Cargando…
How point‐of‐care HbA(1c) testing changes the behaviour of people with diabetes and clinicians – a qualitative study
AIM: To explore adults with diabetes and clinician views of point‐of‐care HbA(1c) testing. METHODS: Adults with diabetes and HbA(1c) ≥ 58 mmol/mol (7.5%) receiving HbA(1c) point‐of‐care testing in primary care were invited to individual interviews. Participants were interviewed twice, once prior to...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7318570/ https://www.ncbi.nlm.nih.gov/pubmed/31876039 http://dx.doi.org/10.1111/dme.14219 |
_version_ | 1783550881660141568 |
---|---|
author | Hirst, J. A. Farmer, A. J. Williams, V. |
author_facet | Hirst, J. A. Farmer, A. J. Williams, V. |
author_sort | Hirst, J. A. |
collection | PubMed |
description | AIM: To explore adults with diabetes and clinician views of point‐of‐care HbA(1c) testing. METHODS: Adults with diabetes and HbA(1c) ≥ 58 mmol/mol (7.5%) receiving HbA(1c) point‐of‐care testing in primary care were invited to individual interviews. Participants were interviewed twice, once prior to point‐of‐care testing and once after 6 months follow‐up. Clinicians were interviewed once. A thematic framework based on an a priori framework was used to analyse the data. RESULTS: Fifteen participants (eight women, age range 30–70 years, two Asians, 13 white Europeans) were interviewed. They liked point‐of‐care testing and found the single appointment more convenient than usual care. Receiving the test result at the appointment helped some people understand how some lifestyle behaviours affected their control of diabetes and motivated them to change behaviours. Receiving an immediate test result reduced the anxiety some people experience when waiting for a result. People thought there was little value in using point‐of‐care testing for their annual review. Clinicians liked the point‐of‐care testing but expressed concerns about costs. CONCLUSIONS: This work suggests that several features of point‐of‐care testing may encourage behavioural change. It helped some people to link their HbA(1c) result to recent lifestyle behaviours, thereby motivating behavioural change and reinforcing healthy lifestyle choices. |
format | Online Article Text |
id | pubmed-7318570 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-73185702020-06-29 How point‐of‐care HbA(1c) testing changes the behaviour of people with diabetes and clinicians – a qualitative study Hirst, J. A. Farmer, A. J. Williams, V. Diabet Med Research Articles AIM: To explore adults with diabetes and clinician views of point‐of‐care HbA(1c) testing. METHODS: Adults with diabetes and HbA(1c) ≥ 58 mmol/mol (7.5%) receiving HbA(1c) point‐of‐care testing in primary care were invited to individual interviews. Participants were interviewed twice, once prior to point‐of‐care testing and once after 6 months follow‐up. Clinicians were interviewed once. A thematic framework based on an a priori framework was used to analyse the data. RESULTS: Fifteen participants (eight women, age range 30–70 years, two Asians, 13 white Europeans) were interviewed. They liked point‐of‐care testing and found the single appointment more convenient than usual care. Receiving the test result at the appointment helped some people understand how some lifestyle behaviours affected their control of diabetes and motivated them to change behaviours. Receiving an immediate test result reduced the anxiety some people experience when waiting for a result. People thought there was little value in using point‐of‐care testing for their annual review. Clinicians liked the point‐of‐care testing but expressed concerns about costs. CONCLUSIONS: This work suggests that several features of point‐of‐care testing may encourage behavioural change. It helped some people to link their HbA(1c) result to recent lifestyle behaviours, thereby motivating behavioural change and reinforcing healthy lifestyle choices. John Wiley and Sons Inc. 2020-01-08 2020-06 /pmc/articles/PMC7318570/ /pubmed/31876039 http://dx.doi.org/10.1111/dme.14219 Text en © 2019 The Authors. Diabetic Medicine published by John Wiley & Sons Ltd on behalf of Diabetes UK This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Articles Hirst, J. A. Farmer, A. J. Williams, V. How point‐of‐care HbA(1c) testing changes the behaviour of people with diabetes and clinicians – a qualitative study |
title | How point‐of‐care HbA(1c) testing changes the behaviour of people with diabetes and clinicians – a qualitative study |
title_full | How point‐of‐care HbA(1c) testing changes the behaviour of people with diabetes and clinicians – a qualitative study |
title_fullStr | How point‐of‐care HbA(1c) testing changes the behaviour of people with diabetes and clinicians – a qualitative study |
title_full_unstemmed | How point‐of‐care HbA(1c) testing changes the behaviour of people with diabetes and clinicians – a qualitative study |
title_short | How point‐of‐care HbA(1c) testing changes the behaviour of people with diabetes and clinicians – a qualitative study |
title_sort | how point‐of‐care hba(1c) testing changes the behaviour of people with diabetes and clinicians – a qualitative study |
topic | Research Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7318570/ https://www.ncbi.nlm.nih.gov/pubmed/31876039 http://dx.doi.org/10.1111/dme.14219 |
work_keys_str_mv | AT hirstja howpointofcarehba1ctestingchangesthebehaviourofpeoplewithdiabetesandcliniciansaqualitativestudy AT farmeraj howpointofcarehba1ctestingchangesthebehaviourofpeoplewithdiabetesandcliniciansaqualitativestudy AT williamsv howpointofcarehba1ctestingchangesthebehaviourofpeoplewithdiabetesandcliniciansaqualitativestudy |