{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T01:43:38Z","timestamp":1777859018720,"version":"3.51.4"},"reference-count":35,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100007217","name":"Health Services Research and Development","doi-asserted-by":"publisher","award":["#08-027"],"award-info":[{"award-number":["#08-027"]}],"id":[{"id":"10.13039\/100007217","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007217","name":"Health Services Research and Development","doi-asserted-by":"publisher","award":["#18-234"],"award-info":[{"award-number":["#18-234"]}],"id":[{"id":"10.13039\/100007217","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Durham VA Quality Scholars Program OAA","award":["#AF-3Q-05-2019-C"],"award-info":[{"award-number":["#AF-3Q-05-2019-C"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Prim Care Community Health"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>Diabetes mellitus Type 2 (T2DM) requires a set of life-long, complex self-management strategies that affect both physical and psychosocial aspects of daily life. This study aimed to assess how Veterans with T2DM describe self-management behaviors and to explore whether a framework of diabetes-specificrisk-taking behaviors (originally applied to adolescents with T1DM) is applicable to Veterans with T2DM.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This study employed a secondary qualitative analysis of Veteran interviews (n\u2009=\u200936) using a priori codes based on the Summary of Diabetes Self-Care Activities (SDSCA) and the Diabetes-Specific Risk-Taking Inventory (DSRI) to explore self-management behaviors and to assess the applicability of diabetes-specific risk-taking behaviors among Veterans.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>We identified themes aligned with each of the SDSCA a priori codes, along with an added code relating to medication, reflecting both self-management behaviors and diabetes-specific risk-taking behaviors: (1) diet: constant negotiation can involve purposeful risk-taking; (2) physical activity: intentional, but also avoided despite consequences; (3) blood-glucose monitoring: personal effort of monitoring can override risk-reduction; (4) foot care: preventing complications; (5) smoking: struggles and successes with quitting; and (6) medication: intent to adhere can be undercut by risk taking and lack of resources.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Veterans described self-management behaviors that align with diabetes-specific risk-taking, suggesting that the DSRI framework has potential applicability to this population. Future work exploring diabetes-specific risk-taking behaviors will be critical to helping Veterans successfully manage their T2DM.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21501319251391012","type":"journal-article","created":{"date-parts":[[2025,12,24]],"date-time":"2025-12-24T06:50:25Z","timestamp":1766559025000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["\u201cHave to Fight the Demon\u201d: Veteran Type 2 Diabetes Mellitus Behavioral Self-Management and Diabetes Specific Risk-Taking Behaviors"],"prefix":"10.1177","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9639-9284","authenticated-orcid":false,"given":"Joanne","family":"Roman Jones","sequence":"first","affiliation":[{"name":"Durham VA Center of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham Veterans Affairs Health Care System, Durham, NC, USA"},{"name":"Manning College of Nursing and Health Sciences, University of Massachusetts, Boston, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephanie","family":"Hart","sequence":"additional","affiliation":[{"name":"School of Nursing, Duke University, Durham, NC, USA"},{"name":"Duke Clinical and Translational Science Institute, Duke University, Durham, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew J.","family":"Crowley","sequence":"additional","affiliation":[{"name":"Durham VA Center of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham Veterans Affairs Health Care System, Durham, NC, USA"},{"name":"Division of Endocrinology, Diabetes and Metabolism, Department of Medicine, Duke University School of Medicine, Durham, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hayden B.","family":"Bosworth","sequence":"additional","affiliation":[{"name":"Durham VA Center of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham Veterans Affairs Health Care System, Durham, NC, USA"},{"name":"School of Nursing, Duke University, Durham, NC, USA"},{"name":"Department of Population Health Sciences, Duke University School of Medicine, Durham, NC, USA"},{"name":"Division of General Internal Medicine, Department of Medicine, Duke University School of Medicine, Durham. 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