ArticleBMC family practice2014
Engaging GPs in insulin therapy initiation: a qualitative study evaluating a support program in the Belgian context.
Article in BMC family practice, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00824499 (Development, Implementation and Evaluation of a Complex Regional Intervention for Type 2 Diabetes.), which is not on this map. Cited by 7 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Development, Implementation and Evaluation of a Complex Regional Intervention for Type 2 Diabetes.
Who cites it
7 citing papers in PubMed, 10 citations in OpenAlex.
- Pharmacist-Led Deprescribing of Opioids and Benzodiazepines in Older Adults: Examining Implementation and Perceptions.Pharmacy (Basel, Switzerland) · 2024Article
- Capacity and confidence building for general practitioners on optimum insulin use.Journal of family medicine and primary care · 2019Review
- Intensification to injectable therapy in type 2 diabetes: mixed methods study (protocol).BMC health services research · 2019Article
- Barriers that practitioners face when initiating insulin therapy in general practice settings and how they can be overcome.World journal of diabetes · 2017Article
- A systematic review of experiences of advanced practice nursing in general practice.BMC nursing · 2017Article
- Poor glycemic control as a reason for referral of diabetes patients to specialists in Israel.Journal of community hospital internal medicine perspectives · 2016Article
- Optimizing insulin initiation in primary care: the Diabetes CoStars patient support program.Pragmatic and observational research · 2016Article
Corrections and comments
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Authors and funding
11 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA program supporting the initiation of insulin therapy in primary care was introduced in Belgium, as part of a larger quality improvement project on diabetes care. This paper reports on a study exploring factors influencing the engagement of general practitioners (GPs) in insulin therapy initiation (research question 1) and exploring factors relevant for future program development (research question 2).
methodsWe have used semi-structured interviews to answer the first research question: two focus group interviews with GPs who had at least one patient in the insulin initiation program and 20 one-to-one interviews with GPs who were not regular users of the overall support program in the region. To explore factors relevant for future program development, the data from the GPs were triangulated with data obtained from individual interviews with patients (n = 10), the diabetes nurse educator (DNE) and the specialist involved in the program, and data extracted from meeting reports evaluating the insulin initiation support program.
resultsWe found differences between GPs engaged and those not engaged in insulin initiation in attitude, subjective norm and perceived behavioural control regarding insulin initiation. In general the support program was evaluated in a positive way by users of the program. Some aspects need further consideration: job boundaries between the DNE and GPs, job boundaries between GPs and specialists, protocol adherence and limited case load.
conclusionThe study shows that the transition of insulin initiation from secondary care to the primary care setting is a challenge. Although a support program addressing known barriers to insulin initiation was provided, a substantial number of GPs were reluctant to engage in this aspect of care. Important issues for future program development are: an interdisciplinary approach to job clarification, a dynamic approach to the integration of expertise in primary care and feedback on protocol adherence.
trial registrationClinicalTrials.gov Identifier: NCT00824499.
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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.