From diet to everyday-social life: a salutogenetic approach towards enabling healthful eating among diabetes type 2 patients

Project: PhD

Project Details


Type 2 Diabetes Mellitus (T2DM) is an increasing global health concern, but can be reversed by lifestyle interventions. However, most dietary interventions are lacking long-term effects. A possible cause is that most of the health recommendations are nutrition and illness related, without an eye for the everyday life context of people with T2DM. Consequently, integrating the recommended changes is problematic in the everyday-life setting. This PhD project departs from the complexity of everyday-life and uses the Salutogenic Model of Health to investigate how people with T2DM can be supported in practically and socially organising change towards healthy eating. This model complements biomedical models that indicate causes of breakdown (pathogenesis) with a solution-oriented focus and studies how people manage challenges in a health promoting way. Literature search, narrative analysis and assets mapping is applied to trace how people with T2DM give meaning to challenging life-events that have led to turning points for dietary choices along their life-course and the personal, social- and physical environmental resources they apply to face these challenges. The findings will be used to develop a learning trajectory that aims to initiate the development of agency and sensitivity to the dynamics of the everyday-life context with regards to self-management of T2DM. The tools are tested in a randomized controlled trial that compares ‘advice as usual’ with advice empowered with the study insights in the primary care setting. Findings aim to contribute to effective interventions that aim to accomplish change of the everyday dietary patterns of adults with T2DM. The main objective of this project is to develop, implement and evaluate a salutogenic intervention for people with T2DM and support them eating in line with recommendations. A healthy dietary pattern can lower the high burden of T2DM on health and well-being in the short and long-term. Four research questions are formulated: RQ1. What is the effectiveness of intervention programs in adults with T2DM and what are characteristics of programs effectively addressing a change in dietary patterns? RQ2 How do adults with T2DM perceive life-events, turning points and resources within and outside themselves that contribute to eating a healthy dietary pattern along their life-course? RQ3. How can we develop an intervention program for adults with T2DM using evidence from existing interventions (RQ1) and the insights derived from the study towards perceptions of adults with T2DM (RQ2)? RQ4. What is the effect of the intervention program on overall health and well-being, dietary composition, diabetes related risk factors (fasting glucose, hba1c), diet-related behaviours and individual psycho-social factors (e.g. SOC, self-efficacy, locus of control, food literacy, self-rated health)
Effective start/end date10/04/1720/09/23


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