Calibrating logics: How adolescents and young adults calibrate often-competing logics in their daily self-management of type 1 diabetes

Publikation: Bidrag til tidsskriftTidsskriftartikelfagfællebedømt

Standard

Calibrating logics : How adolescents and young adults calibrate often-competing logics in their daily self-management of type 1 diabetes. / Kjærulff, Emilie Mølholm; Kingod, Natasja; Tiemensma, Mirjam Due; Wahlberg, Ayo.

I: Health (United Kingdom), Bind 28, Nr. 1, 2024, s. 40-57.

Publikation: Bidrag til tidsskriftTidsskriftartikelfagfællebedømt

Harvard

Kjærulff, EM, Kingod, N, Tiemensma, MD & Wahlberg, A 2024, 'Calibrating logics: How adolescents and young adults calibrate often-competing logics in their daily self-management of type 1 diabetes', Health (United Kingdom), bind 28, nr. 1, s. 40-57. https://doi.org/10.1177/13634593221113211

APA

Kjærulff, E. M., Kingod, N., Tiemensma, M. D., & Wahlberg, A. (2024). Calibrating logics: How adolescents and young adults calibrate often-competing logics in their daily self-management of type 1 diabetes. Health (United Kingdom), 28(1), 40-57. https://doi.org/10.1177/13634593221113211

Vancouver

Kjærulff EM, Kingod N, Tiemensma MD, Wahlberg A. Calibrating logics: How adolescents and young adults calibrate often-competing logics in their daily self-management of type 1 diabetes. Health (United Kingdom). 2024;28(1):40-57. https://doi.org/10.1177/13634593221113211

Author

Kjærulff, Emilie Mølholm ; Kingod, Natasja ; Tiemensma, Mirjam Due ; Wahlberg, Ayo. / Calibrating logics : How adolescents and young adults calibrate often-competing logics in their daily self-management of type 1 diabetes. I: Health (United Kingdom). 2024 ; Bind 28, Nr. 1. s. 40-57.

Bibtex

@article{90eee671f3c4471494eb7724641f3842,
title = "Calibrating logics: How adolescents and young adults calibrate often-competing logics in their daily self-management of type 1 diabetes",
abstract = "Adolescents and young adults with type 1 diabetes must manage a demanding chronic condition in their daily lives, but adequate self-management remains a major challenge. In this article, we explore the logics invoked in shaping daily type 1 diabetes self-management among adolescents and young adults and propose an analytical view of self-management as a matter of {\textquoteleft}calibrating logics{\textquoteright}. Drawing on Annemarie Mol{\textquoteright}s concept of logic, our analysis of in-depth interviews with 21 adolescents and young adults with type 1 diabetes suggested that three main logics collectively shaped their self-management: biomedical, embodied and social. Biomedical logics appeared in the form of routinised insulin therapy, frequent blood glucose testing, and carbohydrate counting, all of which emphasise controlling blood glucose levels. Embodied logics emerged as refined practices such as {\textquoteleft}thinking insulin units{\textquoteright} and {\textquoteleft}listening{\textquoteright} to blood glucose fluctuations. Finally, social logics were at play when discreet or postponed self-management practices were used to adjust to social situations. While these logics may complement each other, study participants invoked how these logics often competed in daily life, generating tensions. We therefore propose viewing self-management as a matter of calibrating logics in which often-competing logics are at play. This can provide nuanced insights into the effort and challenges related to the daily self-management of type 1 diabetes for adolescents and young adults, in contrast to the prevailing dichotomy of adherence versus nonadherence to prescribed treatment regimens.",
keywords = "Faculty of Social Sciences, chronic illness and disability, ethnography, illness behaviour, patient-physician relationship",
author = "Kj{\ae}rulff, {Emilie M{\o}lholm} and Natasja Kingod and Tiemensma, {Mirjam Due} and Ayo Wahlberg",
year = "2024",
doi = "10.1177/13634593221113211",
language = "English",
volume = "28",
pages = "40--57",
journal = "Health (United Kingdom)",
issn = "1363-4593",
publisher = "SAGE Publications",
number = "1",

}

RIS

TY - JOUR

T1 - Calibrating logics

T2 - How adolescents and young adults calibrate often-competing logics in their daily self-management of type 1 diabetes

AU - Kjærulff, Emilie Mølholm

AU - Kingod, Natasja

AU - Tiemensma, Mirjam Due

AU - Wahlberg, Ayo

PY - 2024

Y1 - 2024

N2 - Adolescents and young adults with type 1 diabetes must manage a demanding chronic condition in their daily lives, but adequate self-management remains a major challenge. In this article, we explore the logics invoked in shaping daily type 1 diabetes self-management among adolescents and young adults and propose an analytical view of self-management as a matter of ‘calibrating logics’. Drawing on Annemarie Mol’s concept of logic, our analysis of in-depth interviews with 21 adolescents and young adults with type 1 diabetes suggested that three main logics collectively shaped their self-management: biomedical, embodied and social. Biomedical logics appeared in the form of routinised insulin therapy, frequent blood glucose testing, and carbohydrate counting, all of which emphasise controlling blood glucose levels. Embodied logics emerged as refined practices such as ‘thinking insulin units’ and ‘listening’ to blood glucose fluctuations. Finally, social logics were at play when discreet or postponed self-management practices were used to adjust to social situations. While these logics may complement each other, study participants invoked how these logics often competed in daily life, generating tensions. We therefore propose viewing self-management as a matter of calibrating logics in which often-competing logics are at play. This can provide nuanced insights into the effort and challenges related to the daily self-management of type 1 diabetes for adolescents and young adults, in contrast to the prevailing dichotomy of adherence versus nonadherence to prescribed treatment regimens.

AB - Adolescents and young adults with type 1 diabetes must manage a demanding chronic condition in their daily lives, but adequate self-management remains a major challenge. In this article, we explore the logics invoked in shaping daily type 1 diabetes self-management among adolescents and young adults and propose an analytical view of self-management as a matter of ‘calibrating logics’. Drawing on Annemarie Mol’s concept of logic, our analysis of in-depth interviews with 21 adolescents and young adults with type 1 diabetes suggested that three main logics collectively shaped their self-management: biomedical, embodied and social. Biomedical logics appeared in the form of routinised insulin therapy, frequent blood glucose testing, and carbohydrate counting, all of which emphasise controlling blood glucose levels. Embodied logics emerged as refined practices such as ‘thinking insulin units’ and ‘listening’ to blood glucose fluctuations. Finally, social logics were at play when discreet or postponed self-management practices were used to adjust to social situations. While these logics may complement each other, study participants invoked how these logics often competed in daily life, generating tensions. We therefore propose viewing self-management as a matter of calibrating logics in which often-competing logics are at play. This can provide nuanced insights into the effort and challenges related to the daily self-management of type 1 diabetes for adolescents and young adults, in contrast to the prevailing dichotomy of adherence versus nonadherence to prescribed treatment regimens.

KW - Faculty of Social Sciences

KW - chronic illness and disability

KW - ethnography

KW - illness behaviour

KW - patient-physician relationship

U2 - 10.1177/13634593221113211

DO - 10.1177/13634593221113211

M3 - Journal article

C2 - 35841156

VL - 28

SP - 40

EP - 57

JO - Health (United Kingdom)

JF - Health (United Kingdom)

SN - 1363-4593

IS - 1

ER -

ID: 315396898