邮政信箱中的糖尿病年度回顾:探索糖尿病患者观点的定性研究(DiaBox-Qual)。

IF 3.2 3区 医学 Q2 ENDOCRINOLOGY & METABOLISM
Jack Colley, Stephanie Hughes, Hajira Dambha-Miller, Hermione Price
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引用次数: 0

摘要

目的:糖尿病年度复查是临床护理的重要组成部分。不参加年检的情况越来越普遍,而且与不良的健康后果有关。通过邮政信箱在家自行采集血液化验、尿液样本和人体测量数据可促进参与。我们旨在探讨糖尿病患者对使用邮政信箱作为自我采集血样、尿样和人体测量数据的常规护理替代方法的看法,并了解邮政信箱的可用性是否会促进糖尿病年度复查的参与:我们对患有 1 型或 2 型糖尿病的成年人进行了半结构化访谈和焦点小组讨论。我们采用了有目的的抽样方法,以获得研究人群中不经常参加年度复查预约者的较高代表性。研究人员对访谈记录进行了整理和专题分析:结果:20 名参与者参加了研究,其中包括 8 名非经常参加者。所有非经常就诊者和大多数经常就诊者都对邮政信箱做出了积极回应,其中最突出的价值是方便。所提出的担忧与自助收集的能力和结果的准确性有关。与会者被要求提出改进邮政信箱的建议。最常见的主题与沟通有关;需要更清楚地了解邮政信箱中每项测试的信息;结果反馈;以及利用邮政信箱传达优先事项,以便在今后的磋商中进行讨论:结论:用于年度复查的邮政信箱受到糖尿病患者的欢迎。邮政信箱设计合理,不仅可以克服参加年度复查的实际障碍,还有可能克服更多障碍。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The diabetes annual review in a postal box: A qualitative study exploring the views of people living with diabetes (DiaBox-Qual)

Aim

The diabetes annual review is an important part of clinical care. Non-attendance is increasingly common and associated with poor health outcomes. At-home self-collection of blood tests, urine samples and anthropometric data through a postal box may facilitate engagement. We aimed to explore the views of people living with diabetes on the use of a postal box as an alternative to usual care for self-collecting blood samples, urine samples and anthropometric data and to understand whether the availability of a postal box would facilitate the uptake of the diabetes annual review.

Methods

We conducted semi-structured interviews and focus groups with adults who have type 1 or type 2 diabetes. Purposive sampling was used to obtain a high representation of infrequent attendees of annual review appointments within the study population. Transcripts were collated and analysed thematically.

Results

Twenty participants took part including eight infrequent attendees. All infrequent attendees and most regular attendees responded positively to a postal box, with convenience being the most prominent value described. Concerns raised related to capability of self-collection and the accuracy of results. Participants were asked for suggestions to improve the postal box. The most common themes related to communication; needing clearer information about each test in the postal box; feedback of results; and utilising the box to communicate priorities for discussion at future consultations.

Conclusion

Postal boxes for annual reviews were well-received by those living with diabetes. Designed well, they have the potential to overcome more than just the physical barriers to annual review attendance.

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来源期刊
Diabetic Medicine
Diabetic Medicine 医学-内分泌学与代谢
CiteScore
7.20
自引率
5.70%
发文量
229
审稿时长
3-6 weeks
期刊介绍: Diabetic Medicine, the official journal of Diabetes UK, is published monthly simultaneously, in print and online editions. The journal publishes a range of key information on all clinical aspects of diabetes mellitus, ranging from human genetic studies through clinical physiology and trials to diabetes epidemiology. We do not publish original animal or cell culture studies unless they are part of a study of clinical diabetes involving humans. Categories of publication include research articles, reviews, editorials, commentaries, and correspondence. All material is peer-reviewed. We aim to disseminate knowledge about diabetes research with the goal of improving the management of people with diabetes. The journal therefore seeks to provide a forum for the exchange of ideas between clinicians and researchers worldwide. Topics covered are of importance to all healthcare professionals working with people with diabetes, whether in primary care or specialist services. Surplus generated from the sale of Diabetic Medicine is used by Diabetes UK to know diabetes better and fight diabetes more effectively on behalf of all people affected by and at risk of diabetes as well as their families and carers.”
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