Self-care in People with Type 2 Diabetes Mellitus Research Protocol of a Multicenter Mixed Methods Study (SCUDO)

Michela Luciani, Diletta Fabrizi, Paola Rebora, Emanuela Rossi, Stefania Di Mauro, Susan Kohl Malone, Davide Ausili

Research output: Contribution to journalArticlepeer-review


About 11% of the adult global populations is estimated to be living with type 2 diabetes mellitus (T2DM) by 2040. T2DM requires people to make decisions regarding complex therapeutic regimes, to maintain their well-being and quality of life, to manage symptoms and to reduce disease complications. All these behaviours, requiring knowledge, motivation, experience, and skills, have been referred to the concept of self-care. The intricacy and multidimensionality of T2DM self-care requires a complex approach to its overall comprehension. This Embedded Mixed Method study aims to investigate the experience of self-care in Type 2 Diabetes Mellitus adult patients. It comprises a prospective observational design, and an interpretive description. Quantitative data will be collected with validated questionnaires from 300 patients at baseline and once a year for two years on: diabetes self-care, quality of life, diabetes related distress, and sleep quality. Socio-demographic and clinical data will be collected from medical records. Qualitative data will be collected using semi-structured interviews on circa 10-20 patients, at baseline and once a year for two years, analysed according to interpretive description. Quantitative and qualitative data will be analysed separately and then merged and interpreted. This study will expand our understanding of self-care in people with T2DM. The expected outcome will be a better understanding of the effect of self-care on glycaemic control and therefore clinical outcomes and costs.

Original languageEnglish (US)
Pages (from-to)203-212
Number of pages10
JournalProfessioni infermieristiche
Issue number3
StatePublished - Jul 1 2019


  • Adult
  • Diabetes Mellitus, Type 2/therapy
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Longitudinal Studies
  • Quality of Life
  • Research Design
  • Self Care/methods
  • Surveys and Questionnaires


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