Innovations in healthcare delivery and policy: Implications for the role of the psychologist in preventing and treating diabetes.

Johnson, Suzanne Bennett; Marrero, David G.

doi:10.1037/a0040439

Cited by 21 publications

(14 citation statements)

References 60 publications

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“…However, a paradox often appears, where the need to recognise and rely on distributed leadership to support the innovation journey arises in a context of interprofessional and interorganisational boundaries [64, 95, 106]. Consider the strong influence of the distribution of powers between the policy and delivery sides of healthcare systems, seen most obviously in structural hierarchies and accountability relationships [31, 107]. While this reality can sometimes limit the potential to 3S innovations, it can also strengthen 3S when stakeholders cross clinical, organisational, policy and jurisdictional boundaries to create distributed forms of agency [12, 74, 94].…”

Section: Resultsmentioning

confidence: 99%

The unpredictable journeys of spreading, sustaining and scaling healthcare innovations: a scoping review

Côté-Boileau

Denis

Callery

et al. 2019

Health Res Policy Sys

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Innovation has the potential to improve the quality of care and health service delivery, but maximising the reach and impact of innovation to achieve large-scale health system transformation remains understudied. Interest is growing in three processes of the innovation journey within health systems, namely the spread, sustainability and scale-up (3S) of innovation. Recent reviews examine what we know about these processes. However, there is little research on how to support and operationalise the 3S. This study aims to improve our understanding of the 3S of healthcare innovations. We focus specifically on the definitions of the 3S, the mechanisms that underpin them, and the conditions that either enable or limit their potential. We conducted a scoping review, systematically investigating six bibliographic databases to search, screen and select relevant literature on the 3S of healthcare innovations. We screened 641 papers, then completed a full-text review of 112 identified as relevant based on title and abstract. A total of 24 papers were retained for analysis. Data were extracted and synthesised through descriptive and inductive thematic analysis. From this, we develop a framework of actionable guidance for health system actors aiming to leverage the 3S of innovation across five key areas of focus, as follows: (1) focus on the why, (2) focus on perceived-value and feasibility, (3) focus on what people do, rather than what they should be doing, (4) focus on creating a dialogue between policy and delivery, and (5) focus on inclusivity and capacity building. While there is no standardised approach to foster the 3S of healthcare innovations, a variety of practical frameworks and tools exist to support stakeholders along this journey.

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Section: Resultsmentioning

confidence: 99%

The unpredictable journeys of spreading, sustaining and scaling healthcare innovations: a scoping review

Côté-Boileau

Denis

Callery

et al. 2019

Health Res Policy Sys

View full text Add to dashboard Cite

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“…The higher HR for severe psychological distress on mortality observed in the non-diabetic participants versus diabetic participants may be attributed to lower mortality in the non-diabetes population. A possible explanation is that diabetic adults may attain more medical attention and could be beneficial consequences in terms of enhancing multidisciplinary care access; 32 , 33 this diabetes intervention may restrict the disparity in mortality risk compared to the general population. Although disparities in relative risk for all-cause mortality are weaker in participants with versus without diabetes, the absolute mortality risk for diabetic adults with psychological distress is greater.…”

Section: Discussionmentioning

confidence: 99%

Psychological Distress and All-Cause, Cardiovascular Disease, Cancer Mortality Among Adults with and without Diabetes

Huang¹,

Aune²,

Ferrari³

et al. 2021

CLEP

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Aim: To examine the association of psychological distress with all-cause, cardiovascular disease (CVD) and cancer mortality in US adults, and verified whether the associations differed between participants with and without diabetes. Methods: A total of 485,864 adults (446,288 without diabetes and 39,576 with diabetes) who participated in the National Health Interview Survey from 1997 to 2013 were linked to the National Death Index through December 31, 2015. Psychological distress was measured by the Kessler 6 distress scale (K6). Multivariable Cox proportional hazards regression models were performed to estimate hazard ratios (HR) and 95% confidence intervals (95% CI) for the association between psychological distress and mortality. Results: We ascertained 11,746 deaths (mean follow-up, 7. 7 years) among people with diabetes and 51,636 deaths (9.9 years) among those without diabetes. Psychological distress was associated with higher all-cause, CVD, and cancer mortality. Compared to non-diabetic adults without psychological distress, HRs (95% CI) were 1.07 (1.04 to 1.09) for mild, 1.26 (1.22 to 1.30) for moderate and 1.46 (1.38 to 1.55) for severe psychological distress. Compared to the same reference group, in diabetic participants the HRs were 1.39 (1.33 to 1.44) for no psychological distress, 1.59 (1.53 to 1.66) for mild, 1.90 (1.80 to 2.00) for moderate and 1.98 (1.82 to 2.17) for severe psychological distress. Similar associations were also observed for CVD and cancer mortality but with non-statistically significant interaction. Conclusion: Psychological distress was associated with higher mortality, particularly in participants with diabetes. Strategies to ameliorate psychological distress may be important to reduce mortality in this population.

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“…Johnson and Marrero (2016) also address organizational and policy influences relevant to the integration of behavioral interventions into health care systems. To enhance translation from research to practice, important roles for psychologists will be to adopt and advocate a public health perspective, to investigate how to adapt efficacious interventions for implementation in routine pediatric diabetes care, and to develop strategies to train mental health providers who are not diabetes specialists and lay, nonmedical interventionists (e.g., peer coaches) to competently treat people with diabetes and deliver evidence-based interventions outside of the medical care setting (Datye et al, 2015; Streisand, Herbert, Owen, & Monaghan, 2012).…”

Section: Discussionmentioning

confidence: 99%

Evidence-based behavioral interventions to promote diabetes management in children, adolescents, and families.

Hilliard¹,

Powell²,

Anderson³

2016

American Psychologist

124

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As members of multidisciplinary diabetes care teams, psychologists are well-suited to support self-management among youth with Type 1 diabetes (T1D) and Type 2 diabetes (T2D) and their families. Psychological and behavioral interventions can promote adherence to the complex and demanding diabetes care regimen, with the goals of promoting high quality of life, achieving optimal glycemic control, and ultimately preventing disease-related complications. This article reviews well-researched contemporary behavioral interventions to promote optimal diabetes family- and self-management and health outcomes in youth with T1D, in the context of key behavioral theories. The article summarizes the evidence base for established diabetes skills training programs, family interventions, and multisystemic interventions, and introduces emerging evidence for technology and mobile health interventions and health care delivery system interventions. Next steps in behavioral T1D intervention research include tailoring interventions to meet individuals’ and families’ unique needs and strengths, and systematically evaluating cost-effectiveness to advocate for dissemination of well-developed interventions. Although in its infancy, this article reviews observational and intervention research for youth with T2D and their families and discusses lessons for future research with this population. Interventions for youth with T2D will need to incorporate family members, consider cultural and family issues related to health behaviors, and take into account competing priorities for resources. As psychologists and behavioral scientists, we must advocate for the integration of behavioral health into routine pediatric diabetes care in order to effectively promote meaningful change in the behavioral and medical well-being of youth and families living with T1D and T2D.

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Innovations in healthcare delivery and policy: Implications for the role of the psychologist in preventing and treating diabetes.

Cited by 21 publications

References 60 publications

The unpredictable journeys of spreading, sustaining and scaling healthcare innovations: a scoping review

The unpredictable journeys of spreading, sustaining and scaling healthcare innovations: a scoping review

Psychological Distress and All-Cause, Cardiovascular Disease, Cancer Mortality Among Adults with and without Diabetes

Evidence-based behavioral interventions to promote diabetes management in children, adolescents, and families.

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