Trial reportHealth expectations : an international journal of public participation in health care and health policy2016
Making sense of change: patients' views of diabetes and GP-led integrated diabetes care.
Trial report in Health expectations : an international journal of public participation in health care and health policy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 5 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Supporting translation of research evidence into practice-the use of Normalisation Process Theory to assess and inform implementation within randomised controlled trials: a systematic review.Implementation science : IS · 2023Pooled it
- Process evaluations of primary care interventions addressing chronic disease: a systematic review.BMJ open · 2019Pooled it
- Incorporating patients' perspectives into the initial stages of core outcome set development: a rapid review of qualitative studies of type 2 diabetes.BMJ open diabetes research & care · 2019Pooled it
- Unlocking the Value of Literature in Health Co-Design: Transforming Patient Experience Publications into a Creative and Accessible Card Tool.The patient · 2018Pooled it
- Using Normalization Process Theory in feasibility studies and process evaluations of complex healthcare interventions: a systematic review.Implementation science : IS · 2018Pooled it
- Article
- Implementing a community specialist team to support the delivery of integrated diabetes care: experiences in Ireland during the COVID-19 pandemic.HRB open research · 2023Article
- Patient involvement in the encounter between general practice and patients with a chronic disease. Results of a scoping review focusing on type 2 diabetes and obstructive pulmonary disease.The European journal of general practice · 2022Article
- Gaining reconciliation when living with insulin treated diabetes: a qualitative study using content analysis.International journal of qualitative studies on health and well-being · 2022Article
- What do patients experience? Interprofessional collaborative practice for chronic conditions in primary care: an integrative review.BMC primary care · 2022Review
- Care-seeking and managing diabetes in rural Bangladesh: a mixed methods study.BMC public health · 2021Article
- Diabetes care provided by national standards can improve patients' self-management skills: A qualitative study of how people with type 2 diabetes perceive primary diabetes care.Health expectations : an international journal of public participation in health care and health policy · 2021Article
- Disease self-management in patients with moderate COPD: a thematic analysis.European clinical respiratory journal · 2020Article
- Observational
- What approaches to social prescribing work, for whom, and in what circumstances? A realist review.Health & social care in the community · 2020Review
- Article
- Improving patient self-care using diabetes technologies.Therapeutic advances in endocrinology and metabolism · 2019Review
- Achieving Research Impact Through Co-creation in Community-Based Health Services: Literature Review and Case Study.The Milbank quarterly · 2016Review
- Diabetes care, orofacial pain, screening tests, and pharmaceutical industry interactions.The British journal of general practice : the journal of the Royal College of General Practitioners · 2015Article
- Adoption and Initial Implementation of a National Integrated Care Programme for Diabetes: A Realist Evaluation.International journal of integrated careArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHealth system reform is directed towards better management of diabetes. However, change can be difficult, and patients' perspectives are a key aspect of implementing change.
objectiveThis study investigated patients' perceptions and experiences of type 2 diabetes (T2DM), self-care and engagement with GP-led integrated diabetes care.
designQualitative interviews were conducted with purposively selected patients with T2DM following their initial medical appointment in the new model of care. Normalization process theory was used to orientate the thematic analysis, to explain the work of implementing change.
settingTwo specialist GP-based complex diabetes services in primary care in Brisbane, Australia.
participantsIntervention group patients (n = 30) in a randomized controlled trial to evaluate a model of GP-led integrated care for complex T2DM.
main outcome measuresParticipants' experiences and perceptions of diabetes management and a GP-led model of care.
resultsThree themes were identified: sensibility of change, 'diabetic life' and diabetes care alliance. The imperative of change made sense, but some participants experienced dissonance between this rational view and their lived reality. Diabetes invaded life, revealing incongruities between participants' values and living with diabetes. They appreciated a flexible and personalized approach to care. DISCUSSION: Participants responded to advice in ways that seemed rational within the complexities of their life context. Their diabetes partnerships with health professionals coupled providers' biomedical expertise with patients' contextual expertise.
conclusionsLearning to manage relationships with various health professionals adds to patients' diabetes-related work. Providers need to adopt a flexible, interactive approach and foster trust, to enable better diabetes care.
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What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.