Accepted for/Published in: JMIR Formative Research
Date Submitted: Feb 12, 2024
Open Peer Review Period: Feb 13, 2024 - Apr 9, 2024
Date Accepted: Aug 16, 2024
(closed for review but you can still tweet)
A 360° Approach to Personalize Lifestyle Treatment in Primary Care for People with Type 2 Diabetes: A Feasibility Study
ABSTRACT
Background:
Healthcare around type 2 diabetes (T2D) would benefit from a holistic approach and multidisciplinary consultation. Therefore, we developed the web-based 360-degree (360°) diagnostic tool.
Objective:
The 360° diagnostic tool and subsequent tailored treatment (360° approach) were evaluated in a 6-month intervention and feasibility study in standard primary healthcare.
Methods:
A baseline, 3- and 6-months follow-up single group design was used. Fifteen people with T2D and their healthcare providers of two practices participated. The 360° diagnosis included clinical measurements of physical health, and self-reported lifestyle, mental health and socio-economic environmental factors. After multidisciplinary consultation between general practitioner, pharmacist, nurse practitioner and dietician, the two latter professionals provided tailored advice, lifestyle treatment and continuous support.
Results:
Participants with T2D and professionals were positive about the 360° approach. Promoting factors were i. the care, attention, support and experience of professionals, ii. the multidisciplinary team, iii. the social support and iv. experiencing positive health effects. Hindering factors were i. too much information, ii. survey-related issues, and iii. time-consuming counselling. The data showed an increase in mental health, and a decrease in problems with diabetes, perceived stress, fruit intake and fast-food consumption over time.
Conclusions:
Overall, it seems feasible to implement the 360° approach in standard primary healthcare. Also, the 360° approach was favorably evaluated by people with T2D and professionals. Clinical Trial: the Medical Ethics Committee Brabant (NL67846.028.18; at January 8, 2019)
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© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.