Improving Diabetes self-management behaviour: why is it a challenge?

  • Research type

    Research Study

  • Full title

    The evaluation of a primary care professional support tool in improving capability and performance in facilitating behaviour change and self-management in people with type 2 diabetes.

  • IRAS ID

    269854

  • Contact name

    Michelle Yu Yin Lam

  • Contact email

    michelle.lam@nhs.net

  • Sponsor organisation

    University of Bradford

  • Duration of Study in the UK

    1 years, 0 months, 1 days

  • Research summary

    Current literature has identified some patient barriers and key competency gaps in healthcare professionals (HCPs) in improving diabetes self-efficacy. It remains a challenge to motivate behaviour change, moreover, to translate that motivation into sustained action. It has been identified that Type 2 diabetes (T2DM) self-management is poor among those with T2DM within South West London.

    A group of people living with T2DM within South West London who are members of a local support group of Diabetes UK, and self-managing their condition, will be invited to a focus group by the Chief Investigator employed at St George’s University Hospitals NHS Foundation Trust (SGH) to explore their needs and experience in diabetes self-care from their primary care healthcare professionals. HCPs in South West London will be invited to participate in a focus group to explore their views and experience of facilitating diabetes self-care in their routine clinical practice.

    The Primary Care Network (PCN) pharmacists team employed by SGH will be involved in one or more of the three broad phases of the study:
    1) participation in the HCP focus group,
    2) development of the diabetes support tool, and
    3) user-testing of the support tool and delivery of the intervention.

    Findings from the patient and HCP focus groups will identify patient diabetes self-care needs and support they had received, and any disagreements between patients and HCPs on perceived facilitators and barriers to self-care. Based on current literature and these findings, a professional support tool will be developed and user-tested to support clinicians in facilitating behaviour change and self-care in routine clinical practice. Patient outcome measures include changes in clinical markers (HbA1c, blood pressure, total cholesterol, body mass index), improvement in emotional health outcome measure (Problem Area In Diabetes scale, PAID-5 score), and patient satisfaction.

  • REC name

    Yorkshire & The Humber - Leeds East Research Ethics Committee

  • REC reference

    23/YH/0297

  • Date of REC Opinion

    9 Feb 2024

  • REC opinion

    Further Information Favourable Opinion