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Implementation of recommended type 2 diabetes care for people with severe mental illness - a qualitative exploration with healthcare professionals. / McBain, Hayley; Mulligan, Kathleen; Lamontagne-Godwin, Frederique; Jones, Julia; Haddad, Mark; Flood, Chris; Thomas, David; Simpson, Alan.

In: BMC Psychiatry, Vol. 16, No. 1, 08.07.2016, p. 222-235.

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McBain, Hayley ; Mulligan, Kathleen ; Lamontagne-Godwin, Frederique ; Jones, Julia ; Haddad, Mark ; Flood, Chris ; Thomas, David ; Simpson, Alan. / Implementation of recommended type 2 diabetes care for people with severe mental illness - a qualitative exploration with healthcare professionals. In: BMC Psychiatry. 2016 ; Vol. 16, No. 1. pp. 222-235.

Bibtex

@article{412ff178132e4ec9a57acdee25f744d6,
title = "Implementation of recommended type 2 diabetes care for people with severe mental illness - a qualitative exploration with healthcare professionals",
abstract = "Background: The purpose of this study was to explore the barriers and facilitators healthcare professionals experience when managing type 2 diabetes in people with severe mental illness (SMI). Methods: A qualitative semi-structured interview approach was employed. Questions were structured according to the Theoretical Domains Framework (TDF), which outlines 14 domains that can act as barriers and facilitators to changing behaviour. Interviews were audio-recorded and transcribed verbatim. The data were coded according to the 14 domains of the TDF, belief statements were created within each domain and the most relevant belief statements within each domain identified through a consensus approach. Analyses were conducted by two researchers, and discrepancies agreed with a third researcher. Results: Sixteen healthcare professionals, from a range of services, involved in the care of people with type 2 diabetes and SMI took part in an interview. Inter-rater reliability for each of the domains varied (25 %-74 %). All fourteen domains were deemed relevant, with 42 specific beliefs identified as important to the target behaviour. Participants identified having relevant knowledge and skills for diabetes management, prioritising this area of health, and reviewing health behaviours to develop action plans, as particularly important. At an organisational level, integrated care provision and shared information technology (IT) services between mental health and physical services, and clearly defined roles and responsibilities for the different professions, with designated time to undertake the work were identified as crucial. Conclusions: The findings highlight that healthcare professionals' experience a range of barriers and enablers when attempting to manage type 2 diabetes in people with SMI. These include organisational factors and individual beliefs, suggesting that interventions need to be targeted at both an organisation and individual level in order to change behaviour. Further work is needed to model these relationships in a larger sample of participants in line with the MRC guidance for developing complex interventions.",
keywords = "Barriers, Comorbidity, Facilitators, Health behaviours, Qualitative, Severe mental illness, Theoretical domains framework, Type 2 diabetes",
author = "Hayley McBain and Kathleen Mulligan and Frederique Lamontagne-Godwin and Julia Jones and Mark Haddad and Chris Flood and David Thomas and Alan Simpson",
note = "{\textcopyright} The Author(s). 2016. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited. ",
year = "2016",
month = jul,
day = "8",
doi = "10.1186/s12888-016-0942-2",
language = "English",
volume = "16",
pages = "222--235",
journal = "BMC Psychiatry",
issn = "1471-244X",
publisher = "BioMed Central",
number = "1",

}

RIS

TY - JOUR

T1 - Implementation of recommended type 2 diabetes care for people with severe mental illness - a qualitative exploration with healthcare professionals

AU - McBain, Hayley

AU - Mulligan, Kathleen

AU - Lamontagne-Godwin, Frederique

AU - Jones, Julia

AU - Haddad, Mark

AU - Flood, Chris

AU - Thomas, David

AU - Simpson, Alan

N1 - © The Author(s). 2016. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.

PY - 2016/7/8

Y1 - 2016/7/8

N2 - Background: The purpose of this study was to explore the barriers and facilitators healthcare professionals experience when managing type 2 diabetes in people with severe mental illness (SMI). Methods: A qualitative semi-structured interview approach was employed. Questions were structured according to the Theoretical Domains Framework (TDF), which outlines 14 domains that can act as barriers and facilitators to changing behaviour. Interviews were audio-recorded and transcribed verbatim. The data were coded according to the 14 domains of the TDF, belief statements were created within each domain and the most relevant belief statements within each domain identified through a consensus approach. Analyses were conducted by two researchers, and discrepancies agreed with a third researcher. Results: Sixteen healthcare professionals, from a range of services, involved in the care of people with type 2 diabetes and SMI took part in an interview. Inter-rater reliability for each of the domains varied (25 %-74 %). All fourteen domains were deemed relevant, with 42 specific beliefs identified as important to the target behaviour. Participants identified having relevant knowledge and skills for diabetes management, prioritising this area of health, and reviewing health behaviours to develop action plans, as particularly important. At an organisational level, integrated care provision and shared information technology (IT) services between mental health and physical services, and clearly defined roles and responsibilities for the different professions, with designated time to undertake the work were identified as crucial. Conclusions: The findings highlight that healthcare professionals' experience a range of barriers and enablers when attempting to manage type 2 diabetes in people with SMI. These include organisational factors and individual beliefs, suggesting that interventions need to be targeted at both an organisation and individual level in order to change behaviour. Further work is needed to model these relationships in a larger sample of participants in line with the MRC guidance for developing complex interventions.

AB - Background: The purpose of this study was to explore the barriers and facilitators healthcare professionals experience when managing type 2 diabetes in people with severe mental illness (SMI). Methods: A qualitative semi-structured interview approach was employed. Questions were structured according to the Theoretical Domains Framework (TDF), which outlines 14 domains that can act as barriers and facilitators to changing behaviour. Interviews were audio-recorded and transcribed verbatim. The data were coded according to the 14 domains of the TDF, belief statements were created within each domain and the most relevant belief statements within each domain identified through a consensus approach. Analyses were conducted by two researchers, and discrepancies agreed with a third researcher. Results: Sixteen healthcare professionals, from a range of services, involved in the care of people with type 2 diabetes and SMI took part in an interview. Inter-rater reliability for each of the domains varied (25 %-74 %). All fourteen domains were deemed relevant, with 42 specific beliefs identified as important to the target behaviour. Participants identified having relevant knowledge and skills for diabetes management, prioritising this area of health, and reviewing health behaviours to develop action plans, as particularly important. At an organisational level, integrated care provision and shared information technology (IT) services between mental health and physical services, and clearly defined roles and responsibilities for the different professions, with designated time to undertake the work were identified as crucial. Conclusions: The findings highlight that healthcare professionals' experience a range of barriers and enablers when attempting to manage type 2 diabetes in people with SMI. These include organisational factors and individual beliefs, suggesting that interventions need to be targeted at both an organisation and individual level in order to change behaviour. Further work is needed to model these relationships in a larger sample of participants in line with the MRC guidance for developing complex interventions.

KW - Barriers

KW - Comorbidity

KW - Facilitators

KW - Health behaviours

KW - Qualitative

KW - Severe mental illness

KW - Theoretical domains framework

KW - Type 2 diabetes

UR - http://www.scopus.com/inward/record.url?scp=84979670917&partnerID=8YFLogxK

U2 - 10.1186/s12888-016-0942-2

DO - 10.1186/s12888-016-0942-2

M3 - Article

AN - SCOPUS:84979670917

VL - 16

SP - 222

EP - 235

JO - BMC Psychiatry

JF - BMC Psychiatry

SN - 1471-244X

IS - 1

ER -