Overcoming the struggle of living with type 2 diabetes – diabetes specialist nurses’ and patients’ perspectives on digital interventions
Open accessAbstract
Background: Diabetes self-management education and support (DSMES) is a cornerstone in the treatment of type 2 diabetes mellitus (T2DM). It is unclear whether delivering DSMES as a digital health intervention (DHI) might meet the needs experienced by patients with T2DM and diabetes specialist nurses (DSN) of the primary health care system in Sweden. Methods: Fourteen patients with T2DM and four DSN participated in three separate focus groups: two groups comprised patients and one group comprised DSN. The patients discussed the questions: “What needs did you experience after your T2DM diagnosis?” and “How might these needs be met with a DHI?” The DSN discussed the questions: “What needs do you experience when treating a patient with newly diagnosed T2DM?” and “How might these needs be met with a DHI?”. Furthermore, data were collected in the form of field notes from group discussions at a meeting including 18 DSNs working with T2DM in PHCCs. The discussions from focus groups were transcribed verbatim and analyzed together with the field notes from the meeting using inductive content analysis. Results: The analysis yielded the overall theme: “Overcoming the struggle of living with T2DM”, which was summarized in two categories: “learning and being prepared” and “giving and receiving support”. Important findings were that, for success, a DHI for DSMES must be integrated into routine care, provide structured, high-quality information, suggest tasks to stimulate behavioral changes, and provide feedback from the DSN to the patient. Conclusion: This study highlighted several important aspects, from the perspectives of both the patient with T2DM and the DSN, which should be taken into consideration for the successful development and use of a DHI for DSMES.
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The unmet need in T2DM care can be alleviated by wider use of digital technologies designed to help patients with lifestyle and health-related decisions by making accessible critical data and on-demand consultations.
“This unmet need can be alleviated by a wider use of digital technologies designed to help patients with their lifestyle and health-related decisions by making accessible critical data and on-demand consultations [5].”
From Digital Interventions for Self-Management of Type 2 Diabetes Mellitus: Systematic Literature Review and Meta-Analysis (2024) · cites this paper as [5]
The Results (pp. not provided) describe a digital intervention offering reliable diabetes and lifestyle information when patients need it, along with access to nurse feedback. They propose asynchronous chat for questions between visits, but nurses would respond when their schedules allow; the paper does not support on-demand consultations. (LLM, conf=0.84)
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“This unmet need can be alleviated by a wider use of digital technologies designed to help patients with their lifestyle and health-related decisions by making accessible critical data and on-demand consultations [5].”
- Authors
- Jarl, F., Davelid, A., Hedin, K., Stomby, A., & Petersson, C.
- Affiliations
- Linköping University (SE)
- Region Jönköpings län (SE)
- Corresponding author
- Jarl, Frida
- Venue
- BMC Health Services Research
- Published
- 2023-03-30
- Volume
- 23
- Issue
- 1
- Pages
- 313-313
- ISSN
- 1472-6963 (ISSN-L)
- PMC
- PMC10064570
- OpenAlex
- W4362506317
- Cited by
- 3
- References
- 35
- Citations by year
- 2026: 2 · 2024: 1
- FWCI
- 0.62
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- BMC Health Services Research (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DiVA (Linkoping University) (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Diabetesförbundet
- Futurum - Akademin för Hälsa och Vård, Region Jönköpings läns
- Forskningsrådet i Sydöstra Sverige
- Linköping University
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Keywords
- type 2 diabetes, diabetes self-management education and support, digital health interventions, diabetes specialist nurses, patient perspectives, nurses' perceptions, newly diagnosed diabetes, behavior change, patient support, primary care
- MeSH terms
- Delivery of Health Care, Diabetes Mellitus, Type 2, Humans, Nurses, Health Behavior, Focus Groups
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