RT Journal Article
SR Electronic
T1 Successful Health Care Provider Strategies to Overcome Psychological Insulin Resistance in United States and Canada
JF The Journal of the American Board of Family
                Medicine
JO J Am Board Fam Med
FD American Board of Family Medicine
SP 198
OP 210
DO 10.3122/jabfm.2020.02.190157
VO 33
IS 2
A1 Tricia Tang
A1 Danielle Hessler
A1 William H. Polonsky
A1 Lawrence Fisher
A1 Beverly Reed
A1 Tanya Irani
A1 Urvi Desai
A1 Magaly Perez-Nieves
YR 2020
UL http://www.jabfm.org/content/33/2/198.abstract
AB Purpose: To identify specific actions and characteristics of health care providers (HCPs) in the United States and Canada that influenced patients with type 2 diabetes who were initially reluctant to begin insulin.Methods: Patients from the United States (n = 120) and Canada (n = 74) were recruited via registry, announcements, and physician referrals to complete a 30-minute online survey based on interviews with patients and providers regarding specific HCP actions that contributed to the decision to begin insulin.Results: The most helpful HCP actions were patient-centered approaches to improve patients’ understanding of the injection process (ie, “My HCP walked me through the whole process of exactly how to take insulin” [helped moderately or a lot, United States: 79%; Canada: 83%]) and alleviate concerns (“My HCP encouraged me to contact his/her office immediately if I ran into any problems or had questions after starting insulin” [United States: 76%; Canada: 82%]). Actions that were the least helpful included referrals to other sources (ie, “HCP referred patient to a class to help learn more about insulin” [United States: 40%; Canada: 58%]).Conclusions: The study provides valuable insight that HCPs can use to help patients overcome psychological insulin resistance, which is a critical step in the design of effective intervention protocols.