The diabetes online community: Older adults supporting self-care through peer health

Litchman, Michelle L.; Rothwell, Erin; Edelman, Linda S.

doi:10.1016/j.pec.2017.08.023

Cited by 101Health Literacy and Information AccessibilityDiabetes Management and EducationTechnology Use by Older Adults

The diabetes online community: Older adults supporting self-care through peer health

Litchman, Michelle L., Rothwell, Erin, Edelman, Linda S.·2018·Patient Education and Counseling

DOI 10.1016/j.pec.2017.08.023

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Abstract

Objective The use of the diabetes online community (DOC) is growing across all age groups. The aim of this exploratory study was to describe why older adults participated in the DOC, and how DOC users interacted with their healthcare providers.Methods Telephone interviews (N=20) were conducted with older adult DOC users (born between 1946 and 1964) living in the United States. Interviews were analyzed using qualitative content analysis adhering to rigor and reproducibility standards.Results Themes that emerged from the data related to DOC participation included: information to improve self-care, emotional support, belonging to a community, validation of information, cause for concern and interaction with healthcare providers. Participants used the DOC for day to day diabetes management advice and healthcare providers for medical information and care.Conclusion Participants highly valued the DOC and regarded their participation as a way to increase knowledge to improve self-care and reciprocate emotional support with others for diabetes management. The DOC filled gaps in knowledge and support participants were not able to get elsewhere.Practice implications The DOC serves as an important source of information and support for individuals with diabetes and may be a cost-effective strategy to augment standard diabetes care.

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Authors: Litchman, M. L., Rothwell, E., & Edelman, L. S.
Affiliations: University of Utah (US)
Corresponding author: Litchman, Michelle L.
ORCID: Litchman, Michelle L.
Rothwell, Erin
Edelman, Linda S.
Venue: Patient Education and Counseling
Publisher: Elsevier BV
Published: 2018-03
Volume: 101
Issue: 3
Pages: 518-523
ISSN: 0738-3991 (ISSN-L)
DOI: 10.1016/j.pec.2017.08.023
OpenAlex: W2751395894
Cited by: 101
References: 56
Citations by year: 2026: 6 · 2025: 8 · 2024: 13 · 2023: 9 · 2022: 15 · 2021: 11 · 2020: 17 · 2019: 17 · 2018: 5
FWCI: 17.22
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Patient Education and Counseling (publishedVersion)
PubMed (publishedVersion)
Funders: National Institutes of Health
Topics: Health Sciences › Health Professions › General Health Professions › Health Literacy and Information Accessibility
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
Social Sciences › Demography › Technology Use by Older Adults
Keywords: older adults, peer support, diabetes self-care, emotional support, online health communities, patient-provider interaction, diabetes management, data validation, sense of belonging
MeSH terms: Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2, Female, Humans, Interviews as Topic, Health Knowledge, Attitudes, Practice, Male, Middle Aged, Patient Participation, Peer Group, Self Care, Social Support, Telephone, Telemedicine, Internet, Qualitative Research, Social Media

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The diabetes online community: Older adults supporting self-care through peer health

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