Same goals, different challenges: a systematic review of perspectives of people with diabetes and healthcare professionals on Type 2 diabetes care

2021 ◽  
Author(s):  
Soraia de Camargo Catapan ◽  
Uthara Nair ◽  
Len Gray ◽  
Maria Cristina Marino Calvo ◽  
Dominique Bird ◽  
...  
Keyword(s):  
Systematic Review ◽  
Type 2 Diabetes ◽  
Diabetes Care ◽  
Healthcare Professionals

Qigong for type 2 diabetes care: A systematic review

2009 ◽  
Vol 17 (4) ◽  
pp. 236-242 ◽  
Author(s):  
Myeong Soo Lee ◽  
Kevin W. Chen ◽  
Tae-Young Choi ◽  
Edzard Ernst
Keyword(s):  
Systematic Review ◽  
Type 2 Diabetes ◽  
Diabetes Care

scholarly journals Community Diabetes: An East London Perspective

2005 ◽  
Vol 98 (3) ◽  
pp. 96-100 ◽  
Author(s):  
Susan V Gelding ◽  
Shanti Vijayaraghavan ◽  
Clare Davison ◽  
Tahseen A Chowdhury
Keyword(s):  
Type 2 Diabetes ◽  
Primary Healthcare ◽  
Diabetes Care ◽  
Healthcare Professionals ◽  
National Service ◽  
High Quality ◽  
National Service Framework ◽  
The Uk ◽  
Service Framework

The rising prevalence of type 2 diabetes in the UK has necessitated a change in the delivery of diabetes care, with a shift of focus from hospital to community. The National Service Framework for Diabetes has enshrined this approach, and the new General Medical Services (GMS2) contract rewards primary healthcare professionals for developing high-quality diabetes care. New approaches cross the primary/secondary care divide and are patient focused. The evolution of diabetes care in the UK is illustrated by service developments in Newham, East London.

scholarly journals Management of type 2 diabetes mellitus in people with severe mental illness: an online cross-sectional survey of healthcare professionals

BMJ Open ◽  
2018 ◽  
Vol 8 (2) ◽  
pp. e019400 ◽  
Author(s):  
Hayley McBain ◽  
Frederique Lamontagne-Godwin ◽  
Mark Haddad ◽  
Alan Simpson ◽  
Jacqui Chapman ◽  
...  
Keyword(s):  
Mental Health ◽  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Mental Illness ◽  
Type 2 Diabetes Mellitus ◽  
Diabetes Care ◽  
Health Professionals ◽  
Healthcare Professionals ◽  
Cross Sectional

ObjectivesTo establish healthcare professionals’ (HCPs) views about clinical roles, and the barriers and enablers to delivery of diabetes care for people with severe mental illness (SMI).DesignCross-sectional, postal and online survey.SettingTrusts within the National Health Service, mental health and diabetes charities, and professional bodies.ParticipantsHCPs who care for people with type 2 diabetes mellitus (T2DM) and/or SMI in the UK.Primary and secondary outcome measuresThe barriers, enablers and experiences of delivering T2DM care for people with SMI, informed by the Theoretical Domains Framework.ResultsRespondents were 273 HCPs, primarily mental health nurses (33.7%) and psychiatrists (32.2%). Only 25% of respondents had received training in managing T2DM in people with SMI. Univariate analysis found that mental health professionals felt responsible for significantly fewer recommended diabetes care standards than physical health professionals (P<0.001). For those seeing diabetes care as part of their role, the significant barriers to its delivery in the multiple regression analyses were a lack of knowledge (P=0.003); a need for training in communication and negotiation skills (P=0.04); a lack of optimism about the health of their clients (P=0.04) and their ability to manage T2DM in people with SMI (P=0.003); the threat of being disciplined (P=0.02); fear of working with people with a mental health condition (P=0.01); a lack of service user engagement (P=0.006); and a need for incentives (P=0.04). The significant enablers were an understanding of the need to tailor treatments (P=0.04) and goals (P=0.02) for people with SMI.ConclusionsThis survey indicates that despite current guidelines, diabetes care in mental health settings remains peripheral. Even when diabetes care is perceived as part of an HCP’s role, various individual and organisational barriers to delivering recommended T2DM care standards to people with SMI are experienced.

scholarly journals Perceptions of healthcare professionals and people with type 2 diabetes on emotional support: a qualitative study

BJGP Open ◽  
2020 ◽  
Vol 4 (1) ◽  
pp. bjgpopen20X101018
Author(s):  
Michelle Hadjiconstantinou ◽  
Alison J Dunkley ◽  
Helen Eborall ◽  
Noelle Robertson ◽  
Kamlesh Khunti ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Qualitative Study ◽  
Emotional Support ◽  
Diabetes Care ◽  
Healthcare Professionals ◽  
Comparative Approach ◽  
Emotional Impact ◽  
Emotional Management ◽  
Inappropriate Use

BackgroundType 2 diabetes mellitus (T2DM) is a demanding condition that impacts the person living with the condition physically and psychologically. Promoting emotional support is a key strategy to improve diabetes care.AimTo explore the views and experiences of people with T2DM and healthcare professionals (HCPs) on emotional support in diabetes care, and identify barriers and facilitators to the provision of emotional support in clinical practice.Design & settingA qualitative study in England with data collected from four focus groups.MethodFocus group discussions were conducted with people with T2DM (n = 10) and HCPs (n = 10). The analysis was informed by the framework method and principles of the constant comparative approach.ResultsEmotional support was lacking in diabetes primary care, and there was a need to normalise the emotional impact of T2DM. Barriers to emotional support included: lack of HCP confidence to discuss emotional issues; lack of counselling training; and time constraints in consultations. Inappropriate use of the word ‘depression’ creates a sense of taboo for those experiencing emotions other than depression.ConclusionConsensus between the two target groups indicated a strong need to integrate emotional support in diabetes care, and the need to support and train HCPs in addressing psychosocial aspects of T2DM. Shared language is recommended across diabetes services to appropriately refer to wellbeing. Addressing barriers and considering ways to incorporate emotional management in diabetes consultations is recommended, includings introducing HCP training to increase confidence and enhance counselling skills.

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