• concept analysis;
  • diabetes;
  • prediabetes;
  • self-management

rothenberger cd (2011) Journal of Nursing and Healthcare of Chronic Illness3, 77–86 Chronic Illness Self-Management in prediabetes: a concept analysis

Aim.  To explore the concept of self-management in prediabetes.

Background.  Type 2 diabetes is a global epidemic, resulting in significant morbidity and mortality. Effective management of prediabetes, primarily through lifestyle modification, has been demonstrated to significantly slow or prevent the onset of type 2 diabetes. A clear definition of self-management in prediabetes is needed to direct intervention and research.

Methods.  Concept analysis, as outlined by Walker and Avant (2005), was used to clarify the meaning of self-management in prediabetes.

Conclusion.  Defining attributes of self-management in prediabetes include setting of individualised goals, engagement in long term lifestyle modification, self-monitoring of progress, and collaboration with healthcare professionals. Antecedents, consequences and empirical referents are discussed. The concept is clarified through presentation of model, borderline, related and contrary cases.

Relevance to clinical practice.  Exploring the concept of self-management in prediabetes provides a structure for evidence based practice in type 2 diabetes prevention. Healthcare providers can advocate for antecedents to self-management and develop interventions to support attributes of self-management to assist individuals in slowing down or preventing the onset of type 2 diabetes.