Participants' experiences of intensifying insulin therapy during the Treating to Target in Type 2 Diabetes (4-T) trial: qualitative interview study.

AIM: To explore participants' experiences of intensifying insulin therapy during the Treating to Target in Type 2 Diabetes (4-T) trial. METHODS: In-depth interviews were conducted with 41 trial participants who had had their insulin therapy intensified during this trial. Data were analysed usi...

Full description

Bibliographic Details
Main Authors: Jenkins, N, Hallowell, N, Farmer, A, Holman, R, Lawton, J
Format: Journal article
Language:English
Published: 2011
_version_ 1797062273540292608
author Jenkins, N
Hallowell, N
Farmer, A
Holman, R
Lawton, J
author_facet Jenkins, N
Hallowell, N
Farmer, A
Holman, R
Lawton, J
author_sort Jenkins, N
collection OXFORD
description AIM: To explore participants' experiences of intensifying insulin therapy during the Treating to Target in Type 2 Diabetes (4-T) trial. METHODS: In-depth interviews were conducted with 41 trial participants who had had their insulin therapy intensified during this trial. Data were analysed using an inductive, thematic approach. RESULTS: The vast majority of participants were receptive towards intensifying treatment. Whilst some were happy simply to follow health professionals' recommendations, others saw taking two types of insulin as a more effective way of controlling their diabetes. Post-intensification, participants sought to remember to take their additional injections by developing injection-related strategies and daily routines. The need to inject insulin whilst in public often arose more frequently following intensification and was a consistent source of anxiety. Those who were worried about injecting in public sought to avoid having to do so; for example, by injecting in toilets or by advancing or delaying the timing of their injections. CONCLUSIONS: IT was not increasing the number of daily injections per se which was problematic for the participants who had agreed to have their insulin therapies intensified, but the increased likelihood of having to inject insulin in public. Addressing concerns about injecting in public places may help promote adherence to intensified insulin regimens.
first_indexed 2024-03-06T20:43:11Z
format Journal article
id oxford-uuid:34f03561-459f-4b94-8b58-929bf04e9138
institution University of Oxford
language English
last_indexed 2024-03-06T20:43:11Z
publishDate 2011
record_format dspace
spelling oxford-uuid:34f03561-459f-4b94-8b58-929bf04e91382022-03-26T13:29:10ZParticipants' experiences of intensifying insulin therapy during the Treating to Target in Type 2 Diabetes (4-T) trial: qualitative interview study.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:34f03561-459f-4b94-8b58-929bf04e9138EnglishSymplectic Elements at Oxford2011Jenkins, NHallowell, NFarmer, AHolman, RLawton, J AIM: To explore participants' experiences of intensifying insulin therapy during the Treating to Target in Type 2 Diabetes (4-T) trial. METHODS: In-depth interviews were conducted with 41 trial participants who had had their insulin therapy intensified during this trial. Data were analysed using an inductive, thematic approach. RESULTS: The vast majority of participants were receptive towards intensifying treatment. Whilst some were happy simply to follow health professionals' recommendations, others saw taking two types of insulin as a more effective way of controlling their diabetes. Post-intensification, participants sought to remember to take their additional injections by developing injection-related strategies and daily routines. The need to inject insulin whilst in public often arose more frequently following intensification and was a consistent source of anxiety. Those who were worried about injecting in public sought to avoid having to do so; for example, by injecting in toilets or by advancing or delaying the timing of their injections. CONCLUSIONS: IT was not increasing the number of daily injections per se which was problematic for the participants who had agreed to have their insulin therapies intensified, but the increased likelihood of having to inject insulin in public. Addressing concerns about injecting in public places may help promote adherence to intensified insulin regimens.
spellingShingle Jenkins, N
Hallowell, N
Farmer, A
Holman, R
Lawton, J
Participants' experiences of intensifying insulin therapy during the Treating to Target in Type 2 Diabetes (4-T) trial: qualitative interview study.
title Participants' experiences of intensifying insulin therapy during the Treating to Target in Type 2 Diabetes (4-T) trial: qualitative interview study.
title_full Participants' experiences of intensifying insulin therapy during the Treating to Target in Type 2 Diabetes (4-T) trial: qualitative interview study.
title_fullStr Participants' experiences of intensifying insulin therapy during the Treating to Target in Type 2 Diabetes (4-T) trial: qualitative interview study.
title_full_unstemmed Participants' experiences of intensifying insulin therapy during the Treating to Target in Type 2 Diabetes (4-T) trial: qualitative interview study.
title_short Participants' experiences of intensifying insulin therapy during the Treating to Target in Type 2 Diabetes (4-T) trial: qualitative interview study.
title_sort participants experiences of intensifying insulin therapy during the treating to target in type 2 diabetes 4 t trial qualitative interview study
work_keys_str_mv AT jenkinsn participantsexperiencesofintensifyinginsulintherapyduringthetreatingtotargetintype2diabetes4ttrialqualitativeinterviewstudy
AT hallowelln participantsexperiencesofintensifyinginsulintherapyduringthetreatingtotargetintype2diabetes4ttrialqualitativeinterviewstudy
AT farmera participantsexperiencesofintensifyinginsulintherapyduringthetreatingtotargetintype2diabetes4ttrialqualitativeinterviewstudy
AT holmanr participantsexperiencesofintensifyinginsulintherapyduringthetreatingtotargetintype2diabetes4ttrialqualitativeinterviewstudy
AT lawtonj participantsexperiencesofintensifyinginsulintherapyduringthetreatingtotargetintype2diabetes4ttrialqualitativeinterviewstudy