title: Professional responses to innovation in clinical method: diabetes care and negotiating skills.
abstract: OBJECTIVE
  To describe the responses of family doctors and nurses to applying an innovative clinical technique and technology in the context of a randomised controlled trial.
  
  
  METHODS
  Multi-faceted descriptive analysis of professional responses in the experimental arm of the trial.
  
  
  METHODS
  29 family practices involving 30 doctors and 33 nurses over a 3-year time scale and 200 patients with type II diabetes.
  
  
  METHODS
  A new visual agenda-setting technology and other visual aids applied using the techniques of negotiation and motivational interviewing.
  
  
  METHODS
  Uptake of training, use of the method, group discussions, willingness to accept consultation recordings.
  
  
  RESULTS
  100% of clinicians welcomed two or more formal training sessions. The agenda-setting technology was used frequently by 71% of clinicians and occasionally by a further 22%. High levels of engagement with the method occurred among nurses but many doctors also reported benefits.
  
  
  CONCLUSIONS
  Family doctors and nurses in Wales have found a new technology to facilitate negotiation in diabetes consultation acceptable and useful. Analysis of outcome is now awaited.
authors.affiliation: Department of General Practice, University of Wales College of Medicine, Llanedeyrn Health Centre, Cardiff, UK.
authors.forename: N C
authors.initials: NC
authors.lastname: Stott
authors.forename: M
authors.initials: M
authors.lastname: Rees
authors.forename: S
authors.initials: S
authors.lastname: Rollnick
authors.forename: R M
authors.initials: RM
authors.lastname: Pill
authors.forename: P
authors.initials: P
authors.lastname: Hackett
mesh_terms: D001291:Attitude of Health Personnel; D001296:Audiovisual Aids; D003924:Diabetes Mellitus, Type 2 / Q000517:prevention & control*; D005194:Family Practice; D006282:Health Personnel / Q000193:education / Q000523:psychology; D006801:Humans; D009042:Motivation; D010353:Patient Education as Topic / Q000379:methods*