ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2004
The prevention of type 2 diabetes: general practitioner and practice nurse opinions.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 3 syntheses or guidelines pooled it, 35 citations in OpenAlex.
- Pooled it
- A narrative systematic review of factors affecting diabetes prevention in primary care settings.PloS one · 2017Pooled it
- To what extent do primary care practice nurses act as case managers lifestyle counselling regarding weight management? A systematic review.BMC family practice · 2014Pooled it
- Facilitators and barriers to implementing lifestyle intervention programme to prevent cognitive decline.European journal of public health · 2021Trial
- Three years follow-up of screen-detected diabetic and non-diabetic subjects: who is better off? The ADDITION Netherlands study.BMC family practice · 2008Trial
- Can type 2 diabetes be prevented in UK general practice? A lifestyle-change feasibility study (ISAIAH).The British journal of general practice : the journal of the Royal College of General Practitioners · 2008Trial
- Article
- Article
- Screening and identifying diabetes in optometric practice: a prospective study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2011Article
- Overview of the importance of glycaemic control for cardiovascular events in the in-and out-patient setting.Reviews in endocrine & metabolic disorders · 2010Review
- Prevalence of self-reported prediabetes among adults participating in a community-based health awareness program, New York State.Preventing chronic disease · 2009Article
- Reducing the rise in type 2 diabetes.The British journal of general practice : the journal of the Royal College of General Practitioners · 2008Article
- Alpha-glucosidase inhibitors in the early treatment of type 2 diabetes.Vascular health and risk management · 2008Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPrimary prevention of type 2 diabetes is now possible with lifestyle or pharmacological interventions in people who are at risk. Primary care would seem to be the legitimate setting for this to take place.
aimTo explore the views of general practitioners and practice nurses about the detection and management of people at risk of developing type 2 diabetes. DESIGN OF STUDY: Qualitative study.
settingOne local health board area in Wales.
methodGeneral practitioners and practice nurses participated in multi-professional focus groups, and opinions of participants were analysed into themes and sub-themes according to focus group content analysis methodology to search for 'markers of text'.
resultsParticipants from 21 practices were involved. Participants' opinions on the detection and management of individuals at risk of developing type 2 diabetes were polarised into those who considered these activities inappropriate for primary care and those who were already engaged in the detection, management and follow-up of these individuals. For the former, existing workload, the questionable role of primary care as a 'screening service', lack of resources, and conflict and concern about increasing specialisation were given as justification. Those already engaged in these activities emphasised their importance but were also concerned with the lack of available resources. Other concerns were the perceived low motivation of patients to modify their lifestyle and the unnecessary medicalisation of the precursor conditions of impaired glucose tolerance and impaired fasting glycaemia. The prevention of type 2 diabetes was seen as largely the responsibility of other agencies such as health promotion and education.
conclusionThe often strongly held views about this topic are at least partly influenced by current pressures on primary care. To make the primary prevention of type 2 diabetes a reality, either practitioners need to be motivated and resourced to carry out preventive strategies or alternative methods must be identified.
Indexed as
Identifiers
15239916PMC1324806W1808580170What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.