TY - JOUR
T1 - Diagnosis of type 2 diabetes
T2 - A qualitative analysis of patients' emotional reactions and views about information provision
AU - Peel, Elizabeth
AU - Parry, Odette
AU - Douglas, Margaret
AU - Lawton, Julia
N1 - Funding Information:
The study described in this paper is funded by the Scottish Executive Health Department (SEHD). The Research Unit in Health, Behaviour and Change is funded by SEHD and the Health Education Board for Scotland (HEBS). The opinions expressed in this paper are those of the authors, not of the funding bodies. The authors would like to thank the health care professionals who assisted with recruitment and the interviewees, without whom this research would not have been possible. Thanks to Margaret McPhee for transcribing the interviews, and to Steve Platt for commenting on an earlier draft.
PY - 2004/5/13
Y1 - 2004/5/13
N2 - Research about diagnosis of chronic illness indicates this is an emotional time for patients. Information provision is especially salient for diabetes management. Yet current orthodoxy suggests that too much information at the time of diagnosis is unhelpful for patients. In this study, we used in-depth interviews with 40 newly diagnosed type 2 diabetic (T2DM) patients in Scotland, to explore their emotional reactions about diagnosis, and their views about information provision at the time of diagnosis. Data were analysed using a thematic approach. Our results showed three main 'routes' to diagnosis: 'suspected diabetes' route; 'illness' route; and 'routine' route. Those within the 'routine' route described the most varied emotional reactions to their diagnosis. We found that most patients, irrespective of their route to diagnosis, wanted more information about diabetes management at the time of diagnosis. We suggest that practitioners would benefit from being sensitive to the route patients follow to diagnosis, and prompt, simple but detailed advice about T2DM management would be helpful for newly diagnosed patients.
AB - Research about diagnosis of chronic illness indicates this is an emotional time for patients. Information provision is especially salient for diabetes management. Yet current orthodoxy suggests that too much information at the time of diagnosis is unhelpful for patients. In this study, we used in-depth interviews with 40 newly diagnosed type 2 diabetic (T2DM) patients in Scotland, to explore their emotional reactions about diagnosis, and their views about information provision at the time of diagnosis. Data were analysed using a thematic approach. Our results showed three main 'routes' to diagnosis: 'suspected diabetes' route; 'illness' route; and 'routine' route. Those within the 'routine' route described the most varied emotional reactions to their diagnosis. We found that most patients, irrespective of their route to diagnosis, wanted more information about diabetes management at the time of diagnosis. We suggest that practitioners would benefit from being sensitive to the route patients follow to diagnosis, and prompt, simple but detailed advice about T2DM management would be helpful for newly diagnosed patients.
KW - Diagnosis
KW - Emotion
KW - General practitioner
KW - Information
KW - Primary care
KW - Type 2 diabetes
UR - http://www.scopus.com/inward/record.url?scp=2942622453&partnerID=8YFLogxK
U2 - 10.1016/j.pec.2003.07.010
DO - 10.1016/j.pec.2003.07.010
M3 - Article
C2 - 15186863
AN - SCOPUS:2942622453
SN - 0738-3991
VL - 53
SP - 269
EP - 275
JO - Patient Education and Counseling
JF - Patient Education and Counseling
IS - 3
ER -