Please use this identifier to cite or link to this item: https://scholarbank.nus.edu.sg/handle/10635/153785
Title: MOTIVATIONS FOR SELF-MANAGEMENT: A QUALITATIVE DESCRIPTIVE STUDY ON THE MOTIVATIONS FOR ACTIVATED SELF-MANAGEMENT IN PATIENTS WITH CHRONIC CONDITIONS
Authors: MUHAMMAD DANIAL HADI BIN KAMALUDIN
Keywords: Self-management
chronic diseases
motivations
barriers
selfefficacy
patient empowerment
Issue Date: 25-May-2019
Citation: MUHAMMAD DANIAL HADI BIN KAMALUDIN (2019-05-25). MOTIVATIONS FOR SELF-MANAGEMENT: A QUALITATIVE DESCRIPTIVE STUDY ON THE MOTIVATIONS FOR ACTIVATED SELF-MANAGEMENT IN PATIENTS WITH CHRONIC CONDITIONS. ScholarBank@NUS Repository.
Abstract: Aim: The aim of this study was to explore the perspectives and experiences of patients in the self-management of their chronic diseases, their motivations to do so, and the barriers and challenges faced in that process. Background: Chronic diseases are a significant cause of morbidity and mortality in Singapore. The management of these chronic conditions often involve lifestyle and behavioural changes, requiring patients to acknowledge their responsibility in self-managing and maintaining their own health. While current literature has investigated how various sociodemographic and clinical factors affect engagement in self-management, there is a lack of studies on the factors that motivate patients and mediate engagement in self-management. Design: A descriptive qualitative design was utilised in this study. Methods: Purposive sampling was used to recruit 12 participants from specialist outpatient clinics in a tertiary hospital in Singapore. Individual face-to-face semistructured interviews were conducted, and Braun and Clarke’s thematic analysis framework was used to guide the data analysis. Results: Four themes of self-management motivations emerged from the analysis: “Fear of consequences”, “Feeling empowered”, “Preserving social roles”, and “Effective social support”. Two themes of barriers and challenges to self-management were elicited from the data analysis, namely: “Intrinsic barriers” such as lack of knowledge and stress, and “Extrinsic barriers”, including financial constraints, negative healthcare experiences and inadequate support. Conclusion: The study findings provided valuable insight into the factors that influence chronic disease self-management, suggesting that self-management support should be tailored to the underlying life-goals and motivations that empower patients to engage in self-management. Furthermore, this study contributes to the limited body of knowledge regarding patient empowerment in the Singapore context.
URI: https://scholarbank.nus.edu.sg/handle/10635/153785
Appears in Collections:Bachelor's Theses

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