The participatory development of a national core set of person-centred diabetes outcome constructs for use in routine diabetes care across healthcare sectors

Plain English Summary Outcome of diabetes care is mainly measured using clinical indicators such as long-term blood sugar (A1c), cholesterol, blood pressure, occurrence of diabetes complications and need for hospitalisation. Other factors such as quality of life, well-being, treatment burden and oth...

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Main Authors: Soren Eik Skovlund, Lise H. Troelsen, Lotte Klim, Poul Erik Jakobsen, Niels Ejskjaer
Format: Article
Language:English
Published: BMC 2021-09-01
Series:Research Involvement and Engagement
Subjects:
Online Access:https://doi.org/10.1186/s40900-021-00309-7
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author Soren Eik Skovlund
Lise H. Troelsen
Lotte Klim
Poul Erik Jakobsen
Niels Ejskjaer
author_facet Soren Eik Skovlund
Lise H. Troelsen
Lotte Klim
Poul Erik Jakobsen
Niels Ejskjaer
author_sort Soren Eik Skovlund
collection DOAJ
description Plain English Summary Outcome of diabetes care is mainly measured using clinical indicators such as long-term blood sugar (A1c), cholesterol, blood pressure, occurrence of diabetes complications and need for hospitalisation. Other factors such as quality of life, well-being, treatment burden and other psychosocial issues are of high importance to people with diabetes and their family members, but these factors are often not included in outcome evaluations and there is a lack of agreement about what to measure. This study set out to define how to measure outcomes of diabetes care that both adequately reflects priorities and needs of people with diabetes and contributes to ongoing improvement. Twenty-one people with diabetes and 5 family members were invited to take part in interview and workshop activities to identify their views and priority outcomes. Results were summarised and used to guide the establishment of a national core set of diabetes outcomes. In addition to clinical indicators, the following core outcomes were identified as important in order to adequately evaluate outcomes of diabetes care which matter to people with diabetes: self-reported health, psychological well-being, diabetes-related emotional distress, diabetes-related quality of life, symptom distress, treatment burden, impact of hypoglycemia, confidence in self-management and access to person-centred diabetes care and support. Involvement of people with diabetes helped fill important gaps in knowledge about how to measure outcomes of diabetes care that matter to people with diabetes. Future research is needed involving people with diabetes as partners in identifying how to best measure these outcomes as part of routine diabetes care.
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spelling doaj.art-07d16fc121a24ef699fc77fcbfe7362b2022-12-21T20:06:10ZengBMCResearch Involvement and Engagement2056-75292021-09-017111710.1186/s40900-021-00309-7The participatory development of a national core set of person-centred diabetes outcome constructs for use in routine diabetes care across healthcare sectorsSoren Eik Skovlund0Lise H. Troelsen1Lotte Klim2Poul Erik Jakobsen3Niels Ejskjaer4Department of Clinical Medicine, Aalborg UniversitySteno Diabetes Center North Denmark, Aalborg University HospitalDanish Group for European Patients’ Academy on Therapeutic Innovation (EUPATI)Steno Diabetes Center North Denmark, Aalborg University HospitalDepartment of Clinical Medicine, Aalborg UniversityPlain English Summary Outcome of diabetes care is mainly measured using clinical indicators such as long-term blood sugar (A1c), cholesterol, blood pressure, occurrence of diabetes complications and need for hospitalisation. Other factors such as quality of life, well-being, treatment burden and other psychosocial issues are of high importance to people with diabetes and their family members, but these factors are often not included in outcome evaluations and there is a lack of agreement about what to measure. This study set out to define how to measure outcomes of diabetes care that both adequately reflects priorities and needs of people with diabetes and contributes to ongoing improvement. Twenty-one people with diabetes and 5 family members were invited to take part in interview and workshop activities to identify their views and priority outcomes. Results were summarised and used to guide the establishment of a national core set of diabetes outcomes. In addition to clinical indicators, the following core outcomes were identified as important in order to adequately evaluate outcomes of diabetes care which matter to people with diabetes: self-reported health, psychological well-being, diabetes-related emotional distress, diabetes-related quality of life, symptom distress, treatment burden, impact of hypoglycemia, confidence in self-management and access to person-centred diabetes care and support. Involvement of people with diabetes helped fill important gaps in knowledge about how to measure outcomes of diabetes care that matter to people with diabetes. Future research is needed involving people with diabetes as partners in identifying how to best measure these outcomes as part of routine diabetes care.https://doi.org/10.1186/s40900-021-00309-7Health outcomesDiabetes outcomesUser participationPatient involvementParticipatory researchQualitative research
spellingShingle Soren Eik Skovlund
Lise H. Troelsen
Lotte Klim
Poul Erik Jakobsen
Niels Ejskjaer
The participatory development of a national core set of person-centred diabetes outcome constructs for use in routine diabetes care across healthcare sectors
Research Involvement and Engagement
Health outcomes
Diabetes outcomes
User participation
Patient involvement
Participatory research
Qualitative research
title The participatory development of a national core set of person-centred diabetes outcome constructs for use in routine diabetes care across healthcare sectors
title_full The participatory development of a national core set of person-centred diabetes outcome constructs for use in routine diabetes care across healthcare sectors
title_fullStr The participatory development of a national core set of person-centred diabetes outcome constructs for use in routine diabetes care across healthcare sectors
title_full_unstemmed The participatory development of a national core set of person-centred diabetes outcome constructs for use in routine diabetes care across healthcare sectors
title_short The participatory development of a national core set of person-centred diabetes outcome constructs for use in routine diabetes care across healthcare sectors
title_sort participatory development of a national core set of person centred diabetes outcome constructs for use in routine diabetes care across healthcare sectors
topic Health outcomes
Diabetes outcomes
User participation
Patient involvement
Participatory research
Qualitative research
url https://doi.org/10.1186/s40900-021-00309-7
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