Challenges faced by physicians when discussing the Type 2 diabetes diagnosis with patients: insights from a cross‐national study (IntroDia<sup>®</sup>)

Capehorn, Matthew; Polonsky, William H.; Edelman, Steve; Belton, Anne; Down, Su; Gamerman, Victoria; Nagel, Friederike; Lee, J.; Alzaid, Aus

doi:10.1111/dme.13357

Cited by 17 publications

(11 citation statements)

References 30 publications

(43 reference statements)

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“…Themes 4 and 5 describe opposite types of relationships with HCPs, although both types can unintentionally affect patients' willingness to attend SDE. Recent results of the large IntroDia survey showed that 73% of 6,753 physicians surveyed agreed that the conversation at diagnosis of type 2 diabetes affects patients' acceptance of their condition and subsequent quality of self-care (28).…”

Section: Discussionmentioning

confidence: 99%

“What’s the Point?”: Understanding Why People With Type 2 Diabetes Decline Structured Education

et al. 2020

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Structured diabetes education (SDE) is an evidencebased intervention that supports self-management in people with type 2 diabetes. In the United Kingdom, health care providers working in primary care settings are responsible for referring people with type 2 diabetes to SDE programs. However, national audits record a high percentage of nonattenders. We explored the personal experience of living with type 2 diabetes that led to individuals declining invitations to attend SDE programs. The themes suggested that emotional, cognitive, and social issues related to diagnosis and living with diabetes may be responsible for declining to attend SDE and that these factors may be masked by explanations of practical barriers. A person-centered approach to understanding the personal meaning of being diagnosed and living with type 2 diabetes may help to identify individuals' psychosocial barriers to attending SDE.

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Section: Discussionmentioning

confidence: 99%

“What’s the Point?”: Understanding Why People With Type 2 Diabetes Decline Structured Education

et al. 2020

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“…The commonest reasons for non-attendance were competing demands on the time of the participants. This highlights the importance of the way education and its value is communicated to people with diabetes, a theme also picked up in the paper by Capehorn et al [5].…”

mentioning

confidence: 74%

“…This highlights the importance of the way education and its value is communicated to people with diabetes, a theme also picked up in the paper by Capehorn et al . .…”

mentioning

confidence: 99%

Diabetes education, education and education

Holt

2017

Diabet. Med.

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“…This relationship gives patients the necessary support and tools to have successful disease outcomes. Studies [28,29,30] have suggested that positive patient–provider relationships influence adaptation through mechanisms of increased support and improved communication with the provider.…”

Section: Methodsmentioning

confidence: 99%

Coping with diabetes: Provider attributes that influence type 2 diabetes adherence

et al. 2019

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Diabetes, a chronic disease affecting over 29 million people in the United States, requires the integration of complex medical tasks into a person’s daily life. Patient-centered care and compassion are recognized as essential dimensions of the quality care experience. This research examined provider attributes that influence adherence to type 2 diabetes mellitus (T2DM) regimens and sought to understand the phenomena of provider attributes, treatment adherence, and their relationship to coping ability and treatment outcomes. This quantitative study sampled 474 people with T2DM using a 62-item online survey administered to three different groups. The sample population included people over age 18 diagnosed with T2DM. The first group included 91 persons with T2DM identified through a Facebook group and personal social media connections, the second group included 120 Amazon Mechanical Turk participants with T2DM, and the third group included 263 respondents from a Qualtrics panel who had T2DM. Results indicated that perceived provider compassion (β = .41, ρ < .001) and optimism (β = .48, ρ < .001) positively affected coping ability. Additionally, full mediation effects for self-management were revealed, with coping ability positively mediating the effect of compassion on self-management and the effects of optimism on self-management. Furthermore, full mediation effects were found for treatment satisfaction, with coping ability positively mediating the effect of compassion on treatment satisfaction and the effects of optimism on treatment satisfaction. This research has implications for patients, healthcare professionals, and leaders suggesting that providers who communicate with optimism and compassion positively affect coping ability. As a result, healthcare providers and professionals have an opportunity to enhance self-management adherence by helping their patients cope with the burdens of diabetes. In addition, this study has implications for developing provider communication tools aimed at assessing patients’ coping capacity and increasing compassionate communication.

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Challenges faced by physicians when discussing the Type 2 diabetes diagnosis with patients: insights from a cross‐national study (IntroDia^®)

Abstract: Globally, most physicians indicated that conversations with patients at diagnosis of Type 2 diabetes strongly influence patient self-care. Higher physician empathy was associated with fewer challenges during the diagnosis conversation.

Cited by 17 publications

References 30 publications

“What’s the Point?”: Understanding Why People With Type 2 Diabetes Decline Structured Education

“What’s the Point?”: Understanding Why People With Type 2 Diabetes Decline Structured Education

Diabetes education, education and education

Coping with diabetes: Provider attributes that influence type 2 diabetes adherence

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Challenges faced by physicians when discussing the Type 2 diabetes diagnosis with patients: insights from a cross‐national study (IntroDia®)

Abstract: Globally, most physicians indicated that conversations with patients at diagnosis of Type 2 diabetes strongly influence patient self-care. Higher physician empathy was associated with fewer challenges during the diagnosis conversation.

Cited by 17 publications

References 30 publications

“What’s the Point?”: Understanding Why People With Type 2 Diabetes Decline Structured Education

“What’s the Point?”: Understanding Why People With Type 2 Diabetes Decline Structured Education

Diabetes education, education and education

Coping with diabetes: Provider attributes that influence type 2 diabetes adherence

Contact Info

Product

Resources

About

Challenges faced by physicians when discussing the Type 2 diabetes diagnosis with patients: insights from a cross‐national study (IntroDia^®)