A mixed methods study to examine the difficulties experienced and coping behaviours used by people with Type 2 diabetes of working age in Japan


  • Tomomi Nakao
  • Yasuko Shimizu
  • Kiyohide Nunoi
  • Yuichi Sato




Type 2 diabetes, Worker, Self-management, Patient education, Coping behaviour, Mixed methods research, Difficulties felt, Self-care, Employment



The aim of this study was to investigate measures to support people of working age with Type 2 diabetes by clarifying their coping behaviours.

Research methods:

Mixed research methods were adopted. The questionnaires investigated PAID, SDSCA, and biomedical test data. After the questionnaires were completed, a qualitative survey in which the participants were asked to discuss any difficulties and corresponding coping measures was conducted.


The participants were 100 individuals (77 men). The following three aspects of difficulties felt in coordinating work and diabetes management were revealed: ‘Difficulty readjusting living hours’, ‘The presence of stress inhibiting a treatment lifestyle’, and ‘Conflict between maintaining interpersonal relationships and implementing treatment behaviors’. Among the factors associated with coping behaviours, a significant difference was seen in the presence or absence of coping measures for ‘Difficulty readjusting living hours’ and body mass index.


When assessing patients, it is best to perform assessments from the three perspectives described in the present study.


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How to Cite

Nakao, T., Shimizu, Y., Nunoi, K., & Sato, Y. (2017). A mixed methods study to examine the difficulties experienced and coping behaviours used by people with Type 2 diabetes of working age in Japan. International Diabetes Nursing, 14(2), 60–65. https://doi.org/10.1080/20573316.2017.1394626



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