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Formative research to develop diabetes self-management education and support (DSMES) program for adults with Type 1
Lovely Gupta1, Priti Rishi Lal1, Yashdeep Gupta2
1Department of Food and Nutrition, Lady Irwin College, University of Delhi, New Delhi, India.
This study explored diabetes self-management education and support (DSMES) for South Asian adults with type 1 diabetes mellitus (T1DM). Findings reveal gaps in current programs, informing the development of a new intervention package.
Area of Science:
- Endocrinology
- Public Health
- Diabetes Management
Background:
- Limited data exists on the effectiveness of diabetes self-management education and support (DSMES) programs for South Asian adults with type 1 diabetes mellitus (T1DM).
- Formative research is crucial for understanding existing practices and planning targeted interventions.
Purpose of the Study:
- To explore current practices of DSMES for South Asian adults with T1DM.
- To gather essential data for designing an effective intervention program tailored to this population.
Main Methods:
- Conducted 28 in-depth semi-structured interviews with healthcare professionals (endocrinologists, dietitians, diabetes educators) and adults with T1DM.
- Utilized thematic analysis with inductive and deductive approaches.
- Applied FUSED and COM-B models for intervention development and refinement.
Main Results:
- Identified deficiencies in structured diabetes self-management program implementation due to patient and healthcare system factors.
- Found that while nutritional counseling was provided, carbohydrate counting was not routinely practiced.
- Interviews highlighted gaps in usual care and informed the development of intervention themes.
Conclusions:
- This research provides comprehensive insights into existing practices for T1DM care among healthcare professionals.
- The findings are instrumental in developing a scientifically sound DSMES program for South Asian adults with T1DM.
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