Rajna Ogrin, Australia
Bolton Clarke Bolton Clarke Research InstitutePresenter of 1 Presentation
TECHNOLOGY ENHANCES HEALTH CARE PROVIDERS IN SUPPORTING TYPE 2 DIABETES MANAGEMENT IN COMMUNITY-DWELLING OLDER ADULTS
Abstract
Background and Aims
The prevalence of diabetes is rising, especially in the older population. Few adults living with type 2 diabetes achieve optimal glycaemic management. Older People with Type 2 diabetes - Individualising Management wIth a SpecialisEd community team Safety and feasibility study (OPTIMISES), was a pilot study to trial a new person-centred model of care, involving intermittent flash glucose monitoring and home-based diabetes management support, delivered by a community-based diabetes educator linked to a hospital-based endocrinologist via Telehealth.
Methods
Individuals with type 2 diabetes (aged> 65, community dwelling) were recruited. Those who completed the four month intervention were questioned about their subjective experiences of care through a semi-structured, face-to-face interview. Open coding of all interview transcripts were independently conducted by three investigators. Emergent themes were discussed and mapped as a team.
Results
Forty-two participants were interviewed, 60% male, mean age 75.7 (±7.3; range 65-90) years and mean duration of diabetes 15.2 (±8.9) years. Two themes emerged: (1) Many participants did not fully understand their diabetes, management and the implications of diabetes on their health and wellbeing (2) Participants valued the individualised approach provided through this new model of care, appreciated the technology elements but emphasised the importance of human connectedness, that is, building trust and rapport, required for person-centred care.
Conclusions
Flash glucose monitoring and telehealth technology are useful tools to enhance self-management but are less important to participants than the human connection that develops through open communication and a person-centred approach to diabetes care.