Multidisciplinary healthcare teams' challenges and strategies in supporting people with type 1 diabetes to recover from disordered eating
| العنوان: | Multidisciplinary healthcare teams' challenges and strategies in supporting people with type 1 diabetes to recover from disordered eating |
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| المؤلفون: | Amy Harrison, C. Figuereido, David L. Hopkins, A. Watson, H. Partridge, Melanie Broadley, Khalida Ismail, Marietta Stadler, Natalie Zaremba, Carol Kan, Janet Treasure |
| المصدر: | Zaremba, N, Watson, A, Kan, C, Broadley, M, Partridge, H, Figuereido, C, Hopkins, D, Treasure, J, Ismail, K, Harrison, A & Stadler, M 2020, ' Multidisciplinary healthcare teams' challenges and strategies in supporting people with type 1 diabetes to recover from disordered eating ', Diabetic Medicine, vol. 37, no. 12, pp. 1992-2000 . https://doi.org/10.1111/dme.14207Test |
| بيانات النشر: | Wiley, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Attitude of Health Personnel, Endocrinology, Diabetes and Metabolism, media_common.quotation_subject, education, Specialty, 030209 endocrinology & metabolism, Feeding and Eating Disorders, 03 medical and health sciences, 0302 clinical medicine, Endocrinology, Nursing, Multidisciplinary approach, Health care, Internal Medicine, medicine, Humans, 030212 general & internal medicine, Disordered eating, media_common, Patient Care Team, business.industry, Focus Groups, Diabulimia, medicine.disease, Focus group, Eating disorders, Diabetes Mellitus, Type 1, Feeling, Thematic analysis, business |
| الوصف: | AIM: To examine the challenges healthcare teams face when treating people with type 1 diabetes and disordered eating and the strategies these teams have developed to facilitate effective treatment.METHODS: Four semi-structured focus groups were conducted including two tertiary diabetes specialist teams and three tertiary eating disorders specialist teams between July and December 2018. Thematic analysis of the transcripts followed a six-phase process.RESULTS: Twenty-nine experienced healthcare professionals (16 diabetes and 13 eating disorder specialists, 16±12 years' professional experience) were interviewed. The challenges identified in treating people with type 1 diabetes and disordered eating included subthemes the 'challenges specific to the healthcare professional' (feeling not competent enough and perceived emotional burden), 'challenges pertaining to patient factors' (e.g. difficulties with engaging in therapy) and 'challenges created by the healthcare system' (time pressure and staff shortage). Healthcare professionals expressed the need for a consensus on diagnosis and the definition of disordered eating in type 1 diabetes, as well as the need for training and educational resources specific to type 1 diabetes and disordered eating. Healthcare professionals gave practical examples of strategies of communication for better patient engagement and felt that multidisciplinary working in joint clinics with the other specialty were facilitators for recovery from disordered eating.CONCLUSIONS: Healthcare professionals require multidisciplinary team support when treating people with type 1 diabetes and to improve their own competencies. The development of effective screening and assessment tools, educational resources and training for healthcare professionals, and developing multidisciplinary treatment pathways will be key to improving outcomes for their service users with type 1 diabetes and disordered eating. |
| وصف الملف: | application/pdf |
| تدمد: | 1464-5491 0742-3071 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::83b6333de55691b85645e5721565ccb4Test https://doi.org/10.1111/dme.14207Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....83b6333de55691b85645e5721565ccb4 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14645491 07423071 |
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