Abstract
OBJECTIVE - Patients with diabetes may experience high burden of treatment (BOT), including treatment-related effects and self-care demands. We examined whether patients with type 2 diabetes and their clinicians discuss BOT, the characteristics of their discussions, and their attempts to address BOT during visits. RESEARCH DESIGNANDMETHODS - Two coders independently reviewed videos of 46 primary care visits obtained during a practice-based trial and identified utterances concerning BOT, classifying them by topic and by whether BOT was addressed (i.e., whether statements emerged aimed at alleviating BOT). RESULTS - Of the 46 visits, 43 (93.5%) contained BOT discussions. Both coders identified 83 discussions: 12 involving monitoring, 28 treatment administration, 19 access, and 24 treatment effects. BOT was unambiguously addressed only 30% of the time. CONCLUSIONS - BOT discussions usually arise during visits but rarely beget problem-solving efforts. These discussions representmissed opportunities for reducing treatment-related disruptions in the lives of patients with diabetes, which may affect adherence and well-being.
Original language | English (US) |
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Pages (from-to) | 47-49 |
Number of pages | 3 |
Journal | Diabetes care |
Volume | 35 |
Issue number | 1 |
DOIs | |
State | Published - Jan 2012 |