The Grounded Theory of Consumer Discipline through Others: A Case Study of Type 2 Diabetic Patients

Background: This study investigates consumer behavior in chronic disease management, specifically type 2 diabetes. Adherence to disciplined disease management is critical for individuals affected by this condition. We explore how patient attitudes and behaviors are influenced by their environment and resources, including family support, medical guidance, emotions, habits, and self-efficacy. This research aims to provide insights into promoting discipline and positive behaviors in consumers managing lifelong chronic illness. Methods: To achieve our research objectives, we employed a Glaserian grounded theory approach and conducted semi-structured interviews with 13 patients diagnosed with type 2 diabetes, as well as their family members. Theoretical sampling was used to elucidate the role of social interactions in influencing adherence. Results: The analysis of the collected data yielded three core categories that represent the spectrum of consumer discipline: indiscipline, disrupted discipline, and absolute discipline. The section on disrupted discipline highlights how disruptions in patients’ interactions with their families and healthcare professionals impact their discipline. Conclusion: Consumer discipline involves a dynamic interplay between the individual and their immediate environment. This study examines the influence of familial and medical support as key mediating factors in shaping consumer health behavior. Drawing on cognitive and emotional capacities, habits, and self-efficacy, consumer disciplinary practices are shaped through a diverse range of personal and social resources. By recognizing the intermediary roles of family members and healthcare providers, policymakers can gain valuable insights to inform efforts aimed at enhancing self-discipline and ultimately improving public health outcomes.