Negotiated autonomy in diabetes self-management: the experiences of adults with intellectual disability and their support workers.

摘要: Background The basic human right of autonomy is underpinned by the ability to practice decision-making. The rights people with disabilities engage in autonomous decision-making are promoted as best and includes decisions around health self-care. Little known about field long-term condition management. This paper explores how intellectual (ID) their support workers experience relation management diabetes. Methods Semi-structured interviews were completed residential independent living settings an ID type 1 (N = 8) or 2 (N = 6) diabetes (N = 17). participant ID's worker was present requested; however, run separately each rather than jointly. Thematic analysis undertaken, a constructivist lens informed both data collection analysis. Results The revealed strong process negotiated between daily diabetes. During times transition, roles renegotiated, promotion prefaced within context risk client safety. Goals increase independence drivers for negotiating greater autonomy. Conclusions The successful negotiation illustrates potential play key role conditions. study highlights primacy developing skills among ID. Promoting opportunities ethos supported through person-centred planning all vital working towards enhancing autonomy.