The Use of Language in Diabetes Care and Education

Ziemer, David C.; Guzman, Susan; Maryniuk, Melinda D.; O’Brian, Catherine A.; Kadohiro, Jane K.; Jackson, Richard A.; D’Hondt, Nancy; Montgomery, Brenda; Close, Kelly L.; Funnell, Martha M.

doi:10.1177/0145721717735535

Cited by 69 publications

(64 citation statements)

References 90 publications

(160 reference statements)

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“…A prerequisite for interactive communication is speaking the same language and using the same vocabulary. There are recommendations for language used by health care professionals and others when discussing diabetes through spoken or written words [ 28 ]. An obstacle noted in our study, as well as in others, is that health care professionals lack time in everyday clinical care [ 29 ].…”

Section: Discussionmentioning

confidence: 99%

Patients’ and Health Care Professionals’ Perceptions of the Potential of Using the Digital Diabetes Questionnaire to Prepare for Diabetes Care Meetings: Qualitative Focus Group Interview Study

Eeg‐Olofsson¹,

Johansson²,

Linder³

et al. 2020

J Med Internet Res

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Background In effective diabetes management, it is important that providers and health care systems prioritize the delivery of patient-centered care and that they are respectful of and responsive to individual patient preferences and barriers. Objective The objective of the study was to conduct focus group interviews to capture patients’ and health care professionals’ perceptions and attitudes regarding digital technology and to explore how the digital Diabetes Questionnaire can be used to support patient participation in diabetes care, as a basis for an implementation study. Methods A qualitative study was conducted with six focus group discussions with diabetes specialist nurses and medical doctors (n=29) and four focus group discussions with individuals with diabetes (n=23). A semistructured focus group interview guide was developed, including probing questions. The data were transcribed verbatim, and qualitative content analysis was performed using an inductive approach. Results Two main categories were revealed by the qualitative analysis: perceptions of digital technology and the digital questionnaire in diabetes management and care and perceptions of participation in diabetes care. An overarching theme that emerged from the focus group interviews was patients’ and professionals’ involvement in diabetes care using digital tools. Conclusions The analysis identified important factors to consider when introducing the digital Diabetes Questionnaire in clinical use. Both professionals and patients need support and training in the practical implementation of the digital questionnaire, as well as the opportunity to provide feedback on the questionnaire answers.

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Section: Discussionmentioning

confidence: 99%

Patients’ and Health Care Professionals’ Perceptions of the Potential of Using the Digital Diabetes Questionnaire to Prepare for Diabetes Care Meetings: Qualitative Focus Group Interview Study

Eeg‐Olofsson¹,

Johansson²,

Linder³

et al. 2020

J Med Internet Res

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“…When high or low blood glucose levels occurred, our adolescent co-authors’ parents never yelled, but instead initiated a problem-solving session or teachable moment. Asking “How can we solve this and make it less severe or eliminate the situation in the future?” goes much further than saying “You are going to end up blind or on dialysis!” ( 12 ). As our wise-beyond-their-years adolescent co-authors noted, they are very good at understanding DSM and predicting what may work in unique situations based on the confidence they developed over time through their parents’ nurturing, skill, and dedication.…”

Section: Discussion and Clinical Implicationsmentioning

confidence: 99%

A Developmental Milestones Map of Type 1 Diabetes Self-Management Transition From Parents to Adolescents

Trudeau

Polfuss

et al. 2019

Diabetes Spectrum

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Transitional diabetes self-management (DSM) for children and their families is complicated. This article was undertaken to provide an exemplar of DSM strategies used by one family that were based on developmental milestones from preschool through college age. Two brothers who were both diagnosed with type 1 diabetes before the age of 2 years reflected on how their parents began a DSM navigation process during their early preschool years. Personal strategies and recommendations successfully resulted in both youths transitioning to college. With the parents serving as DSM coaches to the boys, an interdependent relationship was built. Key recommendations include 1 ) starting early, 2 ) being consistent and flexible, 3 ) using “invisible actions” and “what ifs,” 4 ) incorporating technology and community resources into DSM, and 5 ) building confidence with shared problem-solving.

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“…The American Diabetes Association/American Association of Diabetes Educators position paper on the use of language in diabetes states that language can make it harder to manage diabetes. 32 These results suggest a need for a shift in language within primary care practices.…”

Section: Discussionmentioning

confidence: 99%

“…Research suggests that language that focuses on actions, facts, and biology without judgment can empower and motivate people. 32 Conversely, blaming, shaming, and stigmatizing language, which participants described internalizing, can hinder diabetes management. The American Diabetes Association/American Association of Diabetes Educators position paper on the use of language in diabetes states that language can make it harder to manage diabetes.…”

Section: Discussionmentioning

confidence: 99%

Empowering Diabetes Self-Management Through Technology and Nurse Health Coaching

et al. 2019

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Purpose This research explores the impact of mobile health (mHealth) technology and nurse health coaching on views of diabetes self-management (DSM) for persons living with diabetes. Methods Three focus groups (N = 24) were conducted with individuals living with type 2 diabetes who participated in a nurse health coaching and mHealth technology intervention study. Qualitative thematic analysis was used to identify overarching themes in each group. Results Major themes identified following intervention participation included enhanced perspectives about living with diabetes, increased awareness of how health behaviors influence DSM, improved support, and increased ownership of DSM. Conclusions The themes identified suggest that the mHealth technology and health coaching intervention together may have had an empowering effect on participants’ DSM. These results suggest that providing nurse health coaching with mHealth technology may help individuals ameliorate some of the challenges of living with and managing diabetes.

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The Use of Language in Diabetes Care and Education

Cited by 69 publications

References 90 publications

Patients’ and Health Care Professionals’ Perceptions of the Potential of Using the Digital Diabetes Questionnaire to Prepare for Diabetes Care Meetings: Qualitative Focus Group Interview Study

Patients’ and Health Care Professionals’ Perceptions of the Potential of Using the Digital Diabetes Questionnaire to Prepare for Diabetes Care Meetings: Qualitative Focus Group Interview Study

A Developmental Milestones Map of Type 1 Diabetes Self-Management Transition From Parents to Adolescents

Empowering Diabetes Self-Management Through Technology and Nurse Health Coaching

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