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Table 6 The parts making the whole - contribution of each study and paper to each concept in the line of argument

From: Follow-Up Support for Effective type 1 Diabetes self-management (The FUSED Model): A systematic review and meta-ethnography of the barriers, facilitators and recommendations for sustaining self-management skills after attending a structured education programme

 

STUDY:

Irish DAFNE

UK DAFNE

REPOSE

DAFNE

DAFNE-HART

RAPID

CALC

PAPER:

[36]

[37]

[38]

[39]

[40]

[41]

[42]

[43]

[44]

[45]

[46]

[47]

[48]

[49]

[50]

[51]

[52]

[53]

A. Challenges

Knowledgeable Empowered, Motivated

x

X

x

x

x

x

x

x

x

x

x

x

 

x

x

x

x

 

Complexity of Life

x

 

x

x

 

x

     

x

  

x

   

Disconnect between effort and reward

x

 

x

 

x

  

x

      

x

x

  

Lack of confidence in their own judgement

 

x

    

x

 

x

  

x

x

    

x

Insufficient Support

x

x

x

   

x

x

x

 

x

x

 

x

x

   

B. Participant response

Shift blood glucose targets

  

x

    

x

x

x

 

x

      

Stop or relax self-monitoring practices

  

x

   

x

    

x

x

x

   

x

Over-rely on corrective doses

      

x

    

x

      

Over-treat hypoglycaemia

         

x

 

x

    

x

 

Simplify Life

    

x

x

x

    

x

      

C. Follow-up

A combination of structured and responsive individual support

x

     

x

 

x

 

x

x

  

x

 

x

 

Modelling collaboration and empowerment

 

x

 

x

  

x

         

x

 

Preparing for and addressing motivational issues

x

 

x

      

x

 

x

   

x

x

 

Exploring and facilitating social support

    

x

    

x

x

x

      

Supporting the use of technology

      

x

     

x

    

x

Educating mainstream health professionals

        

x

  

x

  

x

   

Building knowledge over time

x

     

x

    

x

      

Considering and revising routines and life circumstances

     

x

            

Reviewing and revising blood glucose monitoring and treatment practices

  

x

   

x

x

          

Reviewing and advising on hypoglycaemia management

       

x

 

x

       

x

Providing dietary advice

    

x

            Â