Related Experiment Videos

Supporting professionals to talk about remission with people with type 2 diabetes: Using multi-methods to develop a

Jack B Joyce¹, Carolyn Newbert², Nicola Guess¹

¹Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.

|October 7, 2026

Abstract

Objective:

People living with type two diabetes can achieve remission through weight loss, and services are available to support this. Our aim was to develop an evidence-informed resource supporting professionals to communicate about remission with diverse people with type 2 diabetes.

Methods:

We followed a multi-method, four phase approach: (1) evidence review, identifying empirically based communication practices (2) patient and professional interviews, understanding priorities that could facilitate positive conversations about remission (3) triangulation and resource creation, and (4) resource review, including testing with our multidisciplinary team and remission coaches, and final iteration. People with lived experience were involved throughout and we included participants from diverse backgrounds to support relevance and acceptability.

Results:

The evidence review found framing advice positively and delicately, maximising patient involvement, methods motivating referral uptake were effective. Interviews found staff and patients valued: asking rather than telling, gently introducing remission, understanding an individual's perceptions of success. Triangulating patient and professional responses revealed results were largely complementary, foregrounding what and how discussions about remission could transpire. The multidisciplinary team provided additional information for inclusion. Training was delivered in 2023-2024 to diabetes remission service providers and was integrated into Diabetes UK resources.

Conclusions:

Grounded in communication evidence, this resource supports professionals to discuss remission with diverse people with type 2 diabetes. As diabetes remission services expand, this resource needs testing to determine its impact on patient engagement in remission services.

Innovation:

A multi-method approach informed the development of a communication resource to support effective, inclusive conversations about diabetes remission.

Keywords:

Communication Participant diversity Participatory research Type 2 diabetes remission Weight loss

Related Concept Videos

Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing

Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing

Focusing involves centering a conversation on a message's critical elements or concepts. Focusing is valuable if the talk is vague or patients begin to repeat themselves. Sometimes, when patients are asked about their symptoms, they may go off-topic and try to tell their entire life story. Respectfully, the nurse should bring the conversation back into focus.
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...

Role of Communication in the Nursing Process II: Planning and Implementation

Role of Communication in the Nursing Process II: Planning and Implementation

Several factors are considered while creating a patient's care plan. Motivation is a factor in improving communication, and patients often require encouragement to try different approaches involving significant change. It is essential to involve the patient and family in decisions about the plan of care to determine whether the suggested methods are acceptable. Consider meeting critical comfort and safety needs before introducing new communication methods and techniques. Allow adequate time for...

Modeling in Therapy

Modeling in Therapy

Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in situations...

Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch

Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch

The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...

Treatment Strategies for Psychological Disorders

Treatment Strategies for Psychological Disorders

Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...

Role of Communication in the Nursing Process I: Assessment and Diagnosis

Role of Communication in the Nursing Process I: Assessment and Diagnosis

The nursing process uses scientific reasoning, problem-solving, and critical thinking to guide nurses in providing patients with appropriate care. This process is a systematic approach to recognize, avoid, and treat current or potential health issues while promoting the patient's well-being.
The nursing process considers the patient's emotional and physical well-being. The process can be repeated or stopped at any point if judged essential. Assessment is the first step in the nursing process.

Articles linked to this work by shared authors, journal, and citation graph.

Metabolic advantages of a high-protein, low-carbohydrate diet in in patients with metabolically unhealthy obesity.

Cell metabolism·2026

Implementation of an Early Exposure Program for College Students as a Strategy to Increase the Medical Imaging Workforce.

Academic radiology·2026

What works, for whom, and under what circumstances for recipients of training in opportunistic behaviour change conversations: A mixed methods realist evaluation protocol.

PloS one·2026

Volumetric bone marrow cellularity (VBMC) assessment from routinely processed trephines using three-dimensional x-ray histology and gaussian peak modelling.

Physics in medicine and biology·2026

Chronic disease prevention in deprived communities: a qualitative study with community pharmacists.

BJGP open·2026

Co-Producing Equitable Perinatal Mental Health Care: Facilitators and Barriers to Access Among Underserved Women in the PRAMS Study.

Health expectations : an international journal of public participation in health care and health policy·2026

See all related articles