PMID- 32184215
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20200928
IS  - 2398-3795 (Electronic)
IS  - 2398-3795 (Linking)
VI  - 4
IP  - 1
DP  - 2020
TI  - Perceptions of healthcare professionals and people with type 2 diabetes on 
      emotional support: a qualitative study.
LID - bjgpopen20X101018 [pii]
LID - 10.3399/bjgpopen20X101018 [doi]
AB  - BACKGROUND: Type 2 diabetes mellitus (T2DM) is a demanding condition that impacts 
      the person living with the condition physically and psychologically. Promoting 
      emotional support is a key strategy to improve diabetes care. AIM: To explore the 
      views and experiences of people with T2DM and healthcare professionals (HCPs) on 
      emotional support in diabetes care, and identify barriers and facilitators to the 
      provision of emotional support in clinical practice. DESIGN & SETTING: A 
      qualitative study in England with data collected from four focus groups. METHOD: 
      Focus group discussions were conducted with people with T2DM (n = 10) and HCPs (n 
      = 10). The analysis was informed by the framework method and principles of the 
      constant comparative approach. RESULTS: Emotional support was lacking in diabetes 
      primary care, and there was a need to normalise the emotional impact of T2DM. 
      Barriers to emotional support included: lack of HCP confidence to discuss 
      emotional issues; lack of counselling training; and time constraints in 
      consultations. Inappropriate use of the word 'depression' creates a sense of 
      taboo for those experiencing emotions other than depression. CONCLUSION: 
      Consensus between the two target groups indicated a strong need to integrate 
      emotional support in diabetes care, and the need to support and train HCPs in 
      addressing psychosocial aspects of T2DM. Shared language is recommended across 
      diabetes services to appropriately refer to wellbeing. Addressing barriers and 
      considering ways to incorporate emotional management in diabetes consultations is 
      recommended, includings introducing HCP training to increase confidence and 
      enhance counselling skills.
CI  - Copyright (c) 2020, The Authors.
FAU - Hadjiconstantinou, Michelle
AU  - Hadjiconstantinou M
AD  - Research Associate, Diabetes Research Centre, College of Life Sciences, 
      University of Leicester, Leicester, UK mh333@le.ac.uk.
FAU - Dunkley, Alison J
AU  - Dunkley AJ
AD  - Lecturer, Diabetes Research Centre, College of Life Sciences, University of 
      Leicester, Leicester, UK.
FAU - Eborall, Helen
AU  - Eborall H
AD  - Lecturer, Social Science Applied to Healthcare Improvement Research (SAPPHIRE) 
      Group, Department of Health Sciences, University of Leicester, Leicester, UK.
FAU - Robertson, Noelle
AU  - Robertson N
AD  - Professor, School of Clinical Psychology, University of Leicester, Leicester, UK.
FAU - Khunti, Kamlesh
AU  - Khunti K
AD  - Professor of Primary Care Diabetes and Vascular Medicine, Diabetes Research 
      Centre, College of Life Sciences, University of Leicester, Leicester, UK.
FAU - Davies, Melanie
AU  - Davies M
AD  - Professor of Diabetes Medicine and Honorary Consultant, Diabetes Research Centre, 
      College of Life Sciences, University of Leicester, Leicester, UK.
LA  - eng
PT  - Journal Article
DEP - 20200501
PL  - England
TA  - BJGP Open
JT  - BJGP open
JID - 101713531
PMC - PMC7330186
OTO - NOTNLM
OT  - emotional management
OT  - emotional support
OT  - healthcare professional training
OT  - qualitative
OT  - type 2 diabetes
EDAT- 2020/03/19 06:00
MHDA- 2020/03/19 06:01
PMCR- 2020/03/18
CRDT- 2020/03/19 06:00
PHST- 2019/09/26 00:00 [received]
PHST- 2019/10/22 00:00 [accepted]
PHST- 2020/03/19 06:00 [pubmed]
PHST- 2020/03/19 06:01 [medline]
PHST- 2020/03/19 06:00 [entrez]
PHST- 2020/03/18 00:00 [pmc-release]
AID - bjgpopen20X101018 [pii]
AID - 01018 [pii]
AID - 10.3399/bjgpopen20X101018 [doi]
PST - epublish
SO  - BJGP Open. 2020 May 1;4(1):bjgpopen20X101018. doi: 10.3399/bjgpopen20X101018. 
      Print 2020.