management in the group (referent power) together with the group leader (expert power). Overall, this highlights the benefits of group education, and the GSD method emphasizes the person-centered approach.

Trial registration number: ISRCTN22444034; Results.

Place, publisher, year, edition, pages
2017. Vol. 5, no 1, article id e000432
Keywords [en]
adolescents / children, patient education, qualitative research, type 1
National Category
Other Medical Sciences
Identifiers
URN: urn:nbn:se:uu:diva-337472DOI: 10.1136/bmjdrc-2017-000432PubMedID: 29225894OAI: oai:DiVA.org:uu-337472DiVA, id: diva2:1169703
Available from: 2017-12-29 Created: 2017-12-29 Last updated: 2017-12-29

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