Why do people with diabetes miss appointments?

Eades, C. & Alexander, H.  | 2019| A mixed‐methods exploration of non‐attendance at diabetes appointments using peer researchers | Health Expectations |https://doi.org/10.1111/hex.12959

A team of researchers conducted telephone interviews people with diabetes who had missed appointments 10 people were interviewed, a further 34 people who had missed appointments completed a questionnaire.  The data produced provide insights into their perceptions of their diabetes and diabetes appointments. Key reasons for missing appointments were low perceived value of appointments and the feeling that diabetes had little impact upon their lives’. 

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Abstract

Background

Non‐attendance at diabetes appointments is costly to the health service and linked with poorer patient outcomes.

 

Objective

Peer researchers aimed to conduct interviews and survey people who miss appointments about their beliefs and perceptions regarding their diabetes and diabetes appointments.

 

Design

A mixed‐methods cross‐sectional design with interviews conducted by peer researchers with diabetes and a questionnaire was used.

 

Setting and participants

Peer researchers conducted semi‐structured telephone interviews in one health board in Scotland with ten people who had missed diabetes appointments. A further 34 people who had missed appointments completed a questionnaire. The study was informed by two psychological theories (the Theory of Planned Behaviour and the Self‐Regulation Model), and interviews were analysed using thematic analysis.

 

Results

Interviewees planned to attend appointments but practical barriers, low perceived value of appointments and the feeling that diabetes had little impact upon their lives’ emerged as key reasons for missing appointments. Questionnaire data supported these findings and showed that respondents perceived diabetes to have only mildly serious consequence and cause limited concern and emotional impact. Participants’ understanding of their condition and perceptions of personal control and treatment control were low. Gender, perceived behavioural control and emotional representations were significantly associated with the number of appointments missed in the previous year.

Conclusions

These findings highlight the importance of psychological variables in predicting non‐attendance at diabetes appointments and provide avenues for how non‐attendance might be tackled.

 

The full article is available from Health Expectations 

New online type II diabetes support

The NHS has announced that it will be offering online support for patients with type II diabetes to help them manage their condition, via a first of its kind service | via PharmaTimes online

A new online portal in partnership with Changing Health will offer people with type II diabetes evidence-based information and support, which will be available at the touch of a button, giving them convenient and quick help to deal with the physical and mental challenges of diabetes.

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Patients have already made use of the online courses and information to help reduce their blood glucose levels, a crucial part of managing type II diabetes.

The collaboration with Changing Health will see the largest ever roll out of free digital support for people diagnosed with type II diabetes, which currently costs the NHS around £8.8 billion a year.

The company says that the partnership will allow the NHS to offer its patients highly personalised support to make positive lifestyle changes and crucially sustain them over the long term.

Full story at PharmaTimes online

Making hospitals safe for people with diabetes

Diabetes UK | October 2018 | Making hospitals safe for people with diabetes

The report from Diabetes UK has been created by an alliance of groups and individuals striving to improve hospital care for people with diabetes. Thorough engagement with diabetes inpatient teams, ward staff, people with diabetes and hospital management means we now understand the depth of the challenges facing the NHS in improving diabetes inpatient care. For their report, Diabetes UK visited hospitals across the country to find out what works.

Making hospitals safe Diabetes UK

Image source: Diabetes.org.uk

The report outlines six points that the UK needs to make hospitals safer for people with diabetes.

  • multidisciplinary diabetes inpatient teams in all hospitals
  • strong clinical leadership from diabetes inpatient teams
  • knowledgeable healthcare professionals who understand diabetes
  • better support in hospitals for people to take ownership of their diabetes
  • better access to systems and technology
  • more support to help hospitals learn from mistakes.

The report outlines these points in more detail and highlights what needs to be in place in all acute hospitals across England to make sure every stay for someone with diabetes is safe.

The report’s recommendations are based on models from across the UK which have been shown to improve patient care (Source: Diabetes UK).