Header image for Vitalis 2024

It’s about addressing Confidence, Satisfaction, Emotions, and Knowledge – Person-centeredness in Diabetes Care Passed

Wednesday May 15, 2024 14:30 - 15:13 Poster Arena

Presenter: Ann-Kristin Porth

Track: Posters, Integrated Practice Development

Poster can be found in location 132.

Introduction: Current diabetes practice guidelines advocate for person-centered care, including individualized treatment, and strength-based communication, with the aim of supporting improved quality of care and better outcomes. However, implementation in routine care is challenged by tensions with established workflows, limited resources and time, as well as uncertainties around the concept of person-centeredness. We sought to explore what makes diabetes management person-centered according to people with diabetes and healthcare providers to develop a practice-oriented definition of person-centeredness that can be easily implemented. Methods: We conducted focus groups with people with diabetes and healthcare providers. Participants were recruited through purposive snowball sampling and interviews were conducted using a semi-structured interview guide. We used codebook thematic analysis. Initial coding was guided by a common definition of person-centeredness, i.e., a focus on individual wishes, needs and barriers to a meaningful life, as well as diabetes-relevant PRO categories from the literature. Codes were organized into overarching themes and subthemes based on shared statements or meanings. Results: We identified six main themes relating to emotions and actions associated with living with and/or managing diabetes. They illustrate how people with diabetes and healthcare providers imagine person-centered care, reflecting the issues that need to be addressed during consultations: “Being able to cope in daily life”, “Not feeling restricted and receiving support”, “Having a healthy body”, “Experiencing and managing emotions”, “Feeling well and having a good quality of life”, and “Being knowledgeable about diabetes”.  Conclusion: Based on our interviews, we formulated six strategies for achieving person-centered diabetes care: considering patients’ coping abilities and self-management; recording symptoms and treatment satisfaction; monitoring physical health and diabetes status, emotional well-being, and key drivers of quality of life; and being aware of individual diabetes literacy. Following these strategies can support practitioners in implementing person-centeredness and helping people with diabetes achieve meaningful health outcomes.  

Language

English

Seminar type

Poster

Conference

GCPCC

Authors

Ann-Kristin Porth, Yuki Seidler, Tanja Stamm, Alexandra Kautzky-Willer

Lecturers

Ann-Kristin Porth Presenter

Medical University Vienna