TY - JOUR
T1 - Work matters
T2 - Diabetes and worklife in the second diabetes attitudes, wishes and needs (DAWN2) study
AU - Cleal, Bryan
AU - Willaing, Ingrid
AU - Stuckey, Heather
AU - Peyrot, Mark
N1 - Funding Information:
The authors acknowledge the contribution of the International Diabetes Federation, and the numerous other international and national experts and patient advocates who have contributed directly to the design of the DAWN2 study during 2010–11. The complete list of study experts and ‘people with diabetes’ advisers is available at www.dawnstudy.com . The authors would also like to acknowledge the contribution of Kristoffer Panduro Madsen and Anne Martine Aaberg Mortil for their assistance in the coding of data. The DAWN2 study was funded by Novo Nordisk A/S. Bryan Cleal and Ingrid Willaing are shareholders in Novo Nordisk A/S but have no declarations in relation to this article. Mark Peyrot has recently received research grants and/or consulting fees from Calibra, Eli Lilly, and Novo Nordisk. He has received speaking honoraria from Novo Nordisk and Valeritas, and has participated in advisory panels for Calibra, Eli Lilly, and Novo Nordisk. He has received financial support from Novo Nordisk for his participation as Principal Investigator for the DAWN2 study. He has no disclosures in relation to this article. Heather Stuckey has received financial support from Novo Nordisk for her participation as lead qualitative analyst for the DAWN2 study. She has no disclosures in relation to this article.
Publisher Copyright:
© 2019 Elsevier B.V.
PY - 2019/4
Y1 - 2019/4
N2 - Aims: The aim was to understand diabetes-related barriers and successes that people with diabetes (PWD) have in the context of work outside the home. Methods: The DAWN2 survey of adults with type 1 or type 2 diabetes mellitus contained open-ended items about living with diabetes. All responses to these questions were reviewed and references to worklife were extracted for analysis. An emergent coding schema was developed and validated by two independent coders (kappa = 0.875). Results: In total, 328 PWD wrote about work, 93 (28%) with type 1 and 235 (72%) with type 2, of whom 90 took insulin. Analysis generated five themes: (1) Work as context for learning about diabetes; (2) Work as an arena for personal achievement and self-identity with diabetes; (3) The demands of work conflict with the demands of diabetes self-care; (4) Discrimination and stigma in the context of work; and (5) Social support in the context of work. Several of these themes identify challenges relating to the impact of diabetes upon work, and vice-versa. However, coping strategies and supportive social relations generated affirmative psychosocial experiences. Conclusion: The challenges that diabetes, its treatment, and its complications can have for working adults highlights the importance of social support in the work environment.
AB - Aims: The aim was to understand diabetes-related barriers and successes that people with diabetes (PWD) have in the context of work outside the home. Methods: The DAWN2 survey of adults with type 1 or type 2 diabetes mellitus contained open-ended items about living with diabetes. All responses to these questions were reviewed and references to worklife were extracted for analysis. An emergent coding schema was developed and validated by two independent coders (kappa = 0.875). Results: In total, 328 PWD wrote about work, 93 (28%) with type 1 and 235 (72%) with type 2, of whom 90 took insulin. Analysis generated five themes: (1) Work as context for learning about diabetes; (2) Work as an arena for personal achievement and self-identity with diabetes; (3) The demands of work conflict with the demands of diabetes self-care; (4) Discrimination and stigma in the context of work; and (5) Social support in the context of work. Several of these themes identify challenges relating to the impact of diabetes upon work, and vice-versa. However, coping strategies and supportive social relations generated affirmative psychosocial experiences. Conclusion: The challenges that diabetes, its treatment, and its complications can have for working adults highlights the importance of social support in the work environment.
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U2 - 10.1016/j.diabres.2019.02.025
DO - 10.1016/j.diabres.2019.02.025
M3 - Article
C2 - 30825559
AN - SCOPUS:85062535887
SN - 0168-8227
VL - 150
SP - 90
EP - 98
JO - Diabetes Research and Clinical Practice
JF - Diabetes Research and Clinical Practice
ER -
