{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T02:35:10Z","timestamp":1784687710844,"version":"3.55.0"},"reference-count":29,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2014,11,7]],"date-time":"2014-11-07T00:00:00Z","timestamp":1415318400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Scandinavian Caring Sciences"],"published-print":{"date-parts":[[2015,9]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Self\u2010management among people with T2D includes being responsible for attaining a blood sugar level within the normal range, eating healthy food, exercising and following prescriptions for medication, something that may need support. In rural areas, access to health care may be limited, and support from family members becomes important.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim of this study was to describe perceptions and associations of diabetes empowerment, self\u2010management ability and needs of self\u2010management support among people with T2D in a northern rural community of Sweden.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>People with T2D (n\u00a0=\u00a0159) living a rural municipality in northern Sweden answered the <jats:styled-content style=\"fixed-case\">SWE<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">DES<\/jats:styled-content>\u201023 questionnaire and additional questions concerning self\u2010management and needs for self\u2010management support.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A higher diabetes empowerment was associated with longer diabetes duration and support from healthcare professionals and relatives. Women rated a need for self\u2010management support significantly higher than men did. Nonretired persons rated a significantly higher need for self\u2010management support and a lower perception of support from healthcare professionals compared to retired persons. Cohabitant persons had a significantly higher perception of support from relatives and also estimated a higher need for relatives\u2019 involvement in clinical visits compared to persons living alone. Both the newly diagnosed and also those people with a diabetes duration of 10\u201315\u00a0years rated a higher need for group support. Higher self\u2010awareness and readiness to change were apparent among people with short and long diabetes duration. Furthermore, self\u2010management ability, support from healthcare professionals and from relatives and lastly diabetes duration was associated with diabetes empowerment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Not only people newly diagnosed with T2D should be offered patient\u2010centred group support, strengthening patient empowerment. For future, family\u2010focused care and education and training in person\u2010centred care among diabetes specialist nurses is recommended.<\/jats:p><\/jats:sec>","DOI":"10.1111\/scs.12185","type":"journal-article","created":{"date-parts":[[2014,11,7]],"date-time":"2014-11-07T09:35:10Z","timestamp":1415352910000},"page":"521-527","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Diabetes empowerment and needs for self\u2010management support among people with type 2 diabetes in a rural inland community in northern Sweden"],"prefix":"10.1111","volume":"29","author":[{"given":"Ulf","family":"Isaksson","sequence":"first","affiliation":[{"name":"Department of Nursing Ume\u00e5 University Ume\u00e5 Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Senada","family":"Hajdarevic","sequence":"additional","affiliation":[{"name":"Department of Nursing Ume\u00e5 University Ume\u00e5 Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"MaiGreth","family":"Abramsson","sequence":"additional","affiliation":[{"name":"Department of Nursing Ume\u00e5 University Ume\u00e5 Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Stenvall","sequence":"additional","affiliation":[{"name":"Department of Nursing Ume\u00e5 University Ume\u00e5 Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c5sa","family":"H\u00f6rnsten","sequence":"additional","affiliation":[{"name":"Department of Nursing Ume\u00e5 University Ume\u00e5 Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,11,7]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"CDCP\u2010Centers for Disease Control and Prevention. 2011 National Diabetes Fact Sheet. 2012 Dec 11 http:\/\/www.cdc.gov\/diabetes\/pubs\/factsheet11.htm"},{"key":"e_1_2_10_3_1","unstructured":"NDR.Swedish National Diabetes Register. Annual Report 2011. 2012."},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/1745-7599.12004"},{"key":"e_1_2_10_5_1","unstructured":"National Board of Health and Welfare (Socialstyrelsen).National Guidelines for Diabetes Care [Nationella riktlinjer f\u00f6r diabetesv\u00e5rden 2010 \u2010 st\u00f6d f\u00f6r styrning och ledning]. (Socialstyrelsen ed.) 2011 Stockholm."},{"key":"e_1_2_10_6_1","unstructured":"SBU.Patient education in managing diabetes. [Patientutbildning vid diabetes. En systematisk litteratur\u00f6versikt]. The Swedish Council on Technology Assessment in Health Care [Statens beredning f\u00f6r medicinsk utv\u00e4rdering] ed.) 2009 Stockholm."},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2702.2003.00826.x"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-6712.2011.00879.x"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2009.07.025"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-10-77"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.2337\/diaclin.24.4.154"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.59.1.156"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.1105"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.23.6.739"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-6712.2007.00463.x"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-6712.2010.00864.x"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1752-9824.2010.01078.x"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2296-11-97"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jneb.2009.08.006"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2648.2003.02597.x"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1037\/1091-7527.24.4.373"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-6712.2005.00334.x"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1547-5069.2001.00021.x"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2013.10.010"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2011.10.005"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2003.07.009"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1002\/edn.112"},{"key":"e_1_2_10_28_1","first-page":"46","article-title":"Turning points in self\u2010management of type 2 diabetes","volume":"9","author":"Jutterstr\u00f6m L","year":"2012","journal-title":"EDN"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1177\/1403494810382474"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-6712.2008.00652.x"}],"container-title":["Scandinavian Journal of Caring Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fscs.12185","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/scs.12185","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,29]],"date-time":"2023-09-29T20:52:08Z","timestamp":1696020728000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/scs.12185"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,11,7]]},"references-count":29,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2015,9]]}},"alternative-id":["10.1111\/scs.12185"],"URL":"https:\/\/doi.org\/10.1111\/scs.12185","archive":["Portico"],"relation":{},"ISSN":["0283-9318","1471-6712"],"issn-type":[{"value":"0283-9318","type":"print"},{"value":"1471-6712","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,11,7]]},"assertion":[{"value":"2014-05-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-09-16","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-11-07","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}