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Containing rather than changing dangerous behaviours : attitudes and practices of professionals towards patients with type 1 diabetes and an eating disturbance
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Tierney, Stephanie (2008) Containing rather than changing dangerous behaviours : attitudes and practices of professionals towards patients with type 1 diabetes and an eating disturbance. In: Diabetes UK Professional Conference 2008, Glasgow
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Abstract
Background: Eating disturbances, particularly binge eating and abusing
insulin to control weight, are reported to be common among individuals with
type 1 diabetes mellitus (T1DM). Such problems are estimated to arise in up
to 40% of this population when insulin manipulation is counted as a form of
purging. The practices and attitudes of professionals based in diabetes clinics
working with this patient group have not been investigated previously.
Aims: To explore the attitudes and practices of hospital-based healthcare staff
towards people with T1DM exhibiting disturbed eating or weight control.
Data collection: Purposive sampling was used to recruit secondary care
professionals from a range of disciplines (doctors, nurses, dieticians).
Recruitment, from four UK hospitals, continued until data reached saturation.
Face-to-face, qualitative interviews were conducted with participants.
Interviews were taped and transcribed verbatim.
Analysis: The qualitative data collected were analysed using a framework
approach. Framework analysis is a systematic technique that involves
charting and sifting of data in a methodical manner to develop themes. All
members of the research team were involved in this stage of the study.
Findings: Interviewees (n=20) identified many issues contributing to their
difficulty in assisting individuals with disturbed eating or weight control, which
stemmed from uncertainty about what should be considered a problem and
from their limited training in this area. Participants were reluctant to confront
patients they suspected of such behaviours, fearing they would stop attending
clinic appointments and because of a paucity of follow-up services.
Practitioners interviewed tried to make patients as safe as possible until they
saw a psychologist or had ‘outgrown’ their eating disturbance.
Item Type: | Conference Item (Poster) | ||||
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Warwick Research in Nursing > Royal College of Nursing Research Institute (RCN) (- July 2017) Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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Official Date: | March 2008 | ||||
Dates: |
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Status: | Peer Reviewed | ||||
Access rights to Published version: | Restricted or Subscription Access | ||||
Conference Paper Type: | Poster | ||||
Title of Event: | Diabetes UK Professional Conference 2008 | ||||
Type of Event: | Conference | ||||
Location of Event: | Glasgow |
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