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