Psychosocial working conditions and diabetes self-management at work: A qualitative study

Faculty/Professorship: Clinical Psychology and Psychotherapy  
Author(s): Loerbroks, Adrian; Nguyen, Xuan Quynh; Vu-Eickmann, Patricia; Krichbaum, Michael; Kulzer, Bernhard ; Icks, Andrea; Angerer, Peter
Title of the Journal: Diabetes research and clinical practice : the official journal of the International Diabetes Federation
ISSN: 0168-8227
Publisher Information: Amsterdam [u.a.] : Elsevier
Year of publication: 2018
Issue: 140
Pages: 129-138
Language(s): English
DOI: 10.1016/j.diabres.2018.03.023
Aims: We conducted a qualitative study to expand our current understanding of the potential link between psychosocial working conditions and diabetes self-management at work.
Methods: Thirty employed adults with diabetes mellitus living in Germany (n = 19 with type 1, n = 11 with type 2, 57% female, aged 24–64 years) were recruited. Using a topic guide, we carried out in-depth interviews in face-to-face contact or by telephone. Interviews were transcribed and content-analyzed using MaxQDA.
Results: Psychosocial working conditions perceived to detrimentally affect self-management activities included, amongst others, a high workload, poor job control, unhygienic working environments, the requirement to work under high or fluctuating temperature, perceived social norms at the workplace, and the attitude to prioritize work-related demands as opposed to diabetes-related demands. The types of self-management activities considered to be adversely affected related to glucose monitoring, insulin injections, dietary control, the ability to recognize hypoglycemia and health care use.
Conclusions: Various types of occupational psychosocial factors may determine diabetes self-management practices at the workplace. Quantitative studies are needed to confirm our observations. Subsequently, interventions could be developed and evaluated to improve opportunities to adequately engage into diabetes self-management at work.
Keywords: Diabetes mellitus, Qualitative study, Self-management, Workplace
Peer Reviewed: Ja
International Distribution: Ja
Type: Article
Year of publication: 21. August 2019