Overcoming the struggle of living with type 2 diabetes – diabetes specialist nurses’ and patients’ perspectives on digital interventions
Abstract Background Diabetes self-management education and support (DSMES) is a cornerstone in the treatment of type 2 diabetes mellitus (T2DM). It is unclear whether delivering DSMES as a digital health intervention (DHI) might meet the needs experienced by patients with T2DM and diabetes specialis...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2023-03-01
|
| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12913-023-09277-y |
| _version_ | 1797853939368984576 |
|---|---|
| author | Frida Jarl Anna Davelid Katarina Hedin Andreas Stomby Christina Petersson |
| author_facet | Frida Jarl Anna Davelid Katarina Hedin Andreas Stomby Christina Petersson |
| author_sort | Frida Jarl |
| collection | DOAJ |
| description | Abstract Background Diabetes self-management education and support (DSMES) is a cornerstone in the treatment of type 2 diabetes mellitus (T2DM). It is unclear whether delivering DSMES as a digital health intervention (DHI) might meet the needs experienced by patients with T2DM and diabetes specialist nurses (DSN) of the primary health care system in Sweden. Methods Fourteen patients with T2DM and four DSN participated in three separate focus groups: two groups comprised patients and one group comprised DSN. The patients discussed the questions: “What needs did you experience after your T2DM diagnosis?” and “How might these needs be met with a DHI?” The DSN discussed the questions: “What needs do you experience when treating a patient with newly diagnosed T2DM?” and “How might these needs be met with a DHI?”. Furthermore, data were collected in the form of field notes from group discussions at a meeting including 18 DSNs working with T2DM in PHCCs. The discussions from focus groups were transcribed verbatim and analyzed together with the field notes from the meeting using inductive content analysis. Results The analysis yielded the overall theme: “Overcoming the struggle of living with T2DM”, which was summarized in two categories: “learning and being prepared” and “giving and receiving support”. Important findings were that, for success, a DHI for DSMES must be integrated into routine care, provide structured, high-quality information, suggest tasks to stimulate behavioral changes, and provide feedback from the DSN to the patient. Conclusion This study highlighted several important aspects, from the perspectives of both the patient with T2DM and the DSN, which should be taken into consideration for the successful development and use of a DHI for DSMES. |
| first_indexed | 2024-04-09T19:58:54Z |
| format | Article |
| id | doaj.art-b5577db6da69410f9e33b8fd4bff0580 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-04-09T19:58:54Z |
| publishDate | 2023-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-b5577db6da69410f9e33b8fd4bff05802023-04-03T05:21:00ZengBMCBMC Health Services Research1472-69632023-03-0123111010.1186/s12913-023-09277-yOvercoming the struggle of living with type 2 diabetes – diabetes specialist nurses’ and patients’ perspectives on digital interventionsFrida Jarl0Anna Davelid1Katarina Hedin2Andreas Stomby3Christina Petersson4Rosenhälsans vårdcentral, Region Jönköping CountyRosenhälsans vårdcentral, Region Jönköping CountyDepartment of Health, Medicine and Caring Sciences, Linköping UniversityDepartment of Health, Medicine and Caring Sciences, Linköping UniversityCenter for Learning and Innovation, Region Jönköping CountyAbstract Background Diabetes self-management education and support (DSMES) is a cornerstone in the treatment of type 2 diabetes mellitus (T2DM). It is unclear whether delivering DSMES as a digital health intervention (DHI) might meet the needs experienced by patients with T2DM and diabetes specialist nurses (DSN) of the primary health care system in Sweden. Methods Fourteen patients with T2DM and four DSN participated in three separate focus groups: two groups comprised patients and one group comprised DSN. The patients discussed the questions: “What needs did you experience after your T2DM diagnosis?” and “How might these needs be met with a DHI?” The DSN discussed the questions: “What needs do you experience when treating a patient with newly diagnosed T2DM?” and “How might these needs be met with a DHI?”. Furthermore, data were collected in the form of field notes from group discussions at a meeting including 18 DSNs working with T2DM in PHCCs. The discussions from focus groups were transcribed verbatim and analyzed together with the field notes from the meeting using inductive content analysis. Results The analysis yielded the overall theme: “Overcoming the struggle of living with T2DM”, which was summarized in two categories: “learning and being prepared” and “giving and receiving support”. Important findings were that, for success, a DHI for DSMES must be integrated into routine care, provide structured, high-quality information, suggest tasks to stimulate behavioral changes, and provide feedback from the DSN to the patient. Conclusion This study highlighted several important aspects, from the perspectives of both the patient with T2DM and the DSN, which should be taken into consideration for the successful development and use of a DHI for DSMES.https://doi.org/10.1186/s12913-023-09277-yType 2 diabetes, primary health careSelf-managementQualitative researchDigital health interventionDiabetes self-management education and support |
| spellingShingle | Frida Jarl Anna Davelid Katarina Hedin Andreas Stomby Christina Petersson Overcoming the struggle of living with type 2 diabetes – diabetes specialist nurses’ and patients’ perspectives on digital interventions BMC Health Services Research Type 2 diabetes, primary health care Self-management Qualitative research Digital health intervention Diabetes self-management education and support |
| title | Overcoming the struggle of living with type 2 diabetes – diabetes specialist nurses’ and patients’ perspectives on digital interventions |
| title_full | Overcoming the struggle of living with type 2 diabetes – diabetes specialist nurses’ and patients’ perspectives on digital interventions |
| title_fullStr | Overcoming the struggle of living with type 2 diabetes – diabetes specialist nurses’ and patients’ perspectives on digital interventions |
| title_full_unstemmed | Overcoming the struggle of living with type 2 diabetes – diabetes specialist nurses’ and patients’ perspectives on digital interventions |
| title_short | Overcoming the struggle of living with type 2 diabetes – diabetes specialist nurses’ and patients’ perspectives on digital interventions |
| title_sort | overcoming the struggle of living with type 2 diabetes diabetes specialist nurses and patients perspectives on digital interventions |
| topic | Type 2 diabetes, primary health care Self-management Qualitative research Digital health intervention Diabetes self-management education and support |
| url | https://doi.org/10.1186/s12913-023-09277-y |
| work_keys_str_mv | AT fridajarl overcomingthestruggleoflivingwithtype2diabetesdiabetesspecialistnursesandpatientsperspectivesondigitalinterventions AT annadavelid overcomingthestruggleoflivingwithtype2diabetesdiabetesspecialistnursesandpatientsperspectivesondigitalinterventions AT katarinahedin overcomingthestruggleoflivingwithtype2diabetesdiabetesspecialistnursesandpatientsperspectivesondigitalinterventions AT andreasstomby overcomingthestruggleoflivingwithtype2diabetesdiabetesspecialistnursesandpatientsperspectivesondigitalinterventions AT christinapetersson overcomingthestruggleoflivingwithtype2diabetesdiabetesspecialistnursesandpatientsperspectivesondigitalinterventions |