Health care professionals’ understanding and day-to-day practice of patient empowerment in diabetes; time to pause for thought?

Asimakopoulou, Koula; Newton, Paul; Sinclair, Alan J.; Scambler, Sasha

doi:10.1016/j.diabres.2011.10.005

Cited by 26 publications

(27 citation statements)

References 16 publications

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“…Research in medical settings has demonstrated that there is quite a significant, shared understanding of what PCC means in theory (2,11,23) with the medical profession now moving on to focus on how the concept should be practiced in clinic (11). In contrast, dentists' understanding of what PCC is and what it means has only just started getting explored (18).…”

Section: Discussionmentioning

confidence: 93%

Patient‐centred care: barriers and opportunities in the dental surgery

Asimakopoulou

Gupta

Scambler

2014

Comm Dent Oral Epid

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Section: Discussionmentioning

confidence: 93%

Patient‐centred care: barriers and opportunities in the dental surgery

Asimakopoulou

Gupta

Scambler

2014

Comm Dent Oral Epid

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“…Despite the many articles in the field of empowerment, including in the field of diabetes, there is no agreement from the scientific community concerning the definition, objectives, and methods of conducting this type of therapeutic support [7]. However, in most cases before implementing an empowerment-type approach, the health care professionals must first assess the patient's readiness to change.…”

Section: Methodology Of Empowerment Therapymentioning

confidence: 99%

Empowerment in the Treatment of Diabetes and Obesity

Łuczyński

Głowińska-Olszewska

Bossowski

2016

Journal of Diabetes Research

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As the available therapies for diabetes and obesity are not effective enough, diabetologists and educators search for new methods to collaborate with patients in order to support their health behaviors. The aim of this review is to discuss perspectives for the development of new empowerment-type therapies in the treatment of diabetes/obesity. Empowerment is a process whereby patients gain the necessary knowledge to influence their own behavior to improve the quality of their lives. It is carried out in five stages: (1) identify the problem, (2) explain the feelings and meanings, (3) build a plan, (4) act, and (5) experience and assess the execution. Although many years have passed since the advent and popularization of the concept of empowerment, the area remains controversial, mainly with regard to the methodology of therapy. Some previous studies have confirmed the positive effect of empowerment on body weight, metabolic control, and quality of life of patients with type 2 diabetes; however, few studies have been conducted in patients with type 1 diabetes. There is still a need to confirm the effectiveness of empowerment in accordance with Evidence Based Medicine by performing long-term observational studies in a large group of patients. In future, empowerment may become part of the standard of care for patients with diabetes and/or obesity.

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“…It was also noted that doctors tended to be more patient-centred during the diagnostic phase, but invested less in the relationship after the initial consultation, focusing more on biomedical outcomes and less on the psychosocial problems that are most often associated with the challenges accompanying diabetes self-management. The competing priorities of people with diabetes and healthcare professionals have also been demonstrated in other studies [15,16], but the present scoping review only included articles published in English; the use of particular terms that may be seen as negative or inappropriate in the UK may not be perceived as such in other countries or indeed reported in the literature.…”

Section: Negative Termsmentioning

confidence: 92%