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)
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
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)
Citation
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