Providing care for young adults with type 2 diabetes in primary care settings in Singapore: a multi-faceted study
In this doctorate dissertation, a population-, practice- and patient-based approach was used to assess care in young-onset diabetes. Studies were conducted using four different methodologies. The first, a longitudinal database study, examined clinical outcomes in young-onset diabetes. The second stu...
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| Format: | Thesis-Doctor of Philosophy |
| Language: | English |
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Nanyang Technological University
2022
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| Online Access: | https://hdl.handle.net/10356/163576 |
| _version_ | 1826126420948025344 |
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| author | Wong, Sabrina Kay Wye |
| author2 | Konstadina Griva |
| author_facet | Konstadina Griva Wong, Sabrina Kay Wye |
| author_sort | Wong, Sabrina Kay Wye |
| collection | NTU |
| description | In this doctorate dissertation, a population-, practice- and patient-based approach was used to assess care in young-onset diabetes. Studies were conducted using four different methodologies. The first, a longitudinal database study, examined clinical outcomes in young-onset diabetes. The second study, a systematic review, evaluated the effectiveness of prior self-care interventions. The third study, a cross-sectional survey, examined self-care behaviours and the impact of psychological health and self-efficacy using network analysis. The fourth, a qualitative study utilising in-depth interviews, identified barriers and facilitators of self-care behaviours. Results showed poor metabolic profiles in young-onset diabetes and a lack of effectiveness of prior self-care interventions. Network analysis suggested that self-efficacy and psychological health had a central or direct roles in diet and exercise behaviours. A mindset- based approach was identified qualitatively that could inform the design of an individualised care intervention. |
| first_indexed | 2024-10-01T06:52:03Z |
| format | Thesis-Doctor of Philosophy |
| id | ntu-10356/163576 |
| institution | Nanyang Technological University |
| language | English |
| last_indexed | 2024-10-01T06:52:03Z |
| publishDate | 2022 |
| publisher | Nanyang Technological University |
| record_format | dspace |
| spelling | ntu-10356/1635762023-03-05T17:09:54Z Providing care for young adults with type 2 diabetes in primary care settings in Singapore: a multi-faceted study Wong, Sabrina Kay Wye Konstadina Griva Lee Kong Chian School of Medicine (LKCMedicine) National Healthcare Group Polyclinics Smith Helen konstadina.griva@ntu.edu.sg Science::Medicine In this doctorate dissertation, a population-, practice- and patient-based approach was used to assess care in young-onset diabetes. Studies were conducted using four different methodologies. The first, a longitudinal database study, examined clinical outcomes in young-onset diabetes. The second study, a systematic review, evaluated the effectiveness of prior self-care interventions. The third study, a cross-sectional survey, examined self-care behaviours and the impact of psychological health and self-efficacy using network analysis. The fourth, a qualitative study utilising in-depth interviews, identified barriers and facilitators of self-care behaviours. Results showed poor metabolic profiles in young-onset diabetes and a lack of effectiveness of prior self-care interventions. Network analysis suggested that self-efficacy and psychological health had a central or direct roles in diet and exercise behaviours. A mindset- based approach was identified qualitatively that could inform the design of an individualised care intervention. Doctor of Philosophy 2022-12-12T00:15:26Z 2022-12-12T00:15:26Z 2022 Thesis-Doctor of Philosophy Wong, S. K. W. (2022). Providing care for young adults with type 2 diabetes in primary care settings in Singapore: a multi-faceted study. Doctoral thesis, Nanyang Technological University, Singapore. https://hdl.handle.net/10356/163576 https://hdl.handle.net/10356/163576 10.32657/10356/163576 en NMRC/Fellowship/0047/2017 NMRC/CG/ C019/2017 This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0). application/pdf Nanyang Technological University |
| spellingShingle | Science::Medicine Wong, Sabrina Kay Wye Providing care for young adults with type 2 diabetes in primary care settings in Singapore: a multi-faceted study |
| title | Providing care for young adults with type 2 diabetes in primary care settings in Singapore: a multi-faceted study |
| title_full | Providing care for young adults with type 2 diabetes in primary care settings in Singapore: a multi-faceted study |
| title_fullStr | Providing care for young adults with type 2 diabetes in primary care settings in Singapore: a multi-faceted study |
| title_full_unstemmed | Providing care for young adults with type 2 diabetes in primary care settings in Singapore: a multi-faceted study |
| title_short | Providing care for young adults with type 2 diabetes in primary care settings in Singapore: a multi-faceted study |
| title_sort | providing care for young adults with type 2 diabetes in primary care settings in singapore a multi faceted study |
| topic | Science::Medicine |
| url | https://hdl.handle.net/10356/163576 |
| work_keys_str_mv | AT wongsabrinakaywye providingcareforyoungadultswithtype2diabetesinprimarycaresettingsinsingaporeamultifacetedstudy |