Adopting the sensemaking perspective for chronic disease self-management
Adopting the sensemaking perspective for chronic disease self-management
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DOI：
10.1016/j.jbi.2015.06.006
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发表时间：
2015-08-01
影响因子：
4.5
通讯作者：
Bakken, Suzanne R.
中科院分区：
文献类型：
--
作者：
Mamykina, Lena;Smaldone, Arlene M.;Bakken, Suzanne R.
背景资料：自我监测是许多慢性疾病的一个组成部分;然而，很少有理论框架解决个人如何理解自我监测数据，并使用它来指导自我管理。目的：阐明糖尿病自我管理中的意义建构理论框架，将现有的奖学金与经验数据相结合。方法：所提出的框架是基于组织行为学，教育和人机交互的意义建构理论。为了实证验证该框架，研究人员回顾和分析了2000年至2015年发表在同行评审期刊上的糖尿病自我管理实践的定性研究报告。结果：所提出的框架区分了自我管理的感觉构建和习惯模式，并确定了三种基本的感觉构建活动：感知与健康和保健相关的新信息，发展为行动选择提供信息的推论，以及响应新信息开展日常活动。从50份已发表的报告的定性研究结果的分析提供了充足的实证证据，提出的框架，但是，它也确定了一些障碍，从事在糖尿病自我management.Conclusions：建议的框架提出了新的研究方向，糖尿病自我管理和设计新的信息学干预数据驱动的自我管理。(C)2015年，作者。爱思唯尔公司出版
Background: Self-monitoring is an integral component of many chronic diseases; however few theoretical frameworks address how individuals understand self-monitoring data and use it to guide self-management.Purpose: To articulate a theoretical framework of sensemaking in diabetes self-management that integrates existing scholarship with empirical data.Methods: The proposed framework is grounded in theories of sensemaking adopted from organizational behavior, education, and human-computer interaction. To empirically validate the framework the researchers reviewed and analyzed reports on qualitative studies of diabetes self-management practices published in peer-reviewed journals from 2000 to 2015.Results: The proposed framework distinguishes between sensemaking and habitual modes of self-management and identifies three essential sensemaking activities: perception of new information related to health and wellness, development of inferences that inform selection of actions, and carrying out daily activities in response to new information. The analysis of qualitative findings from 50 published reports provided ample empirical evidence for the proposed framework; however, it also identified a number of barriers to engaging in sensemaking in diabetes self-management.Conclusions: The proposed framework suggests new directions for research in diabetes self-management and for design of new informatics interventions for data-driven self-management. (C) 2015 The Authors. Published by Elsevier Inc.