Language matters: a UK perspective

Lloyd, Cathy E.; Wilson, Anthea; Holt, Richard; Whicher, Clare; Kar, P.

doi:10.1111/dme.13801

Cited by 22 publications

(27 citation statements)

References 39 publications

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“… Review the current literature investigating the effect of the use of language in healthcare on mental well‐being, particularly around diagnosis, for both diabetes and other conditions such as cancer , where a substantial amount of research has been undertaken. Assess the impact of wording used in National Health Service (NHS) referral or screening letters and position statements on mental well‐being. Consider that language can be interpreted in different ways by different cultures, and that research should not focus solely on the English language. …”

Section: Research Priorities and Recommendationsmentioning

confidence: 99%

Transforming mental well‐being for people with diabetes: research recommendations from Diabetes UK's 2019 Diabetes and Mental Well‐Being Workshop

et al. 2019

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Aims To identify key gaps in the research evidence base that could help to improve the mental well‐being of people with diabetes, and to provide recommendations to researchers and research funders on how best to address them. Methods A 2‐day international research workshop was conducted, bringing together research experts in diabetes and in mental health, people living with diabetes and healthcare professionals. Results The following key areas needing increased financial investment in research were identified: understanding the mechanisms underlying depression; understanding the multifactorial impact of social stigma; improving the language used by healthcare professionals; supporting people who find it difficult to engage with their diabetes; supporting significant others; supporting people with diabetes and eating disorders; improving models of care by learning from best practice; the potential benefits of screening and managing diabetes distress in routine diabetes care pathways; primary prevention of mental health issues at the time of diagnosis of diabetes; establishing the effectiveness of diabetes therapies on mood and other mental health issues; and understanding the impact of current diabetes technologies on mental health. Research recommendations as to how to address each of these priority areas were also developed. Conclusions This inaugural position statement outlines recommendations to address the urgent unmet need related to the mental well‐being of people living with diabetes, and calls on the research community and funders to develop research programmes and strategies to reduce this need.

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Section: Research Priorities and Recommendationsmentioning

confidence: 99%

Transforming mental well‐being for people with diabetes: research recommendations from Diabetes UK's 2019 Diabetes and Mental Well‐Being Workshop

et al. 2019

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“…At its best, good use of language, both verbal and written, can lower anxiety, build confidence, educate and help to improve self‐care. Conversely, poor communication can be stigmatizing, hurtful and undermining of self‐care and can have a detrimental effect on clinical outcomes . The language used in the care of those with diabetes has the power to reinforce negative stereotypes, but also has the power to promote positive ones.…”

Section: Introductionmentioning

confidence: 99%

Language matters. Addressing the use of language in the care of people with diabetes: position statement of the English Advisory Group

Cooper

Kanumilli

Hill³

et al. 2018

Diabet. Med.

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The language used by healthcare professionals can have a profound impact on how people living with diabetes, and those who care for them, experience their condition and feel about living with it day-to-day. At its best, good use of language, both verbal and written, can lower anxiety, build confidence, educate and help to improve self-care. Conversely, poor communication can be stigmatizing, hurtful and undermining of self-care and can have a detrimental effect on clinical outcomes. The language used in the care of those with diabetes has the power to reinforce negative stereotypes, but it also has the power to promote positive ones. The use of language is controversial and has many perspectives. The development of this position statement aimed to take account of these as well as the current evidence base. A working group, representing people with diabetes and key organizations with an interest in the care of people with diabetes, was established to review the use of language. The work of this group has culminated in this position statement for England. It follows the contribution of Australia and the USA to this important international debate. The group has set out practical examples of language that will encourage positive interactions with those living with diabetes and subsequently promote positive outcomes. These examples are based on a review of the evidence and are supported by a simple set of principles.

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“…Two articles in the current issue of Diabetic Medicine address the importance of language in clinical encounters: a review of the importance of language and a Diabetes UK Position Statement . The latter is adapted from the NHS England Language Matters document .…”

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confidence: 99%

“…Descriptive words may take on negative connotations and the “politically correct” response is to find a replacement. However, over time the same negative connotations will become associated with the new word, referred to in the review as the euphemism treadmill . An example of this in diabetes care is the substitution of the word “adherent” for “compliant”; this does not alter the judgmental implication that the person could do better if only they would follow medical advice.…”

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confidence: 99%

Language Matters ‐ but so does the philosophy

Fox

Kilvert

2018

Diabet. Med.

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Language matters: a UK perspective

Abstract: This review raises a number of questions that are being addressed by the NHS England Language Matters Group, which has developed a set of recommendations to support the use of appropriate language in clinical encounters.

Cited by 22 publications

References 39 publications

Transforming mental well‐being for people with diabetes: research recommendations from Diabetes UK's 2019 Diabetes and Mental Well‐Being Workshop

Transforming mental well‐being for people with diabetes: research recommendations from Diabetes UK's 2019 Diabetes and Mental Well‐Being Workshop

Language matters. Addressing the use of language in the care of people with diabetes: position statement of the English Advisory Group

Language Matters ‐ but so does the philosophy

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