Table 3.

Possible Reasons for Behavior Change Following Participation in Practice-based Research Network (PBRN) Study: Supporting Clinician Comments in Qualitative Data

ReasonsExplanatory Comments by Clinicians
Increase in clinician knowledge about AN“The AN training module was useful, and the prompting to check for AN has provided a good opening for talking to patients at risk for diabetes.”
“(Participation in the project) increased my knowledge and gave me some specific tools to identify prediabetes and to use to begin talking to/counseling patients.”
AN as a feasible tool to assist counseling“I think it's such an easy thing to do that I probably look for AN in almost everybody. You know, just when you're listening to their lungs, you just flip up their hair and look quickly.”
“I think it's enhanced my clinical skills. And it's also a really good segue into counseling people on their risk for diabetes and to help them modify their lifestyle and their risk factors.”
Change in patient receptivity/motivation for counseling“When people found that they had a skin change that you could identify as a risk.. they were very keen to that. It was like you had a flag that was being held up and people would say, ‘Oh, wow'.”
Context of the clinical encounter“I now look for it more regularly, particularly in people who have other risk factors for diabetes. And then I use that in the context of my counseling, ‘Look, you already have some signs of insulin resistance.' So, it actually enhances my ability, I think, to motivate them to change their behavior.”
  • AN, Acanthosis Nigricans.