Experiences of Attending Group Education to Support Insulin Initiation in Type 2 Diabetes: A Qualitative Study

Upsher, Rebecca; Allen-Taylor, Maya; Reece, Ilse; Chamley, Mark; Ismail, Khalida; Forbes, Angus; Winkley, Kirsty

doi:10.1007/s13300-019-00727-7

Cited by 13 publications

(17 citation statements)

References 40 publications

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“…They discuss how the framework can be operationalized, including the application of the Necessity–Concerns Framework, to address salient psychosocial barriers to medication use. Behaviour change techniques to address such barriers with clinical care, for example, are proposed; however, qualitative research indicates healthcare professionals lack the skills required and confidence to implement behaviour change techniques commonly used in talking therapies, such as motivational interviewing or cognitive behavioural therapy, that may help to address concerns relating to insulin for people with type 2 diabetes . Development of future clinic‐based interventions must recognize the importance of training healthcare professionals in such skills to address concerns, and of undertaking research to evaluate the effectiveness of this training.…”

Section: Psychosocial Interventions To Improve Medication‐taking Behamentioning

confidence: 99%

Psychosocial aspects and contributions of behavioural science to medication‐taking for adults with type 2 diabetes

et al. 2019

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The aim of this narrative review was to determine the contribution of behavioural and psychosocial research to the field of medication‐taking for adults with type 2 diabetes over the past 25 years. We review the behavioural and psychosocial literature relevant to adults with type 2 diabetes who are treated with oral antidiabetes agents, glucagon‐like peptide‐1 receptor agonists and insulin. Delayed uptake of, omission of and non‐persistence with medications are significant problems among adults with type 2 diabetes. At each stage of the course of diabetes, during which medication to lower blood glucose is initiated or intensified, ~50% of people take less medication than prescribed. Research aimed at increasing optimal medication‐taking behaviour has targeted ‘forgetfulness’, developing interventions which aid medication‐taking, such as reminder devices, with limited success. In parallel, investigation of beliefs about medication has provided insights into the perceived necessity of and concerns about medication and how these inform medication‐taking decisions. Guidance is available for health professionals to facilitate shared decision‐making, particularly with insulin therapy; however, interventions addressing medication beliefs are limited. Optimal medication‐taking behaviour is essential to prevent hyperglycaemia in adults with type 2 diabetes. Evidence from the past 25 years has demonstrated the association between medication beliefs and medication‐taking behaviour. Health professionals need to address medication concerns, and establish and demonstrate the utility of diabetes medication with the individual within the clinical consultation. There are interventions that may assist diabetes health professionals in the shared decision‐making process, but further development and more robust evaluation of these tools and techniques is required.

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Section: Psychosocial Interventions To Improve Medication‐taking Behamentioning

confidence: 99%

Psychosocial aspects and contributions of behavioural science to medication‐taking for adults with type 2 diabetes

et al. 2019

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“…Incorrect knowledge about insulin injections, for example, needle reuse, of patients with diabetes may lead to lipohypertrophy in the injection area, which increase hypoglycemia risk. [34][35][36][37][38][39] The majority of AEs in the present study were mild. There were four events of SAEs in the EZL group and seven SAEs in the LAN group.…”

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confidence: 99%

Immunogenicity and Efficacy of Insulin Glargine Biosimilar Ezelin versus Originator Insulin Glargine in Patients with Type 2 Diabetes

Tarigan¹,

Dwijayanti²,

Setyowati³

et al. 2021

DMSO

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“…However, a randomized controlled trial conducted in China found that diabetes education did not require much effort, as a 2-session DEP could effectively improve diabetes management in patients with T2DM [ 33 ]. In a study in south London, United Kingdom, group education was reported to be a way of addressing negative insulin beliefs [ 34 ].…”

Section: Discussionmentioning

confidence: 99%

Thirst for Information and Needs Reflections of Type 2 Diabetes Patients Receiving Insulin Treatment in North-East Ethiopia: A Qualitative Exploration

Bayked

Workneh

Kahissay

2021

J Prev Med Public Health

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Objectives: Ongoing, proactive, planned, and patient-centered diabetes education is the cornerstone of care for all persons with diabetes. Thus, the aim of this study was to explore the information needs of type 2 diabetes mellitus patients receiving insulin treatment in North-East Ethiopia. Methods: The study was conducted from July 2019 to January 2020 using a qualitative enquiry (phenomenological approach) with purposive sampling. Face-to-face in-depth interviews were used to collect data until reaching theoretical saturation. The participants were type 2 diabetes patients receiving insulin treatment. They were identified from the diabetes patients’ registration book at the diabetes clinic and interviewed at their appointment time, and were selected to include wide variations in terms of socio-demographic characteristics. Twenty-four participants (11 men and 13 women), with a median age of 57 years, were interviewed. The data were organized using QDA Miner Lite version 2.0.7 and analyzed thematically using narrative strategies. Results: Most participants had not heard of diabetes before their diagnosis. They had limited knowledge of diabetes, but ascribed different connotations for it in the local language (Amharic). The needs reflections of patients were categorized into diabetes education and participants’ recommendations. Diabetes education was totally absent at hospitals, and patients received education primarily from the Ethiopian Diabetes Association and broadcast and digital media. Thus, the major concern of patients was the availability of diabetes education programs at health institutions. Conclusions: Patients’ main concern was the absence of routine diabetes education, which necessitates urgent action to implement diabetes education programs, especially at health institutions.

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Experiences of Attending Group Education to Support Insulin Initiation in Type 2 Diabetes: A Qualitative Study

Cited by 13 publications

References 40 publications

Psychosocial aspects and contributions of behavioural science to medication‐taking for adults with type 2 diabetes

Psychosocial aspects and contributions of behavioural science to medication‐taking for adults with type 2 diabetes

Immunogenicity and Efficacy of Insulin Glargine Biosimilar Ezelin versus Originator Insulin Glargine in Patients with Type 2 Diabetes

Thirst for Information and Needs Reflections of Type 2 Diabetes Patients Receiving Insulin Treatment in North-East Ethiopia: A Qualitative Exploration

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