Initiating insulin as part of the Treating To Target in Type 2 Diabetes (4-T) trial: an interview study of patients' and health professionals' experiences.

OBJECTIVE: To explore patients' and health professionals' experiences of initiating insulin as part of the Treating To Target in Type 2 Diabetes (4-T) randomized controlled trial. RESEARCH DESIGN AND METHODS: Interviews were conducted with 45 trial participants and 21 health professionals...

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Main Authors: Jenkins, N, Hallowell, N, Farmer, A, Holman, R, Lawton, J
Format: Journal article
Language:English
Published: 2010
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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 OBJECTIVE: To explore patients' and health professionals' experiences of initiating insulin as part of the Treating To Target in Type 2 Diabetes (4-T) randomized controlled trial. RESEARCH DESIGN AND METHODS: Interviews were conducted with 45 trial participants and 21 health professionals and thematically analyzed. RESULTS: Patients were generally psychologically insulin receptive when approached to participate in the 4-T trial. Their receptiveness arose largely from their personal experiences observing intensifying prior treatments and deteriorating blood glucose control over time, which led them to engage with and accept the idea that their diabetes was progressive. Health professionals also fostered receptiveness by drawing on their clinical experience to manage patients' anxieties about initiating insulin. CONCLUSIONS: Previous studies may have overemphasized the problem of psychological insulin resistance and overlooked factors and treatment experiences that may promote insulin receptiveness among type 2 patients.
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spelling oxford-uuid:ecf29def-7bf7-4e9f-b866-a79856c325e62022-03-27T11:21:17ZInitiating insulin as part of the Treating To Target in Type 2 Diabetes (4-T) trial: an interview study of patients' and health professionals' experiences.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:ecf29def-7bf7-4e9f-b866-a79856c325e6EnglishSymplectic Elements at Oxford2010Jenkins, NHallowell, NFarmer, AHolman, RLawton, J OBJECTIVE: To explore patients' and health professionals' experiences of initiating insulin as part of the Treating To Target in Type 2 Diabetes (4-T) randomized controlled trial. RESEARCH DESIGN AND METHODS: Interviews were conducted with 45 trial participants and 21 health professionals and thematically analyzed. RESULTS: Patients were generally psychologically insulin receptive when approached to participate in the 4-T trial. Their receptiveness arose largely from their personal experiences observing intensifying prior treatments and deteriorating blood glucose control over time, which led them to engage with and accept the idea that their diabetes was progressive. Health professionals also fostered receptiveness by drawing on their clinical experience to manage patients' anxieties about initiating insulin. CONCLUSIONS: Previous studies may have overemphasized the problem of psychological insulin resistance and overlooked factors and treatment experiences that may promote insulin receptiveness among type 2 patients.
spellingShingle Jenkins, N
Hallowell, N
Farmer, A
Holman, R
Lawton, J
Initiating insulin as part of the Treating To Target in Type 2 Diabetes (4-T) trial: an interview study of patients' and health professionals' experiences.
title Initiating insulin as part of the Treating To Target in Type 2 Diabetes (4-T) trial: an interview study of patients' and health professionals' experiences.
title_full Initiating insulin as part of the Treating To Target in Type 2 Diabetes (4-T) trial: an interview study of patients' and health professionals' experiences.
title_fullStr Initiating insulin as part of the Treating To Target in Type 2 Diabetes (4-T) trial: an interview study of patients' and health professionals' experiences.
title_full_unstemmed Initiating insulin as part of the Treating To Target in Type 2 Diabetes (4-T) trial: an interview study of patients' and health professionals' experiences.
title_short Initiating insulin as part of the Treating To Target in Type 2 Diabetes (4-T) trial: an interview study of patients' and health professionals' experiences.
title_sort initiating insulin as part of the treating to target in type 2 diabetes 4 t trial an interview study of patients and health professionals experiences
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AT hallowelln initiatinginsulinaspartofthetreatingtotargetintype2diabetes4ttrialaninterviewstudyofpatientsandhealthprofessionalsexperiences
AT farmera initiatinginsulinaspartofthetreatingtotargetintype2diabetes4ttrialaninterviewstudyofpatientsandhealthprofessionalsexperiences
AT holmanr initiatinginsulinaspartofthetreatingtotargetintype2diabetes4ttrialaninterviewstudyofpatientsandhealthprofessionalsexperiences
AT lawtonj initiatinginsulinaspartofthetreatingtotargetintype2diabetes4ttrialaninterviewstudyofpatientsandhealthprofessionalsexperiences