scholarly journals Initiating Insulin as Part of the Treating To Target in Type 2 Diabetes (4-T) Trial: An interview study of patients' and health professionals' experiences

Diabetes Care ◽  
2010 ◽  
Vol 33 (10) ◽  
pp. 2178-2180 ◽  
Author(s):  
N. Jenkins ◽  
N. Hallowell ◽  
A. J. Farmer ◽  
R. R. Holman ◽  
J. Lawton
2021 ◽  
Vol 39 (2) ◽  
pp. 245-260
Author(s):  
Setho Hadisuyatmana ◽  
Ferry Efendi ◽  
Eka Mishbahatul Marah Has ◽  
Sylvia Dwi Wahyuni ◽  
Michael Bauer ◽  
...  

2020 ◽  
Vol 16 ◽  
Author(s):  
Usman Sani Dankoly ◽  
Dirk Vissers ◽  
Zainab El Farkouch ◽  
Esther Kolasa ◽  
Abderrahim Ziyyat ◽  
...  

Background:: The need for a multidisciplinary team approach to provide physical exercise, diet, behavioral change and insulin therapy in type 2 diabetes mellitus (T2DM) treatment has long been recognized. However, often patients with T2DM do not have access to a multidisciplinary team. Introduction:: In developing countries most patients with T2DM receive their diabetes care in the office of an internist or family practice physician or in a primary level health center with a general practitioner. Knowing the perceived barriers, attitude, facilitators, and benefits in healthcare professionals toward multidisciplinary team approach in T2DM treatment can help to facilitate implementation of multidisciplinary care in T2DM. Methods:: A systematic search strategy was performed in six databases (PubMed, Web of Science, CINAHL, EMBASE, MEDLINE, and Cochrane) using different keyword combinations to identify studies describing healthcare professionals’ views of multidisciplinary team care in T2DM. Textual narrative synthesis was used to analyse data. The Critical Appraisals Skills Programme (CASP) tool for qualitative studies was used to assess risk of bias and transferability. Results:: The views of health professionals about multidisciplinary team care in T2DM were categorized into six major factors namely: working collaboratively to foster supportive relationships; strong committed organizational and team leadership; diversity in expertise, with team members tailored to local circumstances; shared goals and approaches to ensure consistency of message; clear and open communication with the team and with patients; and the patient at the center of decision-making. Conclusions:: There is a huge gap in shared roles among health professionals in T2DM therapy. Hence, there is need for allied health professionals such as physiotherapists, dieticians, and psychologists with expertise in diabetes to explore primary healthcare. Barriers and facilitators for successful integration of multidisciplinary team, seamlessly cut across three hierarchal levels namely, health management; health professionals; and diabetic patients.


2012 ◽  
Vol 14 (03) ◽  
pp. 258-269 ◽  
Author(s):  
Nadia M. Noor Abdulhadi ◽  
Mohammed Ali Al-Shafaee ◽  
Rolf Wahlström ◽  
Katarina Hjelm

2010 ◽  
Vol 70 (1) ◽  
pp. 129-134 ◽  
Author(s):  
Clare Grace

The British Bangladeshi community is one of the youngest and fastest growing ethnic minority groups in the UK. Many report poor socio-economic and health profiles with the existence of substantial health inequalities, particularly in relation to type 2 diabetes. Although there is compelling evidence for the effectiveness of lifestyle interventions in the prevention of type 2 diabetes, there is little understanding of how best to tailor treatments to the needs of minority ethnic groups. Little is known about nutrition related lifestyle choices in the Bangladeshi community or the factors influencing such decisions. Only by exploring these factors will it be possible to design and tailor interventions appropriately. The Bangladeshi Initiative for the Prevention of Diabetes study explored lay beliefs and attitudes, religious teachings and professional perspectives in relation to diabetes prevention in the Bangladeshi community in Tower Hamlets, London. Contrary to the views of health professionals and previous research, poor knowledge was not the main barrier to healthy lifestyle choices. Rather the desire to comply with cultural norms, particularly those relating to hospitality, conflicted with efforts to implement healthy behaviours. Considerable support from Islamic teachings for diabetes prevention messages was provided by religious leaders, and faith may have an important role in supporting health promotion in this community. Some health professionals expressed outdated views on community attitudes and were concerned about their own limited cultural understanding. The potential for collaborative working between health educators and religious leaders should be explored further, and the cultural competence of health professionals addressed.


2017 ◽  
Vol 18 (06) ◽  
pp. 549-562 ◽  
Author(s):  
Sandra Campbell ◽  
Nicolette Roux ◽  
Cilla Preece ◽  
Eileen Rafter ◽  
Bronwyn Davis ◽  
...  

AimTo understand enablers and barriers influencing postpartum screening for type 2 diabetes following gestational diabetes in Australian Indigenous women and how screening might be improved.BackgroundAustralian Indigenous women with gestational diabetes mellitus (GDM) are less likely than other Australian women to receive postpartum diabetes screening. This is despite a fourfold higher risk of developing type 2 diabetes within eight years postpartum.MethodsWe conducted interviews with seven Indigenous women with previous GDM, focus groups with 20 Indigenous health workers and workshops with 24 other health professionals. Data collection included brainstorming, visualisation, sorting and prioritising activities. Data were analysed thematically using the Theoretical Domains Framework. Barriers are presented under the headings of ‘capability’, ‘motivation’ and ‘opportunity’. Enabling strategies are presented under ‘intervention’ and ‘policy’ headings.FindingsParticipants generated 28 enabling environmental, educational and incentive interventions, and service provision, communication, guideline, persuasive and fiscal policies to address barriers to screening and improve postpartum support for women. The highest priorities included providing holistic social support, culturally appropriate resources, improving Indigenous workforce involvement and establishing structured follow-up systems. Understanding Indigenous women’s perspectives, developing strategies with health workers and action planning with other health professionals can generate context-relevant feasible strategies to improve postpartum care after GDM. Importantly, we need evidence which can demonstrate whether the strategies are effective.


2021 ◽  
pp. 1-19
Author(s):  
Tasneem Patel ◽  
Kanayo Umeh ◽  
Helen Poole ◽  
Ishfaq Vaja ◽  
Shenaz Ramtoola ◽  
...  

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