Evidence map›Paper›PMID 29449295›Full record

ArticleBMJ open2018

Management of type 2 diabetes mellitus in people with severe mental illness: an online cross-sectional survey of healthcare professionals.

Hayley McBain, Frederique Lamontagne-Godwin, Mark Haddad, Alan Simpson, Jacqui Chapman, Julia Jones, Chris Flood, Kathleen Mulligan

Erratum issuedOpen access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
5.5field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 23 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 3 countries.

Hayley McBainSchool of Health Sciences, University of London, London, UK.
Frederique Lamontagne-GodwinCollege of Nursing, Midwifery and Healthcare, University of West London, London, UK.
Mark HaddadSchool of Health Sciences, University of London, London, UK.
Alan SimpsonSchool of Health Sciences, University of London, London, UK.
Jacqui ChapmanDiabetes Specialist Nursing Service, East London NHS Foundation Trust, London.
Julia JonesCentre for Research in Primary and Community Care (CRIPACC), University of Hertfordshire, Hatfield, UK.
Chris FloodSchool of Health Sciences, University of London, London, UK.
Kathleen MulliganSchool of Health Sciences, University of London, London, UK.
University of London · GBDiabetes Australia · AUUniversity of Hertfordshire · GBUniversity of West London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo establish healthcare professionals' (HCPs) views about clinical roles, and the barriers and enablers to delivery of diabetes care for people with severe mental illness (SMI).

designCross-sectional, postal and online survey.

settingTrusts within the National Health Service, mental health and diabetes charities, and professional bodies.

participantsHCPs who care for people with type 2 diabetes mellitus (T2DM) and/or SMI in the UK. PRIMARY AND SECONDARY OUTCOME MEASURES: The barriers, enablers and experiences of delivering T2DM care for people with SMI, informed by the Theoretical Domains Framework.

resultsRespondents were 273 HCPs, primarily mental health nurses (33.7%) and psychiatrists (32.2%). Only 25% of respondents had received training in managing T2DM in people with SMI. Univariate analysis found that mental health professionals felt responsible for significantly fewer recommended diabetes care standards than physical health professionals (P<0.001). For those seeing diabetes care as part of their role, the significant barriers to its delivery in the multiple regression analyses were a lack of knowledge (P=0.003); a need for training in communication and negotiation skills (P=0.04); a lack of optimism about the health of their clients (P=0.04) and their ability to manage T2DM in people with SMI (P=0.003); the threat of being disciplined (P=0.02); fear of working with people with a mental health condition (P=0.01); a lack of service user engagement (P=0.006); and a need for incentives (P=0.04). The significant enablers were an understanding of the need to tailor treatments (P=0.04) and goals (P=0.02) for people with SMI.

conclusionsThis survey indicates that despite current guidelines, diabetes care in mental health settings remains peripheral. Even when diabetes care is perceived as part of an HCP's role, various individual and organisational barriers to delivering recommended T2DM care standards to people with SMI are experienced.

Indexed as

Attitude of Health PersonnelPatient CareProfessional RolePsychiatric NursingPsychiatryAdultClinical CompetenceCommunicationCross-Sectional StudiesDelivery of Health CareDiabetes Mellitus, Type 2FearFemaleHealth Care SurveysHealth Services Needs and DemandHumansGeneral DiabetesMental HealthQuality In Health Care

Identifiers

PMID29449295
PMCPMC5829882
OpenAlexW2785150643

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.