Key factors for overcoming psychological insulin resistance: an examination of patient perspectives through content analysis.
Identifieur interne : 000298 ( PubMed/Curation ); précédent : 000297; suivant : 000299Key factors for overcoming psychological insulin resistance: an examination of patient perspectives through content analysis.
Auteurs : Heather Stuckey [États-Unis] ; Lawrence Fisher [États-Unis] ; William H. Polonsky [États-Unis] ; Danielle Hessler [États-Unis] ; Frank J. Snoek [Pays-Bas] ; Tricia S. Tang [Canada] ; Norbert Hermanns [Allemagne] ; Xavier Mundet-Tuduri [Espagne] ; Maria Elizabeth Rossi Da Silva [Brésil] ; Jackie Sturt [Royaume-Uni] ; Kentaro Okazaki [Japon] ; Dachuang Cao [États-Unis] ; Irene Hadjiyianni [Allemagne] ; Jasmina I. Ivanova [États-Unis] ; Urvi Desai [États-Unis] ; Magaly Perez-Nieves [États-Unis]Source :
- BMJ open diabetes research & care [ 2052-4897 ] ; 2019.
Abstract
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.
DOI: 10.1136/bmjdrc-2019-000723
PubMed: 31908792
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Ivanova</name><affiliation wicri:level="1"><nlm:affiliation>Analysis Group Inc Boston, Boston, Massachusetts, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Analysis Group Inc Boston, Boston, Massachusetts</wicri:regionArea></affiliation></author><author><name sortKey="Desai, Urvi" sort="Desai, Urvi" uniqKey="Desai U" first="Urvi" last="Desai">Urvi Desai</name><affiliation wicri:level="1"><nlm:affiliation>Analysis Group Inc Boston, Boston, Massachusetts, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Analysis Group Inc Boston, Boston, Massachusetts</wicri:regionArea></affiliation></author><author><name sortKey="Perez Nieves, Magaly" sort="Perez Nieves, Magaly" uniqKey="Perez Nieves M" first="Magaly" last="Perez-Nieves">Magaly Perez-Nieves</name><affiliation wicri:level="1"><nlm:affiliation>Eli Lilly and Company, Indianapolis, Indiana, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Eli Lilly and Company, Indianapolis, Indiana</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2019">2019</date><idno type="RBID">pubmed:31908792</idno><idno type="pmid">31908792</idno><idno type="doi">10.1136/bmjdrc-2019-000723</idno><idno type="wicri:Area/PubMed/Corpus">000298</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000298</idno><idno type="wicri:Area/PubMed/Curation">000298</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000298</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Key factors for overcoming psychological insulin resistance: an examination of patient perspectives through content analysis.</title><author><name sortKey="Stuckey, Heather" sort="Stuckey, Heather" uniqKey="Stuckey H" first="Heather" last="Stuckey">Heather Stuckey</name><affiliation wicri:level="1"><nlm:affiliation>Pennsylvania State University, Hershey, Pennsylvania, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Pennsylvania State University, Hershey, Pennsylvania</wicri:regionArea></affiliation></author><author><name sortKey="Fisher, Lawrence" sort="Fisher, Lawrence" uniqKey="Fisher L" first="Lawrence" last="Fisher">Lawrence Fisher</name><affiliation wicri:level="1"><nlm:affiliation>University of California San Francisco, San Francisco, California, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>University of California San Francisco, San Francisco, California</wicri:regionArea></affiliation></author><author><name sortKey="Polonsky, William H" sort="Polonsky, William H" uniqKey="Polonsky W" first="William H" last="Polonsky">William H. Polonsky</name><affiliation wicri:level="1"><nlm:affiliation>Behavioral Diabetes Institute, University of California, San Diego, Del Mar, California, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Behavioral Diabetes Institute, University of California, San Diego, Del Mar, California</wicri:regionArea></affiliation></author><author><name sortKey="Hessler, Danielle" sort="Hessler, Danielle" uniqKey="Hessler D" first="Danielle" last="Hessler">Danielle Hessler</name><affiliation wicri:level="1"><nlm:affiliation>University of California San Francisco, San Francisco, California, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>University of California San Francisco, San Francisco, California</wicri:regionArea></affiliation></author><author><name sortKey="Snoek, Frank J" sort="Snoek, Frank J" uniqKey="Snoek F" first="Frank J" last="Snoek">Frank J. Snoek</name><affiliation wicri:level="1"><nlm:affiliation>Amsterdam University Medical Centre Vrije Universiteit, Amsterdam, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Amsterdam University Medical Centre Vrije Universiteit, Amsterdam</wicri:regionArea></affiliation></author><author><name sortKey="Tang, Tricia S" sort="Tang, Tricia S" uniqKey="Tang T" first="Tricia S" last="Tang">Tricia S. Tang</name><affiliation wicri:level="1"><nlm:affiliation>University of British Columbia, Vancouver, British Columbia, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>University of British Columbia, Vancouver, British Columbia</wicri:regionArea></affiliation></author><author><name sortKey="Hermanns, Norbert" sort="Hermanns, Norbert" uniqKey="Hermanns N" first="Norbert" last="Hermanns">Norbert Hermanns</name><affiliation wicri:level="1"><nlm:affiliation>Diabet Acad Mergentheim FIDAM, Bad Mergentheim, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Diabet Acad Mergentheim FIDAM, Bad Mergentheim</wicri:regionArea></affiliation></author><author><name sortKey="Mundet Tuduri, Xavier" sort="Mundet Tuduri, Xavier" uniqKey="Mundet Tuduri X" first="Xavier" last="Mundet-Tuduri">Xavier Mundet-Tuduri</name><affiliation wicri:level="1"><nlm:affiliation>Universitat Autonoma de Barcelona, Bellaterra, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Universitat Autonoma de Barcelona, Bellaterra</wicri:regionArea></affiliation></author><author><name sortKey="Da Silva, Maria Elizabeth Rossi" sort="Da Silva, Maria Elizabeth Rossi" uniqKey="Da Silva M" first="Maria Elizabeth Rossi" last="Da Silva">Maria Elizabeth Rossi Da Silva</name><affiliation wicri:level="1"><nlm:affiliation>Hospital das Clínicas da Faculdade de Medicina da USP, Sao Paulo, Brazil.</nlm:affiliation><country xml:lang="fr">Brésil</country><wicri:regionArea>Hospital das Clínicas da Faculdade de Medicina da USP, Sao Paulo</wicri:regionArea></affiliation></author><author><name sortKey="Sturt, Jackie" sort="Sturt, Jackie" uniqKey="Sturt J" first="Jackie" last="Sturt">Jackie Sturt</name><affiliation wicri:level="1"><nlm:affiliation>King's College London, London, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>King's College London, London</wicri:regionArea></affiliation></author><author><name sortKey="Okazaki, Kentaro" sort="Okazaki, Kentaro" uniqKey="Okazaki K" first="Kentaro" last="Okazaki">Kentaro Okazaki</name><affiliation wicri:level="1"><nlm:affiliation>Nagoya University Graduate School of Medicine, Nagoya, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Nagoya University Graduate School of Medicine, Nagoya</wicri:regionArea></affiliation></author><author><name sortKey="Cao, Dachuang" sort="Cao, Dachuang" uniqKey="Cao D" first="Dachuang" last="Cao">Dachuang Cao</name><affiliation wicri:level="1"><nlm:affiliation>Eli Lilly and Company, Indianapolis, Indiana, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Eli Lilly and Company, Indianapolis, Indiana</wicri:regionArea></affiliation></author><author><name sortKey="Hadjiyianni, Irene" sort="Hadjiyianni, Irene" uniqKey="Hadjiyianni I" first="Irene" last="Hadjiyianni">Irene Hadjiyianni</name><affiliation wicri:level="1"><nlm:affiliation>Lilly Deutschland GmbH, Bad Homburg, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Lilly Deutschland GmbH, Bad Homburg</wicri:regionArea></affiliation></author><author><name sortKey="Ivanova, Jasmina I" sort="Ivanova, Jasmina I" uniqKey="Ivanova J" first="Jasmina I" last="Ivanova">Jasmina I. Ivanova</name><affiliation wicri:level="1"><nlm:affiliation>Analysis Group Inc Boston, Boston, Massachusetts, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Analysis Group Inc Boston, Boston, Massachusetts</wicri:regionArea></affiliation></author><author><name sortKey="Desai, Urvi" sort="Desai, Urvi" uniqKey="Desai U" first="Urvi" last="Desai">Urvi Desai</name><affiliation wicri:level="1"><nlm:affiliation>Analysis Group Inc Boston, Boston, Massachusetts, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Analysis Group Inc Boston, Boston, Massachusetts</wicri:regionArea></affiliation></author><author><name sortKey="Perez Nieves, Magaly" sort="Perez Nieves, Magaly" uniqKey="Perez Nieves M" first="Magaly" last="Perez-Nieves">Magaly Perez-Nieves</name><affiliation wicri:level="1"><nlm:affiliation>Eli Lilly and Company, Indianapolis, Indiana, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Eli Lilly and Company, Indianapolis, Indiana</wicri:regionArea></affiliation></author></analytic><series><title level="j">BMJ open diabetes research & care</title><idno type="eISSN">2052-4897</idno><imprint><date when="2019" type="published">2019</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">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.</div></front></TEI><pubmed><MedlineCitation Status="In-Data-Review" Owner="NLM"><PMID Version="1">31908792</PMID><DateRevised><Year>2020</Year><Month>01</Month><Day>09</Day></DateRevised><Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Electronic">2052-4897</ISSN><JournalIssue CitedMedium="Internet"><Volume>7</Volume><Issue>1</Issue><PubDate><Year>2019</Year></PubDate></JournalIssue><Title>BMJ open diabetes research & care</Title><ISOAbbreviation>BMJ Open Diabetes Res Care</ISOAbbreviation></Journal><ArticleTitle>Key factors for overcoming psychological insulin resistance: an examination of patient perspectives through content analysis.</ArticleTitle><Pagination><MedlinePgn>e000723</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1136/bmjdrc-2019-000723</ELocationID><Abstract><AbstractText Label="Objective" NlmCategory="UNASSIGNED">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.</AbstractText><AbstractText Label="Research design and methods" NlmCategory="UNASSIGNED">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 'not helpful at all' or '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).</AbstractText><AbstractText Label="Results" NlmCategory="UNASSIGNED">Starting insulin treatment was perceived as a negative experience that would be painful and would lead down 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 'on their own'. Following initiation, most participants noted that insulin was not 'as bad as they thought' and recommended insulin to other adults with T2D.</AbstractText><AbstractText Label="Conclusions" NlmCategory="UNASSIGNED">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.</AbstractText><CopyrightInformation>© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Stuckey</LastName><ForeName>Heather</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Pennsylvania State University, Hershey, Pennsylvania, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fisher</LastName><ForeName>Lawrence</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>University of California San Francisco, San Francisco, California, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Polonsky</LastName><ForeName>William H</ForeName><Initials>WH</Initials><AffiliationInfo><Affiliation>Behavioral Diabetes Institute, University of California, San Diego, Del Mar, California, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hessler</LastName><ForeName>Danielle</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>University of California San Francisco, San Francisco, California, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Snoek</LastName><ForeName>Frank J</ForeName><Initials>FJ</Initials><AffiliationInfo><Affiliation>Amsterdam University Medical Centre Vrije Universiteit, Amsterdam, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tang</LastName><ForeName>Tricia S</ForeName><Initials>TS</Initials><AffiliationInfo><Affiliation>University of British Columbia, Vancouver, British Columbia, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hermanns</LastName><ForeName>Norbert</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Diabet Acad Mergentheim FIDAM, Bad Mergentheim, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mundet-Tuduri</LastName><ForeName>Xavier</ForeName><Initials>X</Initials><AffiliationInfo><Affiliation>Universitat Autonoma de Barcelona, Bellaterra, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>da Silva</LastName><ForeName>Maria Elizabeth Rossi</ForeName><Initials>MER</Initials><AffiliationInfo><Affiliation>Hospital das Clínicas da Faculdade de Medicina da USP, Sao Paulo, Brazil.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sturt</LastName><ForeName>Jackie</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>King's College London, London, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Okazaki</LastName><ForeName>Kentaro</ForeName><Initials>K</Initials><Identifier Source="ORCID">0000-0002-8449-804X</Identifier><AffiliationInfo><Affiliation>Nagoya University Graduate School of Medicine, Nagoya, Japan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cao</LastName><ForeName>Dachuang</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Eli Lilly and Company, Indianapolis, Indiana, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hadjiyianni</LastName><ForeName>Irene</ForeName><Initials>I</Initials><AffiliationInfo><Affiliation>Lilly Deutschland GmbH, Bad Homburg, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ivanova</LastName><ForeName>Jasmina I</ForeName><Initials>JI</Initials><AffiliationInfo><Affiliation>Analysis Group Inc Boston, Boston, Massachusetts, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Desai</LastName><ForeName>Urvi</ForeName><Initials>U</Initials><Identifier Source="ORCID">0000-0001-5196-7201</Identifier><AffiliationInfo><Affiliation>Analysis Group Inc Boston, Boston, Massachusetts, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Perez-Nieves</LastName><ForeName>Magaly</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Eli Lilly and Company, Indianapolis, Indiana, USA.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2019</Year><Month>12</Month><Day>11</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>BMJ Open Diabetes Res Care</MedlineTA><NlmUniqueID>101641391</NlmUniqueID><ISSNLinking>2052-4897</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">patient-provider relationship</Keyword><Keyword MajorTopicYN="N">psychological insulin resistance</Keyword><Keyword MajorTopicYN="N">type 2 diabetes</Keyword></KeywordList><CoiStatement>Competing interests: HS, DH, FJS, XM-T, and MERS have served as consultants for Eli Lilly and Company. WHP has served as a consultant for Eli Lilly, Novo Nordisk, Sanofi, Astra Zeneca, Dexcom, Intarcia, Merck and Mannkind. LF has served as a consultant for Eli Lilly and Abbott Diabetes Care. TST has served as a consultant for Eli Lilly and Omni Pod. JS has served as a consultant for Eli Lilly and Spirit Healthcare. NH reports grants and personal fees from Abbott, Berlin Chemie, Ypsomed, Lilly, Dexcom and Roche. KO has served as a consultant for Eli Lilly and Eli Lilly Japan K.K., ONO Pharmaceutical Co., Kowa Co., Sanwa Kagaku Kenkyusho Co., Mitsubishi Tanabe Pharma Corporation, ARKRAY Inc., Sanofi K.K., Abbott Japan Co., MSD K.K., Novartis Pharma K.K., Novo Nordisk, and Nippon Boehringer Ingelheim Co. DC is an employee of Eli Lilly and Company. IH and MP-N are employees and stockholders of Eli Lilly and Company. UD is an employee of Analysis Group, Inc., a company that received funding for this research from Eli Lilly and Company. 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