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How do UK general practice staff understand and manage prediabetes? A focus group study.
- Source :
- BJGP Open; Jun2022, Vol. 6 Issue 2, p1-10, 10p
- Publication Year :
- 2022
-
Abstract
- Background: Preventing type 2 diabetes is a national priority; one aspect is the identification and active management of 'prediabetes' through lifestyle change. Aim: To explore what primary care clinicians understood by 'prediabetes', how they communicated this diagnosis to people, how they delivered lifestyle advice, and their views on barriers to lifestyle change. Design & setting: Three focus groups were undertaken with 25 individuals from primary care teams (GPs, nurses, and healthcare assistants) in Newham, a deprived and ethnically diverse part of London, UK. Method: Recordings were transcribed verbatim and analysed thematically before integrating social and behavioural science theories. Results: Focus groups participants described four main influences on their management of prediabetes in the consultation: social determinants, clinical aspects of diagnosis and management, patient motivation and behaviour change, and long-term care. Since most felt unable to address social determinants such as poverty, discussions with patients tended to focus on attempts to change individual behaviours and achieve particular numerical targets, with limited attention to the social context in which behaviours would play out. Conclusion: Type two diabetes prevention efforts in general practice may fail to address the upstream causes of this disease. A narrow focus on numerical targets and decontextualised behaviours overlooks the social complexity of human behaviour and lifestyle choices. Within the consultation, the authors recommend that greater attention is paid to discussing the social context and meaning of particular behaviours. Beyond the consultation, collaboration between primary care clinicians, public health bodies, and local governments is required to address community-level constraints to behaviour change. [ABSTRACT FROM AUTHOR]
- Subjects :
- GENERAL practitioners
OCCUPATIONAL roles
HOSPITAL medical staff
PROFESSIONS
FOCUS groups
FAMILY medicine
ATTITUDES of medical personnel
MEDICAL office nursing
PHYSICIANS' attitudes
PHARMACISTS
SOCIAL sciences
PRIMARY health care
COMMUNICATION
HEALTH behavior
DESCRIPTIVE statistics
PSYCHOSOCIAL factors
MEDICAL assistants
PATIENT-professional relations
JUDGMENT sampling
DATA analysis software
THEMATIC analysis
PHYSICIANS
PREDIABETIC state
BEHAVIOR modification
DISEASE management
Subjects
Details
- Language :
- English
- ISSN :
- 23983795
- Volume :
- 6
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- BJGP Open
- Publication Type :
- Academic Journal
- Accession number :
- 159051656
- Full Text :
- https://doi.org/10.3399/BJGPO.2021.0166