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Kwan BM, Jortberg B, Warman MK, et al. Stakeholder engagement in diabetes self-management: patient preference for peer support and other insights. Fam Pract. 2017;34(3):358-363doi: 10.1093/fampra/cmw127.
Kwan, B. M., Jortberg, B., Warman, M. K., Kane, I., Wearner, R., Koren, R., Carrigan, T., Martinez, V., & Nease, D. E. (2017). Stakeholder engagement in diabetes self-management: patient preference for peer support and other insights. Family practice, 34(3), 358-363. https://doi.org/10.1093/fampra/cmw127
Kwan, Bethany M, et al. "Stakeholder engagement in diabetes self-management: patient preference for peer support and other insights." Family practice vol. 34,3 (2017): 358-363. doi: https://doi.org/10.1093/fampra/cmw127
Kwan BM, Jortberg B, Warman MK, Kane I, Wearner R, Koren R, Carrigan T, Martinez V, Nease DE. Stakeholder engagement in diabetes self-management: patient preference for peer support and other insights. Fam Pract. 2017 Jun 01;34(3):358-363. doi: 10.1093/fampra/cmw127. PMID: 28043961.
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Fam Pract. 2017 Jun 01;34(3):358-363. doi: 10.1093/fampra/cmw127.

Stakeholder engagement in diabetes self-management: patient preference for peer support and other insights.

Family practice

Bethany M Kwan, Bonnie Jortberg, Meredith K Warman, Ilima Kane, Robyn Wearner, Romona Koren, Thomas Carrigan, Vincent Martinez, Donald E Nease

Affiliations

  1. Department of Family Medicine, University of Colorado School of Medicine, Aurora, CO, USA.
  2. Colorado Foundation for Public Health and the Environment, Denver, CO, USA and.
  3. Diabetes Empowerment Group, Denver, CO, USA.

PMID: 28043961 DOI: 10.1093/fampra/cmw127

Abstract

BACKGROUND: Self-management support (SMS) for patients with diabetes can improve adherence to treatment, mitigate disease-related distress, and improve health outcomes. Translating this evidence into real-world practice is needed, as it is not clear which SMS models are acceptable to patients, and feasible and sustainable for primary care practices.

OBJECTIVE: To use the Boot Camp Translation (BCT) method to engage patient, practice, community resource and research stakeholders in translation of evidence about SMS and diabetes distress into mutually acceptable care models and to inform patient-centred outcomes research (PCOR).

PARTICIPANTS: Twenty-seven diabetes care stakeholders, including patients and providers from a local network of federally qualified health centres participated.

METHODS: Stakeholders met in-person and by conference call over the course of 8 months. Subject matter experts provided education on the diabetes SMS evidence. Facilitators engaged the group in discussions about barriers to self-management and opportunities for improving delivery of SMS.

KEY RESULTS: BCT participants identified lack of social support, personal resources, trust, knowledge and confidence as barriers to diabetes self-management. Intervention opportunities emphasized peer support, use of multidisciplinary care teams and centralized systems for sharing information about community and practice resources. BCT informed new services and a PCOR study proposal.

CONCLUSIONS: Patients and family engaged in diabetes care research value peer support, group visits, and multidisciplinary care teams as key features of SMS models. SMS should be tailored to an individual patient's health literacy. BCT can be used to engage multiple stakeholders in translation of evidence into practice and to inform PCOR.

© The Author 2017. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: [email protected].

Keywords: Community resources; diabetes; peer support; self-management support; stakeholder engagement.

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