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Title: Exploring the lifeworld experiences, lifestyle changes, and well-being, of individuals with type 2 diabetes who consume alcohol
Author: Mantzouka, Christine
ISNI:       0000 0004 9356 3186
Awarding Body: University of Leeds
Current Institution: University of Leeds
Date of Award: 2020
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Background: Alcohol consumption has physical consequences for the progression of type 2 diabetes (T2D), but as well as mental and social consequences affecting individuals' sense of well-being and potential to adapt to the T2D diagnosis. Furthermore, individuals with T2D who consume alcohol require lifestyle changes, including alteration of alcohol consumption that are not easily achievable. The impeding factors for lifestyle changes related to the lack of supportive social networks and the blaming culture towards these individuals for the lack of control and poor diabetes management, continuing alcohol drinking, and unwillingness to change lifestyles. Aim: To understand the lived experiences of individuals with T2D who consume alcohol in dealing with the existential challenges they face in altering their lifestyles and constructing meaning from their altered life-world, and what are the factors that lead these individuals to a sense of well-being. Design: The current study uses interpretive phenomenology to acquire an in-depth understanding of the lived experiences of individuals with T2D who consume alcohol concerning the initiation and sustainment of lifestyle changes and the achievement of living well with T2D and the development of a sense of well-being. Method: The current study conducted a total of 12 in-depth one-to-one interviews with individuals with T2D who consume alcohol. The study uses a purposive sample for selecting participants from the North of England in the UK that were at the time part of a diabetes support group. The analysis of the collected data used the thematic analysis framework. Findings: A total of four themes emerge from the findings, namely; a) Influences of collective determinants influence on lifestyle changes, b) Contextual and cultural framing of lifestyle changes, c) The embodiment of intersubjective interactions, and d) Being and well-being with T2D. Conclusions: Alcohol consumption for individuals with T2D has symbolic signification for attaining and maintaining social group membership that affects efforts for lifestyle alterations. Also, the unregulated and poorly labelling of alcohol drinks, and the dominance of the medical model of care further impedes the initiation and sustainment of lifestyle changes. Health professionals can support the lifestyle change processes by respecting the personhood of individuals with T2D who consume alcohol, incorporate family members in the caring processes and work with these individuals to become attuned with the T2D situation and grow by making selffulfilling plans for the future.
Supervisor: Morrall, Peter Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available