PMID- 36998038
OWN - NLM
STAT- MEDLINE
DCOM- 20230403
LR  - 20230403
IS  - 1472-6963 (Electronic)
IS  - 1472-6963 (Linking)
VI  - 23
IP  - 1
DP  - 2023 Mar 30
TI  - Overcoming the struggle of living with type 2 diabetes - diabetes specialist 
      nurses' and patients' perspectives on digital interventions.
PG  - 313
LID - 10.1186/s12913-023-09277-y [doi]
LID - 313
AB  - 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.
CI  - (c) 2023. The Author(s).
FAU - Jarl, Frida
AU  - Jarl F
AD  - Rosenhalsans vardcentral, Region Jonkoping County, Jonkopingsvagen 19, Huskvarna, 
      SE-551 85, Sweden. frida.jarl@rjl.se.
AD  - Department of Health, Medicine and Caring Sciences, Linkoping University, 
      Linkoping, Sweden. frida.jarl@rjl.se.
FAU - Davelid, Anna
AU  - Davelid A
AD  - Rosenhalsans vardcentral, Region Jonkoping County, Jonkopingsvagen 19, Huskvarna, 
      SE-551 85, Sweden.
FAU - Hedin, Katarina
AU  - Hedin K
AD  - Department of Health, Medicine and Caring Sciences, Linkoping University, 
      Linkoping, Sweden.
AD  - Futurum, Region Jonkoping County, Jonkoping, Sweden.
FAU - Stomby, Andreas
AU  - Stomby A
AD  - Department of Health, Medicine and Caring Sciences, Linkoping University, 
      Linkoping, Sweden.
AD  - Raslatts vardcentral, Region Jonkoping County, Jonkoping, Sweden.
FAU - Petersson, Christina
AU  - Petersson C
AD  - Center for Learning and Innovation, Region Jonkoping County, Huskvarna, Sweden.
AD  - Jonkoping Academy for Improvement of Health and Welfare, Jonkoping University, 
      Jonkoping, Sweden.
LA  - eng
PT  - Journal Article
DEP - 20230330
PL  - England
TA  - BMC Health Serv Res
JT  - BMC health services research
JID - 101088677
SB  - IM
MH  - Humans
MH  - *Diabetes Mellitus, Type 2/diagnosis
MH  - Delivery of Health Care
MH  - Focus Groups
MH  - Health Behavior
MH  - *Nurses
PMC - PMC10064570
OTO - NOTNLM
OT  - Diabetes self-management education and support
OT  - Digital health intervention
OT  - Qualitative research
OT  - Self-management
OT  - Type 2 diabetes, primary health care
COIS- The authors declare no competing interests.
EDAT- 2023/03/31 06:00
MHDA- 2023/04/03 06:42
PMCR- 2023/03/30
CRDT- 2023/03/30 23:41
PHST- 2022/12/02 00:00 [received]
PHST- 2023/03/11 00:00 [accepted]
PHST- 2023/04/03 06:42 [medline]
PHST- 2023/03/30 23:41 [entrez]
PHST- 2023/03/31 06:00 [pubmed]
PHST- 2023/03/30 00:00 [pmc-release]
AID - 10.1186/s12913-023-09277-y [pii]
AID - 9277 [pii]
AID - 10.1186/s12913-023-09277-y [doi]
PST - epublish
SO  - BMC Health Serv Res. 2023 Mar 30;23(1):313. doi: 10.1186/s12913-023-09277-y.