Multidisciplinary healthcare teams' challenges and strategies in supporting people with type 1 diabetes to recover from disordered eating

N Zaremba; A Watson; C Kan; M Broadley; H Partridge; C Figuereido; D Hopkins; J Treasure; K Ismail; A Harrison; M Stadler

doi:10.1111/dme.14207

Multidisciplinary healthcare teams' challenges and strategies in supporting people with type 1 diabetes to recover from disordered eating

N Zaremba, A Watson, C Kan, M Broadley, H Partridge, C Figuereido, D Hopkins, J Treasure, K Ismail, A Harrison, M Stadler

Research output: Contribution to journal › Article › peer-review

9 Citations (Scopus)

Abstract

Aim

To examine the challenges healthcare teams face when treating people with type 1 diabetes and disordered eating and the strategies these teams have developed to facilitate effective treatment.

Methods

Four semi-structured focus groups were conducted including two tertiary diabetes specialist teams and three tertiary eating disorders specialist teams between July and December 2018. Thematic analysis of the transcripts followed a six-phase process.

Results

Twenty-nine experienced healthcare professionals (16 diabetes and 13 eating disorder specialists, 16±12 years' professional experience) were interviewed. The challenges identified in treating people with type 1 diabetes and disordered eating included subthemes the ‘challenges specific to the healthcare professional’ (feeling not competent enough and perceived emotional burden), ‘challenges pertaining to patient factors’ (e.g. difficulties with engaging in therapy) and ‘challenges created by the healthcare system’ (time pressure and staff shortage). Healthcare professionals expressed the need for a consensus on diagnosis and the definition of disordered eating in type 1 diabetes, as well as the need for training and educational resources specific to type 1 diabetes and disordered eating. Healthcare professionals gave practical examples of strategies of communication for better patient engagement and felt that multidisciplinary working in joint clinics with the other specialty were facilitators for recovery from disordered eating.

Conclusions

Healthcare professionals require multidisciplinary team support when treating people with type 1 diabetes and to improve their own competencies. The development of effective screening and assessment tools, educational resources and training for healthcare professionals, and developing multidisciplinary treatment pathways will be key to improving outcomes for their service users with type 1 diabetes and disordered eating.

Original language	English
Pages (from-to)	1992-2000
Number of pages	9
Journal	Diabetic Medicine
Volume	37
Issue number	12
Early online date	13 Dec 2019
DOIs	https://doi.org/10.1111/dme.14207
Publication status	Published - Dec 2020

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title = "Multidisciplinary healthcare teams' challenges and strategies in supporting people with type 1 diabetes to recover from disordered eating",

abstract = " Aim To examine the challenges healthcare teams face when treating people with type 1 diabetes and disordered eating and the strategies these teams have developed to facilitate effective treatment. Methods Four semi-structured focus groups were conducted including two tertiary diabetes specialist teams and three tertiary eating disorders specialist teams between July and December 2018. Thematic analysis of the transcripts followed a six-phase process. Results Twenty-nine experienced healthcare professionals (16 diabetes and 13 eating disorder specialists, 16±12 years' professional experience) were interviewed. The challenges identified in treating people with type 1 diabetes and disordered eating included subthemes the {\textquoteleft}challenges specific to the healthcare professional{\textquoteright} (feeling not competent enough and perceived emotional burden), {\textquoteleft}challenges pertaining to patient factors{\textquoteright} (e.g. difficulties with engaging in therapy) and {\textquoteleft}challenges created by the healthcare system{\textquoteright} (time pressure and staff shortage). Healthcare professionals expressed the need for a consensus on diagnosis and the definition of disordered eating in type 1 diabetes, as well as the need for training and educational resources specific to type 1 diabetes and disordered eating. Healthcare professionals gave practical examples of strategies of communication for better patient engagement and felt that multidisciplinary working in joint clinics with the other specialty were facilitators for recovery from disordered eating. Conclusions Healthcare professionals require multidisciplinary team support when treating people with type 1 diabetes and to improve their own competencies. The development of effective screening and assessment tools, educational resources and training for healthcare professionals, and developing multidisciplinary treatment pathways will be key to improving outcomes for their service users with type 1 diabetes and disordered eating. ",

author = "N Zaremba and A Watson and C Kan and M Broadley and H Partridge and C Figuereido and D Hopkins and J Treasure and K Ismail and A Harrison and M Stadler",

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AU - Zaremba, N

AU - Watson, A

AU - Kan, C

AU - Broadley, M

AU - Partridge, H

AU - Figuereido, C

AU - Hopkins, D

AU - Treasure, J

AU - Ismail, K

AU - Harrison, A

AU - Stadler, M

PY - 2020/12

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N2 - Aim To examine the challenges healthcare teams face when treating people with type 1 diabetes and disordered eating and the strategies these teams have developed to facilitate effective treatment. Methods Four semi-structured focus groups were conducted including two tertiary diabetes specialist teams and three tertiary eating disorders specialist teams between July and December 2018. Thematic analysis of the transcripts followed a six-phase process. Results Twenty-nine experienced healthcare professionals (16 diabetes and 13 eating disorder specialists, 16±12 years' professional experience) were interviewed. The challenges identified in treating people with type 1 diabetes and disordered eating included subthemes the ‘challenges specific to the healthcare professional’ (feeling not competent enough and perceived emotional burden), ‘challenges pertaining to patient factors’ (e.g. difficulties with engaging in therapy) and ‘challenges created by the healthcare system’ (time pressure and staff shortage). Healthcare professionals expressed the need for a consensus on diagnosis and the definition of disordered eating in type 1 diabetes, as well as the need for training and educational resources specific to type 1 diabetes and disordered eating. Healthcare professionals gave practical examples of strategies of communication for better patient engagement and felt that multidisciplinary working in joint clinics with the other specialty were facilitators for recovery from disordered eating. Conclusions Healthcare professionals require multidisciplinary team support when treating people with type 1 diabetes and to improve their own competencies. The development of effective screening and assessment tools, educational resources and training for healthcare professionals, and developing multidisciplinary treatment pathways will be key to improving outcomes for their service users with type 1 diabetes and disordered eating.

AB - Aim To examine the challenges healthcare teams face when treating people with type 1 diabetes and disordered eating and the strategies these teams have developed to facilitate effective treatment. Methods Four semi-structured focus groups were conducted including two tertiary diabetes specialist teams and three tertiary eating disorders specialist teams between July and December 2018. Thematic analysis of the transcripts followed a six-phase process. Results Twenty-nine experienced healthcare professionals (16 diabetes and 13 eating disorder specialists, 16±12 years' professional experience) were interviewed. The challenges identified in treating people with type 1 diabetes and disordered eating included subthemes the ‘challenges specific to the healthcare professional’ (feeling not competent enough and perceived emotional burden), ‘challenges pertaining to patient factors’ (e.g. difficulties with engaging in therapy) and ‘challenges created by the healthcare system’ (time pressure and staff shortage). Healthcare professionals expressed the need for a consensus on diagnosis and the definition of disordered eating in type 1 diabetes, as well as the need for training and educational resources specific to type 1 diabetes and disordered eating. Healthcare professionals gave practical examples of strategies of communication for better patient engagement and felt that multidisciplinary working in joint clinics with the other specialty were facilitators for recovery from disordered eating. Conclusions Healthcare professionals require multidisciplinary team support when treating people with type 1 diabetes and to improve their own competencies. The development of effective screening and assessment tools, educational resources and training for healthcare professionals, and developing multidisciplinary treatment pathways will be key to improving outcomes for their service users with type 1 diabetes and disordered eating.

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DO - 10.1111/dme.14207

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JO - Diabetic Medicine

JF - Diabetic Medicine

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ER -

Multidisciplinary healthcare teams' challenges and strategies in supporting people with type 1 diabetes to recover from disordered eating

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