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Barriers to Insulin Initiation
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| Zeitschriftentitel: | Diabetes Care |
|---|---|
| Personen und Körperschaften: | , , , , , , , |
| In: | Diabetes Care, 33, 2010, 4, S. 733-735 |
| Format: | E-Article |
| Sprache: | Englisch |
| veröffentlicht: |
American Diabetes Association
|
| Schlagwörter: |
| author_facet |
Karter, Andrew J. Subramanian, Usha Saha, Chandan Crosson, Jesse C. Parker, Melissa M. Swain, Bix E. Moffet, Howard H. Marrero, David G. Karter, Andrew J. Subramanian, Usha Saha, Chandan Crosson, Jesse C. Parker, Melissa M. Swain, Bix E. Moffet, Howard H. Marrero, David G. |
|---|---|
| author |
Karter, Andrew J. Subramanian, Usha Saha, Chandan Crosson, Jesse C. Parker, Melissa M. Swain, Bix E. Moffet, Howard H. Marrero, David G. |
| spellingShingle |
Karter, Andrew J. Subramanian, Usha Saha, Chandan Crosson, Jesse C. Parker, Melissa M. Swain, Bix E. Moffet, Howard H. Marrero, David G. Diabetes Care Barriers to Insulin Initiation Advanced and Specialized Nursing Endocrinology, Diabetes and Metabolism Internal Medicine |
| author_sort |
karter, andrew j. |
| spelling |
Karter, Andrew J. Subramanian, Usha Saha, Chandan Crosson, Jesse C. Parker, Melissa M. Swain, Bix E. Moffet, Howard H. Marrero, David G. 0149-5992 1935-5548 American Diabetes Association Advanced and Specialized Nursing Endocrinology, Diabetes and Metabolism Internal Medicine http://dx.doi.org/10.2337/dc09-1184 <jats:sec> <jats:title>OBJECTIVE</jats:title> <jats:p>Reasons for failing to initiate prescribed insulin (primary nonadherence) are poorly understood. We investigated barriers to insulin initiation following a new prescription.</jats:p> </jats:sec> <jats:sec> <jats:title>RESEARCH DESIGN AND METHODS</jats:title> <jats:p>We surveyed insulin-naïve patients with poorly controlled type 2 diabetes, already treated with two or more oral agents who were recently prescribed insulin. We compared responses for respondents prescribed, but never initiating, insulin (n = 69) with those dispensed insulin (n = 100).</jats:p> </jats:sec> <jats:sec> <jats:title>RESULTS</jats:title> <jats:p>Subjects failing to initiate prescribed insulin commonly reported misconceptions regarding insulin risk (35% believed that insulin causes blindness, renal failure, amputations, heart attacks, strokes, or early death), plans to instead work harder on behavioral goals, sense of personal failure, low self-efficacy, injection phobia, hypoglycemia concerns, negative impact on social life and job, inadequate health literacy, health care provider inadequately explaining risks/benefits, and limited insulin self-management training.</jats:p> </jats:sec> <jats:sec> <jats:title>CONCLUSIONS</jats:title> <jats:p>Primary adherence for insulin may be improved through better provider communication regarding risks, shared decision making, and insulin self-management training.</jats:p> </jats:sec> Barriers to Insulin Initiation Diabetes Care |
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American Diabetes Association, 2010 |
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American Diabetes Association, 2010 |
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Diabetes Care |
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Barriers to Insulin Initiation |
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Barriers to Insulin Initiation |
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Barriers to Insulin Initiation |
| title_fullStr |
Barriers to Insulin Initiation |
| title_full_unstemmed |
Barriers to Insulin Initiation |
| title_short |
Barriers to Insulin Initiation |
| title_sort |
barriers to insulin initiation |
| topic |
Advanced and Specialized Nursing Endocrinology, Diabetes and Metabolism Internal Medicine |
| url |
http://dx.doi.org/10.2337/dc09-1184 |
| publishDate |
2010 |
| physical |
733-735 |
| description |
<jats:sec>
<jats:title>OBJECTIVE</jats:title>
<jats:p>Reasons for failing to initiate prescribed insulin (primary nonadherence) are poorly understood. We investigated barriers to insulin initiation following a new prescription.</jats:p>
</jats:sec>
<jats:sec>
<jats:title>RESEARCH DESIGN AND METHODS</jats:title>
<jats:p>We surveyed insulin-naïve patients with poorly controlled type 2 diabetes, already treated with two or more oral agents who were recently prescribed insulin. We compared responses for respondents prescribed, but never initiating, insulin (n = 69) with those dispensed insulin (n = 100).</jats:p>
</jats:sec>
<jats:sec>
<jats:title>RESULTS</jats:title>
<jats:p>Subjects failing to initiate prescribed insulin commonly reported misconceptions regarding insulin risk (35% believed that insulin causes blindness, renal failure, amputations, heart attacks, strokes, or early death), plans to instead work harder on behavioral goals, sense of personal failure, low self-efficacy, injection phobia, hypoglycemia concerns, negative impact on social life and job, inadequate health literacy, health care provider inadequately explaining risks/benefits, and limited insulin self-management training.</jats:p>
</jats:sec>
<jats:sec>
<jats:title>CONCLUSIONS</jats:title>
<jats:p>Primary adherence for insulin may be improved through better provider communication regarding risks, shared decision making, and insulin self-management training.</jats:p>
</jats:sec> |
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| author | Karter, Andrew J., Subramanian, Usha, Saha, Chandan, Crosson, Jesse C., Parker, Melissa M., Swain, Bix E., Moffet, Howard H., Marrero, David G. |
| author_facet | Karter, Andrew J., Subramanian, Usha, Saha, Chandan, Crosson, Jesse C., Parker, Melissa M., Swain, Bix E., Moffet, Howard H., Marrero, David G., Karter, Andrew J., Subramanian, Usha, Saha, Chandan, Crosson, Jesse C., Parker, Melissa M., Swain, Bix E., Moffet, Howard H., Marrero, David G. |
| author_sort | karter, andrew j. |
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| description | <jats:sec> <jats:title>OBJECTIVE</jats:title> <jats:p>Reasons for failing to initiate prescribed insulin (primary nonadherence) are poorly understood. We investigated barriers to insulin initiation following a new prescription.</jats:p> </jats:sec> <jats:sec> <jats:title>RESEARCH DESIGN AND METHODS</jats:title> <jats:p>We surveyed insulin-naïve patients with poorly controlled type 2 diabetes, already treated with two or more oral agents who were recently prescribed insulin. We compared responses for respondents prescribed, but never initiating, insulin (n = 69) with those dispensed insulin (n = 100).</jats:p> </jats:sec> <jats:sec> <jats:title>RESULTS</jats:title> <jats:p>Subjects failing to initiate prescribed insulin commonly reported misconceptions regarding insulin risk (35% believed that insulin causes blindness, renal failure, amputations, heart attacks, strokes, or early death), plans to instead work harder on behavioral goals, sense of personal failure, low self-efficacy, injection phobia, hypoglycemia concerns, negative impact on social life and job, inadequate health literacy, health care provider inadequately explaining risks/benefits, and limited insulin self-management training.</jats:p> </jats:sec> <jats:sec> <jats:title>CONCLUSIONS</jats:title> <jats:p>Primary adherence for insulin may be improved through better provider communication regarding risks, shared decision making, and insulin self-management training.</jats:p> </jats:sec> |
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| imprint | American Diabetes Association, 2010 |
| imprint_str_mv | American Diabetes Association, 2010 |
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| physical | 733-735 |
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| publisher | American Diabetes Association |
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| series | Diabetes Care |
| source_id | 49 |
| spelling | Karter, Andrew J. Subramanian, Usha Saha, Chandan Crosson, Jesse C. Parker, Melissa M. Swain, Bix E. Moffet, Howard H. Marrero, David G. 0149-5992 1935-5548 American Diabetes Association Advanced and Specialized Nursing Endocrinology, Diabetes and Metabolism Internal Medicine http://dx.doi.org/10.2337/dc09-1184 <jats:sec> <jats:title>OBJECTIVE</jats:title> <jats:p>Reasons for failing to initiate prescribed insulin (primary nonadherence) are poorly understood. We investigated barriers to insulin initiation following a new prescription.</jats:p> </jats:sec> <jats:sec> <jats:title>RESEARCH DESIGN AND METHODS</jats:title> <jats:p>We surveyed insulin-naïve patients with poorly controlled type 2 diabetes, already treated with two or more oral agents who were recently prescribed insulin. We compared responses for respondents prescribed, but never initiating, insulin (n = 69) with those dispensed insulin (n = 100).</jats:p> </jats:sec> <jats:sec> <jats:title>RESULTS</jats:title> <jats:p>Subjects failing to initiate prescribed insulin commonly reported misconceptions regarding insulin risk (35% believed that insulin causes blindness, renal failure, amputations, heart attacks, strokes, or early death), plans to instead work harder on behavioral goals, sense of personal failure, low self-efficacy, injection phobia, hypoglycemia concerns, negative impact on social life and job, inadequate health literacy, health care provider inadequately explaining risks/benefits, and limited insulin self-management training.</jats:p> </jats:sec> <jats:sec> <jats:title>CONCLUSIONS</jats:title> <jats:p>Primary adherence for insulin may be improved through better provider communication regarding risks, shared decision making, and insulin self-management training.</jats:p> </jats:sec> Barriers to Insulin Initiation Diabetes Care |
| spellingShingle | Karter, Andrew J., Subramanian, Usha, Saha, Chandan, Crosson, Jesse C., Parker, Melissa M., Swain, Bix E., Moffet, Howard H., Marrero, David G., Diabetes Care, Barriers to Insulin Initiation, Advanced and Specialized Nursing, Endocrinology, Diabetes and Metabolism, Internal Medicine |
| title | Barriers to Insulin Initiation |
| title_full | Barriers to Insulin Initiation |
| title_fullStr | Barriers to Insulin Initiation |
| title_full_unstemmed | Barriers to Insulin Initiation |
| title_short | Barriers to Insulin Initiation |
| title_sort | barriers to insulin initiation |
| title_unstemmed | Barriers to Insulin Initiation |
| topic | Advanced and Specialized Nursing, Endocrinology, Diabetes and Metabolism, Internal Medicine |
| url | http://dx.doi.org/10.2337/dc09-1184 |