title: "I Do My Best To Listen to Patients": Qualitative Insights Into DAWN2 (Diabetes Psychosocial Care From the Perspective of Health Care Professionals in the Second Diabetes Attitudes, Wishes and Needs Study).
abstract: OBJECTIVE
  The aim of this study was to describe the perspectives of diabetes care professionals regarding the roles and responsibilities of people with diabetes (PWD), health care professionals (HCPs), and the larger society to improve the provision of person-centered diabetes care.
  
  
  METHODS
  The survey contained open-ended items about challenges of, successes of, and wishes for improvements in treating adults with diabetes. All responses were systematically coded using a schema developed and validated through multinational collaboration.
  
  
  RESULTS
  Participants were 4785 diabetes care professionals (physicians, nurses, and dietitians) from 17 countries. The data contained 2 distinct themes. One theme reflected the fact that the roles and responsibilities of HCPs are transitioning from those of one who "tells" to one who "listens" to PWD. Some ways that HCPs can "listen" to PWD and family members is to involve them in goals and to encourage self-management for the improvement of treatment. The second theme identified barriers to successful diabetes care, which include a lack of time and collaboration from HCPs, a lack of availability of resources for treatment, and a lack of psychosocial support.
  
  
  CONCLUSIONS
  The views of diabetes care professionals are in transition from a conventional hierarchic approach to a PCC approach. Further adoption of this approach would be facilitated by additional psychosocial training and educational/psychological resources, increased teamwork, and societal changes that would make it easier for people to live successfully with diabetes.
authors.affiliation: Department of Medicine, College of Medicine, Pennsylvania State University, Hershey, Pennsylvania. Electronic address: hstuckey@hmc.psu.edu.
authors.forename: Heather L
authors.initials: HL
authors.lastname: Stuckey
authors.affiliation: Departments of Family Medicine and Psychiatry, Dalhousie University, Halifax, Nova Scotia, Canada.
authors.forename: Michael
authors.initials: M
authors.lastname: Vallis
authors.affiliation: Interdisciplinary Health Research Academy, Edmonton Clinic Health Academy, University of Alberta, Edmonton, Alberta, Canada.
authors.forename: Katharina
authors.initials: K
authors.lastname: Kovacs Burns
authors.affiliation: Public Health Evidence and Insights, Global Public Affairs, Novo Nordisk A/S, Copenhagen, Denmark.
authors.forename: Christine B
authors.initials: CB
authors.lastname: Mullan-Jensen
authors.affiliation: Department of Medicine, College of Medicine, Pennsylvania State University, Hershey, Pennsylvania.
authors.forename: Jean M
authors.initials: JM
authors.lastname: Reading
authors.affiliation: Department of Endocrinology, Bharti Hospital, Karnal, India.
authors.forename: Sanjay
authors.initials: S
authors.lastname: Kalra
authors.affiliation: Department of Medicine and Health Sciences, Primary and Interdisciplinary Care Antwerp, University of Antwerp, Antwerp, Belgium.
authors.forename: Johan
authors.initials: J
authors.lastname: Wens
authors.affiliation: II Department of Psychiatry, Medical University of Warsaw, Warsaw, Poland.
authors.forename: Andrzej
authors.initials: A
authors.lastname: Kokoszka
authors.affiliation: Public Health Evidence and Insights, Global Public Affairs, Novo Nordisk A/S, Copenhagen, Denmark.
authors.forename: Søren E
authors.initials: SE
authors.lastname: Skovlund
authors.affiliation: Department of Sociology, Loyola University Maryland, Baltimore, Maryland, US.
authors.forename: Mark
authors.initials: M
authors.lastname: Peyrot
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D003299:Cooperative Behavior; D003920:Diabetes Mellitus / Q000628:therapy*; D005260:Female; D006282:Health Personnel / Q000523:psychology*; D006295:Health Resources / Q000600:supply & distribution; D006801:Humans; D008297:Male; D008875:Middle Aged; D009723:Nurse-Patient Relations; D009726:Nurses / Q000523:psychology; D064686:Nutritionists / Q000523:psychology; D010347:Patient Care Planning; D009629:Person-Centered Psychotherapy; D010817:Physician-Patient Relations; D010820:Physicians / Q000523:psychology; D024382:Professional Role; D012648:Self Care; D012944:Social Support; D011795:Surveys and Questionnaires
keywords: diabetes; education; health care professionals; motivation; patient-centered; person-centered; psychosocial; qualitative; self-management; survey