From educator to facilitator: Healthcare professionals' experiences of, and views about, delivering a type 1 diabetes structured education programme (DAFNEplus ) informed by behavioural science.

Autor: Lawton J; Usher Institute, Medical School, University of Edinburgh, Edinburgh, UK., Rankin D; Usher Institute, Medical School, University of Edinburgh, Edinburgh, UK., Scott E; SCHARR, School of Medicine and Population Health, University of Sheffield, Sheffield, UK., Lorencatto F; Centre for Behaviour Change, University College London, London, UK., Gericke C; Centre for Behaviour Change, University College London, London, UK., Heller SR; Department of Diabetes and Endocrinology, Sheffield Teaching Hospitals NHS FT, Sheffield, UK.; Department of Oncology and Metabolism, The University of Sheffield, Sheffield, UK., de Zoysa N; Diabetes Centre, King's College Hospital, London, UK.
Jazyk: angličtina
Zdroj: Diabetic medicine : a journal of the British Diabetic Association [Diabet Med] 2024 Aug; Vol. 41 (8), pp. e15375. Date of Electronic Publication: 2024 Jun 04.
DOI: 10.1111/dme.15375
Abstrakt: Aims: The DAFNEplus programme incorporates behaviour change techniques into a modified educational intervention and was developed to help address the glycaemic drift observed amongst graduates of standard DAFNE programmes. As the programme's success will be contingent on staff buy-in, we explored healthcare professionals' experiences of, and views about, delivering DAFNEplus during a clinical trial to help inform decision making about rollout post-trial.
Methods: We interviewed n = 18 nurses and dieticians who delivered DAFNEplus during the trial. Data were analysed thematically.
Results: While many shared initial reservations, all described how their experiences of DAFNEplus programme delivery had had a positive, transformative impact upon their perceptions and working practices. This transformation was enabled by initial training and supervision sessions, the confidence gained from using scripts to support novel programme content delivery, and experiences of delivering the programme and observing DAFNEplus principles being well received by, and having a positive impact on, attendees. Due to these positive experiences, interviewees described a strongly felt ethical mandate to use some DAFNEplus techniques and curriculum content in routine clinical care. While being supportive of a national rollout, they anticipated a variety of attitudinal and logistical (e.g. workload) challenges.
Conclusions: This study provides a vital dimension to the evaluation of the DAFNEplus programme. Interviewees found the intervention to be acceptable and expressed high levels of buy-in. As well as offering potential endorsement for a national rollout, our findings offer insights which could help inform development and rollout of future behaviour change interventions to support diabetes self-management.
(© 2024 The Author(s). Diabetic Medicine published by John Wiley & Sons Ltd on behalf of Diabetes UK.)
Databáze: MEDLINE
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