title: Using an interactive DVD about type 2 diabetes and insulin therapy in a UK South Asian community and in patient education and healthcare provider training.
abstract: OBJECTIVE
  To develop and pilot-test the feasibility and effectiveness of an interactive DVD about misconceptions within South Asian communities regarding insulin treatment in type 2 diabetes, for educating patients and community members and training healthcare providers.
  
  
  METHODS
  The project setting was a South Asian (mainly Indian) community in Leicester, UK. Qualitative evidence from our previous studies was used to inform the content of the DVD script and accompanying resources. The intervention involved three components: facilitating DVD viewings for people with/without diabetes in community settings; training healthcare providers involved in managing South Asian patients with diabetes in primary care; and using the DVD and resources in primary care patient consultations. Evaluation involved a range of approaches including face-to-face interviews, telephone feedback and questionnaires.
  
  
  RESULTS
  Analysis of questionnaires and qualitative feedback from community participants showed some significant changes in attitudes and understanding about insulin and high acceptability of the DVD. Healthcare providers who attended the training found it informative and perceived the DVD and visual resources as potentially useful for facilitating acceptance of insulin. Primary care patient recruitment was challenging, but participants described the DVD as an acceptable and informative way of learning about insulin therapy.
  
  
  CONCLUSIONS
  The DVD intervention was effective and feasible at community and healthcare provider levels.
  
  
  CONCLUSIONS
  Although based on a small sample, at patient level our findings suggested that the DVD worked at different levels helping some to accept the need for insulin and others to consolidate a decision to commence this treatment. Consideration needs to be given to patient engagement strategies for implementation in primary care consultations.
authors.affiliation: Diabetes Research Centre, University of Leicester, Leicester, UK.
authors.forename: Naina
authors.initials: N
authors.lastname: Patel
authors.affiliation: Diabetes Research Centre, University of Leicester, Leicester, UK.
authors.forename: Margaret A
authors.initials: MA
authors.lastname: Stone
authors.affiliation: Diabetes Research Centre, University of Leicester, Leicester, UK. Electronic address: mh333@le.ac.uk.
authors.forename: Michelle
authors.initials: M
authors.lastname: Hadjiconstantinou
authors.affiliation: Leicester Diabetes Centre, University Hospitals of Leicester NHS Trust, Leicester, UK.
authors.forename: Steve
authors.initials: S
authors.lastname: Hiles
authors.affiliation: Leicester Diabetes Centre, University Hospitals of Leicester NHS Trust, Leicester, UK.
authors.forename: Jacqui
authors.initials: J
authors.lastname: Troughton
authors.affiliation: Leicester Diabetes Centre, University Hospitals of Leicester NHS Trust, Leicester, UK.
authors.forename: Lorraine
authors.initials: L
authors.lastname: Martin-Stacey
authors.affiliation: Leicester Diabetes Centre, University Hospitals of Leicester NHS Trust, Leicester, UK.
authors.forename: Heather
authors.initials: H
authors.lastname: Daly
authors.affiliation: Leicester Diabetes Centre, University Hospitals of Leicester NHS Trust, Leicester, UK.
authors.forename: Marian
authors.initials: M
authors.lastname: Carey
authors.affiliation: Leicester Diabetes Centre, University Hospitals of Leicester NHS Trust, Leicester, UK.
authors.forename: Anita
authors.initials: A
authors.lastname: Khulpateea
authors.affiliation: Diabetes Research Centre, University of Leicester, Leicester, UK.
authors.forename: Melanie J
authors.initials: MJ
authors.lastname: Davies
authors.affiliation: Diabetes Research Centre, University of Leicester, Leicester, UK.
authors.forename: Kamlesh
authors.initials: K
authors.lastname: Khunti
mesh_terms: D044466:Asian People; D001291:Attitude of Health Personnel; D016250:Compact Disks; D003924:Diabetes Mellitus, Type 2 / Q000208:ethnology / Q000628:therapy*; D005260:Female; D006282:Health Personnel / Q000193:education*; D006801:Humans; D007328:Insulin; D008297:Male; D010353:Patient Education as Topic; D018579:Patient Selection; D011320:Primary Health Care; D012017:Referral and Consultation; D011795:Surveys and Questionnaires; D006113:United Kingdom
chemical_list: D007328:Insulin
keywords: Ethnic minority; Healthcare; Insulin initiation; Patient education; Primary care; South Asian; Type 2 diabetes; professional education/training