Deficiencies in postgraduate training for healthcare professionals who provide diabetes education and support: results from the Diabetes Attitudes, Wishes and Needs (DAWN2) study

被引:32
作者
Byrne, J. L. [1 ]
Davies, M. J. [2 ]
Willaing, I. [3 ]
Holt, R. I. G. [4 ]
Carey, M. E. [1 ]
Daly, H. [1 ]
Skovlund, S. [5 ]
Peyrot, M. [6 ]
机构
[1] Univ Hosp Leicester NHS Trust, Leicester, Leics, England
[2] Univ Leicester, Leicester, Leics, England
[3] Steno Diabet Ctr, Diabet Management Res, Gentofte, Denmark
[4] Univ Southampton, Human Dev & Hlth Acad Unit, Southampton, Hants, England
[5] Novo Nordisk Psychosocial Res, Bagsvaerd, Denmark
[6] Loyola Univ Maryland, Dept Sociol, Baltimore, MD USA
关键词
CROSS-NATIONAL BENCHMARKING; NEWLY-DIAGNOSED DESMOND; SELF-MANAGEMENT; PEOPLE; 2ND; ADHERENCE; CHALLENGES; BARRIERS;
D O I
10.1111/dme.13334
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
AimsTo consider the global provision of self-management diabetes education and training for healthcare professionals using data from the second Diabetes Attitudes, Wishes and Needs (DAWN2) study. MethodsA total of 4785 healthcare professionals caring for people with diabetes were surveyed in 17 countries to assess diabetes healthcare provision, self-management support and training. ResultsOf the healthcare professionals surveyed, 33.5% received formal postgraduate training in self-management (19.3-51.4% across countries) and 62.9% received training for medical management of diabetes (47.6-70.6% variation). Training in psychological management was low (19.1%), ranging from 3.6 to 36.5%, while 20.4% (a range of 3.6-36.4% across countries) had received no postgraduate training. Overall, the greatest training need was in the management of psychological aspects of diabetes (59.5%). For some, training in a domain was positively associated with a perceived need for further training. Communication skills, for example, listening (76.9%) and encouraging questions (76.1%), were the skills most widely used. Discussion of emotional issues was limited; 31-60% of healthcare professionals across the different countries reported that this only occurred if initiated by patients. Approximately two-thirds of participants reported a need for major improvements in emotional/psychological support, but few had received training in this area, with consistent findings across professional affiliations. ConclusionsThe present study shows that healthcare professionals report being insufficiently equipped to provide diabetes self-management education, including emotional and psychological aspects of diabetes, and many are not receiving postgraduate training in any part (including medical care) of the management of diabetes. It is paramount that those responsible for the continuing professional development of healthcare professionals address this skills gap.
引用
收藏
页码:1074 / 1083
页数:10
相关论文
共 29 条
  • [1] Educator challenges using participatory methods in group-based patient education
    Andersen, Tue
    Hempler, Nana
    Willaing, Ingrid
    [J]. HEALTH EDUCATION, 2014, 114 (02) : 152 - +
  • [2] Compliance and adherence are dysfunctional concepts in diabetes care
    Anderson, RM
    Funnell, MM
    [J]. DIABETES EDUCATOR, 2000, 26 (04) : 597 - +
  • [3] Patient empowerment: reflections on the challenge of fostering the adoption of a new paradigm
    Anderson, RM
    Funnell, MM
    [J]. PATIENT EDUCATION AND COUNSELING, 2005, 57 (02) : 153 - 157
  • [4] [Anonymous], 2016, GLOBAL REPORT DIABET
  • [5] [Anonymous], 2013, IDF DIABETES ATLAS
  • [6] [Anonymous], 2009, PRACT DIABETES INT, DOI DOI 10.1002/PDI.1424
  • [7] Understanding Physicians' Challenges When Treating Type 2 Diabetic Patients' Social and Emotional Difficulties A qualitative study
    Beverly, Elizabeth A.
    Hultgren, Brittney A.
    Brooks, Kelly M.
    Ritholz, Marilyn D.
    Abrahamson, Martin J.
    Weinger, Katie
    [J]. DIABETES CARE, 2011, 34 (05) : 1086 - 1088
  • [8] Diabetes Attitudes, Wishes and Needs second study (DAWN2™): Cross-national benchmarking indicators for family members living with people with diabetes
    Burns, K. Kovacs
    Nicolucci, A.
    Holt, R. I. G.
    Willaing, I.
    Hermanns, N.
    Kalra, S.
    Wens, J.
    Pouwer, F.
    Skovlund, S. E.
    Peyrot, M.
    [J]. DIABETIC MEDICINE, 2013, 30 (07) : 778 - 788
  • [9] Effectiveness of the diabetes education and self management for ongoing and newly diagnosed (DESMOND) programme for people with newly diagnosed type 2 diabetes: cluster randomised controlled trial
    Davies, M. J.
    Heller, S.
    Skinner, T. C.
    Campbell, M. J.
    Carey, M. E.
    Cradock, S.
    Dallosso, H. M.
    Daly, H.
    Doherty, Y.
    Eaton, S.
    Fox, C.
    Oliver, L.
    Rantell, K.
    Rayman, G.
    Khunti, K.
    [J]. BMJ-BRITISH MEDICAL JOURNAL, 2008, 336 (7642): : 491 - 495
  • [10] Differences in treatment regimes, consultation frequency and referral patterns of diabetes mellitus in general practice in five European countries
    Donker, GA
    Fleming, DM
    Schellevis, FG
    Spreeuwenberg, P
    [J]. FAMILY PRACTICE, 2004, 21 (04) : 364 - 369