Lifestyle change in type 2 diabetes a process model.

Background: Integration is an emerging concept in the study of self-management and chronic illness, yet this process and how it occurs is not well understood.

Objectives: This investigation, part of a triangulated study, focused on the experience of integrating type 2 diabetes treatment recommendations into an existing lifestyle while participating in a nurse-coaching intervention.

Method: An interpretive method elicited data from nurse-coaching sessions (4), field notes, and an interview in 9 women with type 2 diabetes.

Self efficacy as a mediator of the relationship between pain intensity, disability and depression in chronic pain patients.

To clarify the relationships between physical, and psychosocial components of chronic pain, a path analytic model was tested conceptualizing self efficacy as a mediator of disability. In turn, disability was hypothesized to mediate depression. This model could help explain the circumstances under which disability develops and why so many chronic pain patients become depressed.