‘Physical activity, that’s a tricky subject.’ Experiences of health care professionals with physical activity in type 2 diabetes care
Conflict between diabetes guidelines and experienced counselling in sports and physical activity. An exploratory study
According to medical guidelines counselling on sports and physical activity should be part of diabetes treatment. Using an online questionnaire (n = 181), we explored how people with both type 1 and type 2 diabetes experienced this counselling in the Netherlands. Most respondents were critical, indicating that they did not receive proper guidance or helpful advices. A third of the respondents mentioned that there was hardly any attention for the subject during their treatment. This conflict between guidelines and experiences point towards the need for more insight in critical issues in counselling regarding taking up sports and physical activity (again) after diagnosis.
Mirjam Stuij, Agnes Elling & Tineke A. Abma (2016). Conflict between diabetes guidelines and experienced counselling in sports and physical activity. An exploratory study. European Journal of Public Health,
DOI: http://dx.doi.org/10.1093/eurpub/ckw156. First published online: 27 September 2016
‘Starting all over again.’ Living with diabetes and the quest for restitution
The restitution story, the type of illness story about living a normal and healthy live (again), is the most prominent illness story in Western society. Patients who are unable to realize a restitution story might need an alternative ‘corpus of stories’ to draw on, e.g. narratives that more explicitly incorporate quest and/or loss. In this paper, we present the narrative of ‘Hippolyta’, a woman with diabetes who wanted to but was unable to live the restitution story. Although she seemed to have all characteristics in favour of ‘restitution’ – i.e. willingness, capacities, a higher socioeconomic background – she encountered losses and was not able to go back to her ‘normal’ life. In her story, she repeatedly emphasized to ‘start all over again’, departing from dominant health discourses emphasizing restitution and individual responsibility. The encounters with the researcher made her aware of the dominant storyline and enabled her to reconstruct her story. A detailed elaboration of this specific case shows the interactive dynamic of narrative development and interpretation, and offers important complementary communicative elements for health care.
Mirjam Stuij, Agnes Elling & Tineke Abma (2016). ‘Starting all over again.’ Living with diabetes and the quest for restitution. Paper presented at the Storytelling, Illness and Medicine conference of the Interdisciplinary net. Budapest, March 14-16, 2016. Download conference paper