Objective: To classify diabetes attitude, wishes and needs affecting diabetes self-management behaviors in persons with type 2 diabetes (T2D) taking oral medication.

Methods: Q-methodology, a mixed method of inquiry with bottom up-logic, was used to identify psychological phenotypes. Data using 33 Q-samples collected from 51 Q-Korean sorters (35men; 16 women) were analyzed by factor analysis using varimax orthogonal rotation (PQ Method Program, Version 2.35) . The Summary of Diabetes Self-Care Activity measure and A1C in the past 6 months were included to obtain comprehensive understanding for managing diabetes.

Findings: A total of 34% variance was explained by 4 factors: Factor 1 (n=18) : moderate management with low confidence (age=60.0±12.2; A1C=7.06±1.98) , Factor 2 (n=15) : good management with high confidence (age= 68.3±9.7; A1C=6.60±0.59) , Factor 3 (n=6) : good management, necessitating assurance from trustful others including health care providers and logistic support (age=65.8±8.4; A1C=6.53±0.86) , Factor 4 (n=12) : poor management with low confidence and behavioral skills to be improved (age= 56.4±14.1; A1C= 7.53 ±1.14) .

Conclusions: Psychosocial screening affecting diabetes self-management behaviors needs to be regularly assessed to provide precision health in T2D education and support. Since those in a younger age were associated with poor diabetes management, further investigation is warranted to identify life stage care needs for T2D education and support.


E. Cha: None. M. Shin: None. H. Jang: None. K. Joung: None. H. Kim: None. M. S. Faulkner: None.


Korea Research Foundation (NRF-2019R1A2C1087199)

Readers may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered. More information is available at http://www.diabetesjournals.org/content/license.