Sophie Mohamed, Alison Avenell, Flora Douglas, Andrew Keen
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Data were analysed using a thematic framework approach informed by the Capability, Opportunity, Motivation and Behaviour (COM-B) model of behaviour change.</p><p><strong>Results: </strong>Although the potential impact of FI on diabetes self-management was recognised, this important consideration was not currently core to their clinical practice. Enablers and barriers identified included: personal feelings about raising the issue, lack of knowledge of available resources, the patient-practitioner relationship, and the wider socioeconomic environment. Practical suggestions to support HCPs included: specific training on communication, access to patient support information, use of a screening tool to assess FI, and building NHS-third sector links.</p><p><strong>Conclusions: </strong>Our findings provide insight into cognitive factors, emotional processes and environmental systems impacting on HCPs' practice supporting individuals with diabetes and FI. 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Little is known about healthcare professionals' (HCPs) experiences of supporting people affected by diabetes and FI, and no national guidelines incorporate consideration of FI within UK diabetes care. A qualitative study of NHS HCPs' consideration of FI within diabetes care, and the extent to which it informs their clinical practice, was undertaken.</p><p><strong>Methods: </strong>Fifteen HCPs providing self-management support to people with Type 1 or Type 2 diabetes in a Scottish Health Board took part in semi-structured interviews. Data were analysed using a thematic framework approach informed by the Capability, Opportunity, Motivation and Behaviour (COM-B) model of behaviour change.</p><p><strong>Results: </strong>Although the potential impact of FI on diabetes self-management was recognised, this important consideration was not currently core to their clinical practice. 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引用次数: 0
摘要
目的:家庭粮食不安全(FI)是一个严重的公共卫生问题,对慢性病患者的影响尤为严重,有损糖尿病患者的自我管理。人们对医疗保健专业人员(HCPs)支持糖尿病患者和家庭食物无保障的经验知之甚少,英国也没有将家庭食物无保障纳入糖尿病护理的国家指导方针。我们对英国国家医疗服务系统(NHS)的医护人员在糖尿病护理过程中对 FI 的考虑及其对临床实践的指导程度进行了一项定性研究:方法:苏格兰卫生委员会的 15 名为 1 型或 2 型糖尿病患者提供自我管理支持的保健专业人员参加了半结构化访谈。采用主题框架法对数据进行了分析,该方法参考了行为改变的能力、机会、动机和行为(COM-B)模型:尽管人们认识到了 FI 对糖尿病自我管理的潜在影响,但这一重要考虑因素目前并不是他们临床实践的核心。所发现的有利因素和障碍包括:提出这一问题的个人感受、缺乏对可用资源的了解、患者与医生的关系以及更广泛的社会经济环境。支持初级保健人员的实用建议包括:关于沟通的专门培训、获取患者支持信息、使用筛查工具评估 FI 以及建立 NHS 与第三部门之间的联系:我们的研究结果让我们深入了解了影响保健医生为糖尿病患者和 FI 患者提供支持的认知因素、情感过程和环境系统。需要对受影响的患者进行研究,以便更好地了解如何在国家医疗服务体系中提供支持。
Investigating health professionals' perspectives and experiences of food security-related conversations in diabetes care.
Aims: Household food insecurity (FI) is a serious public health concern and disproportionately affects people living with chronic health conditions, undermining diabetes self-management. Little is known about healthcare professionals' (HCPs) experiences of supporting people affected by diabetes and FI, and no national guidelines incorporate consideration of FI within UK diabetes care. A qualitative study of NHS HCPs' consideration of FI within diabetes care, and the extent to which it informs their clinical practice, was undertaken.
Methods: Fifteen HCPs providing self-management support to people with Type 1 or Type 2 diabetes in a Scottish Health Board took part in semi-structured interviews. Data were analysed using a thematic framework approach informed by the Capability, Opportunity, Motivation and Behaviour (COM-B) model of behaviour change.
Results: Although the potential impact of FI on diabetes self-management was recognised, this important consideration was not currently core to their clinical practice. Enablers and barriers identified included: personal feelings about raising the issue, lack of knowledge of available resources, the patient-practitioner relationship, and the wider socioeconomic environment. Practical suggestions to support HCPs included: specific training on communication, access to patient support information, use of a screening tool to assess FI, and building NHS-third sector links.
Conclusions: Our findings provide insight into cognitive factors, emotional processes and environmental systems impacting on HCPs' practice supporting individuals with diabetes and FI. Research with affected patients is needed to gain a better understanding of how to provide support within NHS settings.
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.”