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The impact of lifestyle intervention on the motivation of Type 1 diabetic patients at Kalafong Hospital

Mini Dissertation (MSW)--University of Pretoria, 2016.

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Other Authors: Carbonatto, C.L.
Format: Thesis
Language:English
Published: University of Pretoria 2016
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access_status_str Open Access
author2 Carbonatto, C.L.
author_browse Carbonatto, C.L.
author_facet Carbonatto, C.L.
collection Thesis
dc_rights_str_mv © 2016 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria.
description Mini Dissertation (MSW)--University of Pretoria, 2016.
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license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from UPSpace — University of Pretoria Institutional Repository
publishDate 2016
publishDateRange 2016
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spelling oai:repository.up.ac.za:2263/57230 The impact of lifestyle intervention on the motivation of Type 1 diabetic patients at Kalafong Hospital Carbonatto, C.L. vertue.d@gmail.com Vertue, Gregory UCTD Mini Dissertation (MSW)--University of Pretoria, 2016. 6.5 million people have been diagnosed with diabetes in South Africa. Despite current medical interventions, the number of newly diagnosed individuals continues to rise. Lifestyle intervention has been widely used to improve the treatment outcomes of type 2 diabetic patients. This study aimed at evaluating the effect of lifestyle intervention on Type 1 diabetic patients within the context of Kalafong Hospital, a public hospital in South Africa. The study took place within Kalafong Hospital and looked specifically at lifestyle intervention, as lifestyle itself is a crucial part in the management of diabetes. The observations that the majority of patients receiving treatment from the Diabetes Clinic at Kalafong Hospital (found through observation and by looking at the diabetic clinic patient database) showed continued elevated blood sugar, despite pharmaceutical care. The finding that patients were observed as passive recipients of care and the knowledge that, in 2007 alone, 20 139 citizens died as a result of diabetes, led the researcher to investigate whether lifestyle intervention could improve the motivation of Type 1 diabetic patients (Burden of Disease Research Unit, 2010:4). Various studies agree that lifestyle intervention can improve the management of diabetes. Few studies, however, consider whether lifestyle intervention can improve the management of Type 1 diabetes within the South African context. The idea behind the study was to provide lifestyle intervention within a group setting, in order to gain the benefit of both lifestyle intervention and the therapeutic effects of groups. The goal of the study was to determine the impact of lifestyle intervention on the motivation of Type 1 diabetic patients at Kalafong Hospital. The problem statement and hypothesis that guided the study were as follows: i) Type 1 diabetic patients exposed to lifestyle intervention should experience a sustained increased motivation to adhere to a proper diet and exercise routine that continues even after the termination of the lifestyle intervention and ii) when exposed to lifestyle intervention, Type 1 diabetic patients will show a reduced HbA1c which will be sustained over a three-month period. Quantitative applied research was conducted using a true experimental design. The population for the study was Type 1 diabetic patients aged between 18 and 40 who attended the Diabetic Clinic at Kalafong Hospital. The study used stratified random sampling to generate a sample. Thirty-eight respondents diagnosed with Type 1 diabetes were selected for the study. Respondents underwent six lifestyle intervention sessions/groups. Blood tests were completed by respondents before the intervention and three months after termination of the intervention. A questionnaire was completed by the respondents before the intervention and three months after termination of the intervention. The questionnaires were analysed through the use of the following non-parametric tests: Wilcoxon Signed Rank Test, Mann-Whitney U Test and the McNemar Test. Significant findings were analysed further and discussed. Significant findings included the questions pertaining to: management; time spent managing diabetes; perceived self-efficacy; goals and goal setting; feelings about diabetes and reported sources of support. The HbA1c blood results were analysed using SPSS (Statistical Package for the Social Sciences). The results were analysed using a univariate analysis and a T-test. The conclusions of this study indicate that the lifestyle intervention, despite improving health literacy, had no significant effect on the motivation of Type 1 diabetic patients. Even from the biopsychosocial perspective, the intervention failed to significantly affect either the biological, psychological or social aspects of the respondents. The recommendations offered by the study can be used by social workers within healthcare, to guide future research and to assist in the planning for lifestyle intervention programmes within healthcare settings. tm2016 Social Work and Criminology MSW Unrestricted 2016-10-14T07:32:23Z 2016-10-14T07:32:23Z 2016-08-31 2016 Mini Dissertation Vertue, G 2016, The impact of lifestyle intervention on the motivation of Type 1 diabetic patients at Kalafong Hospital, MSW Mini Dissertation, University of Pretoria, Pretoria, viewed yymmdd <http://hdl.handle.net/2263/57230> S2016 http://hdl.handle.net/2263/57230 en © 2016 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. application/pdf University of Pretoria
spellingShingle UCTD
The impact of lifestyle intervention on the motivation of Type 1 diabetic patients at Kalafong Hospital
title The impact of lifestyle intervention on the motivation of Type 1 diabetic patients at Kalafong Hospital
title_full The impact of lifestyle intervention on the motivation of Type 1 diabetic patients at Kalafong Hospital
title_fullStr The impact of lifestyle intervention on the motivation of Type 1 diabetic patients at Kalafong Hospital
title_full_unstemmed The impact of lifestyle intervention on the motivation of Type 1 diabetic patients at Kalafong Hospital
title_short The impact of lifestyle intervention on the motivation of Type 1 diabetic patients at Kalafong Hospital
title_sort impact of lifestyle intervention on the motivation of type 1 diabetic patients at kalafong hospital
topic UCTD
url http://hdl.handle.net/2263/57230