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Key factors for overcoming psychological insulin resistance: An examination of patient perspectives through content analysis

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Key factors for overcoming psychological insulin resistance : An examination of patient perspectives through content analysis. / Stuckey, Heather; Fisher, Lawrence; Polonsky, William H.; Hessler, Danielle; Snoek, Frank J.; Tang, Tricia S.; Hermanns, Norbert; Mundet-Tuduri, Xavier; Da Silva, Maria Elizabeth Rossi; Sturt, Jackie; Okazaki, Kentaro; Cao, Dachuang; Hadjiyianni, Irene; Ivanova, Jasmina I.; Desai, Urvi; Perez-Nieves, Magaly.

In: BMJ Open Diabetes Research and Care, Vol. 7, No. 1, e000723, 11.12.2019.

Research output: Contribution to journalArticle

Harvard

Stuckey, H, Fisher, L, Polonsky, WH, Hessler, D, Snoek, FJ, Tang, TS, Hermanns, N, Mundet-Tuduri, X, Da Silva, MER, Sturt, J, Okazaki, K, Cao, D, Hadjiyianni, I, Ivanova, JI, Desai, U & Perez-Nieves, M 2019, 'Key factors for overcoming psychological insulin resistance: An examination of patient perspectives through content analysis', BMJ Open Diabetes Research and Care, vol. 7, no. 1, e000723. https://doi.org/10.1136/bmjdrc-2019-000723

APA

Stuckey, H., Fisher, L., Polonsky, W. H., Hessler, D., Snoek, F. J., Tang, T. S., ... Perez-Nieves, M. (2019). Key factors for overcoming psychological insulin resistance: An examination of patient perspectives through content analysis. BMJ Open Diabetes Research and Care, 7(1), [e000723]. https://doi.org/10.1136/bmjdrc-2019-000723

Vancouver

Stuckey H, Fisher L, Polonsky WH, Hessler D, Snoek FJ, Tang TS et al. Key factors for overcoming psychological insulin resistance: An examination of patient perspectives through content analysis. BMJ Open Diabetes Research and Care. 2019 Dec 11;7(1). e000723. https://doi.org/10.1136/bmjdrc-2019-000723

Author

Stuckey, Heather ; Fisher, Lawrence ; Polonsky, William H. ; Hessler, Danielle ; Snoek, Frank J. ; Tang, Tricia S. ; Hermanns, Norbert ; Mundet-Tuduri, Xavier ; Da Silva, Maria Elizabeth Rossi ; Sturt, Jackie ; Okazaki, Kentaro ; Cao, Dachuang ; Hadjiyianni, Irene ; Ivanova, Jasmina I. ; Desai, Urvi ; Perez-Nieves, Magaly. / Key factors for overcoming psychological insulin resistance : An examination of patient perspectives through content analysis. In: BMJ Open Diabetes Research and Care. 2019 ; Vol. 7, No. 1.

Bibtex Download

@article{8c190c9e6f344dfba2541a57266f8d21,
title = "Key factors for overcoming psychological insulin resistance: An examination of patient perspectives through content analysis",
abstract = "Objective To understand participant perceptions about insulin and identify key behaviors of healthcare professionals (HCPs) that motivated initially reluctant adults from seven countries (n=40) who had type 2 diabetes (T2D) to start insulin treatment. Research design and methods Telephone interviews were conducted with a subset of participants from an international investigation of adults with T2D who were reluctant to start insulin (EMOTION). Questions related to: (a) participants' thoughts about insulin before and after initiation; (b) reasons behind responses on the survey that were either {\^a} € not helpful at all' or {\^a} € helped a lot'; (c) actions their HCP may have taken to help start insulin treatment; and (d) advice they would give to others in a similar situation of starting insulin. Responses were coded by two independent reviewers (kappa 0.992). Results Starting insulin treatment was perceived as a negative experience that would be painful and would lead down a {\^a} € slippery slope' to complications. HCPs engaged in four primary behaviors that helped with insulin acceptance: (1) showed the insulin pen/needle and demonstrated the injection process; (2) explained how insulin could help with diabetes control and reduce risk of complications; (3) used collaborative communication style; and (4) offered support and willingness to answer questions so that participants would not be {\^a} € on their own'. Following initiation, most participants noted that insulin was not {\^a} € as bad as they thought' and recommended insulin to other adults with T2D. Conclusions Based on these themes, two actionable strategies are suggested for HCPs to help people with psychological insulin resistance: (1) demonstrate the injection process and discuss negative perceptions of insulin as well as potential benefits; (2) offer autonomy in a person-centred collaborative approach, but provide support and accessibility to address concerns. These findings help HCPs to better understand ways in which they can engage reluctant people with T2D with specific strategies.",
keywords = "patient-provider relationship, psychological insulin resistance, type 2 diabetes",
author = "Heather Stuckey and Lawrence Fisher and Polonsky, {William H.} and Danielle Hessler and Snoek, {Frank J.} and Tang, {Tricia S.} and Norbert Hermanns and Xavier Mundet-Tuduri and {Da Silva}, {Maria Elizabeth Rossi} and Jackie Sturt and Kentaro Okazaki and Dachuang Cao and Irene Hadjiyianni and Ivanova, {Jasmina I.} and Urvi Desai and Magaly Perez-Nieves",
year = "2019",
month = "12",
day = "11",
doi = "10.1136/bmjdrc-2019-000723",
language = "English",
volume = "7",
journal = "BMJ Open Diabetes Research & Care",
issn = "2052-4897",
publisher = "BMJ Journals",
number = "1",

}

RIS (suitable for import to EndNote) Download

TY - JOUR

T1 - Key factors for overcoming psychological insulin resistance

T2 - An examination of patient perspectives through content analysis

AU - Stuckey, Heather

AU - Fisher, Lawrence

AU - Polonsky, William H.

AU - Hessler, Danielle

AU - Snoek, Frank J.

AU - Tang, Tricia S.

AU - Hermanns, Norbert

AU - Mundet-Tuduri, Xavier

AU - Da Silva, Maria Elizabeth Rossi

AU - Sturt, Jackie

AU - Okazaki, Kentaro

AU - Cao, Dachuang

AU - Hadjiyianni, Irene

AU - Ivanova, Jasmina I.

AU - Desai, Urvi

AU - Perez-Nieves, Magaly

PY - 2019/12/11

Y1 - 2019/12/11

N2 - Objective To understand participant perceptions about insulin and identify key behaviors of healthcare professionals (HCPs) that motivated initially reluctant adults from seven countries (n=40) who had type 2 diabetes (T2D) to start insulin treatment. Research design and methods Telephone interviews were conducted with a subset of participants from an international investigation of adults with T2D who were reluctant to start insulin (EMOTION). Questions related to: (a) participants' thoughts about insulin before and after initiation; (b) reasons behind responses on the survey that were either â € not helpful at all' or â € helped a lot'; (c) actions their HCP may have taken to help start insulin treatment; and (d) advice they would give to others in a similar situation of starting insulin. Responses were coded by two independent reviewers (kappa 0.992). Results Starting insulin treatment was perceived as a negative experience that would be painful and would lead down a â € slippery slope' to complications. HCPs engaged in four primary behaviors that helped with insulin acceptance: (1) showed the insulin pen/needle and demonstrated the injection process; (2) explained how insulin could help with diabetes control and reduce risk of complications; (3) used collaborative communication style; and (4) offered support and willingness to answer questions so that participants would not be â € on their own'. Following initiation, most participants noted that insulin was not â € as bad as they thought' and recommended insulin to other adults with T2D. Conclusions Based on these themes, two actionable strategies are suggested for HCPs to help people with psychological insulin resistance: (1) demonstrate the injection process and discuss negative perceptions of insulin as well as potential benefits; (2) offer autonomy in a person-centred collaborative approach, but provide support and accessibility to address concerns. These findings help HCPs to better understand ways in which they can engage reluctant people with T2D with specific strategies.

AB - Objective To understand participant perceptions about insulin and identify key behaviors of healthcare professionals (HCPs) that motivated initially reluctant adults from seven countries (n=40) who had type 2 diabetes (T2D) to start insulin treatment. Research design and methods Telephone interviews were conducted with a subset of participants from an international investigation of adults with T2D who were reluctant to start insulin (EMOTION). Questions related to: (a) participants' thoughts about insulin before and after initiation; (b) reasons behind responses on the survey that were either â € not helpful at all' or â € helped a lot'; (c) actions their HCP may have taken to help start insulin treatment; and (d) advice they would give to others in a similar situation of starting insulin. Responses were coded by two independent reviewers (kappa 0.992). Results Starting insulin treatment was perceived as a negative experience that would be painful and would lead down a â € slippery slope' to complications. HCPs engaged in four primary behaviors that helped with insulin acceptance: (1) showed the insulin pen/needle and demonstrated the injection process; (2) explained how insulin could help with diabetes control and reduce risk of complications; (3) used collaborative communication style; and (4) offered support and willingness to answer questions so that participants would not be â € on their own'. Following initiation, most participants noted that insulin was not â € as bad as they thought' and recommended insulin to other adults with T2D. Conclusions Based on these themes, two actionable strategies are suggested for HCPs to help people with psychological insulin resistance: (1) demonstrate the injection process and discuss negative perceptions of insulin as well as potential benefits; (2) offer autonomy in a person-centred collaborative approach, but provide support and accessibility to address concerns. These findings help HCPs to better understand ways in which they can engage reluctant people with T2D with specific strategies.

KW - patient-provider relationship

KW - psychological insulin resistance

KW - type 2 diabetes

UR - http://www.scopus.com/inward/record.url?scp=85076687282&partnerID=8YFLogxK

U2 - 10.1136/bmjdrc-2019-000723

DO - 10.1136/bmjdrc-2019-000723

M3 - Article

AN - SCOPUS:85076687282

VL - 7

JO - BMJ Open Diabetes Research & Care

JF - BMJ Open Diabetes Research & Care

SN - 2052-4897

IS - 1

M1 - e000723

ER -

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