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Eating disorders in people with Type 1 diabetes: experiential perspectives of both clients and healthcare professionals
Author(s) -
Macdonald P.,
Kan C.,
Stadler M.,
De Bernier G. L.,
Hadjimichalis A.,
Le Coguic A.S.,
Allan J.,
Ismail K.,
Treasure J.
Publication year - 2018
Publication title -
diabetic medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.474
H-Index - 145
eISSN - 1464-5491
pISSN - 0742-3071
DOI - 10.1111/dme.13555
Subject(s) - superordinate goals , medicine , eating disorders , experiential learning , thematic analysis , multidisciplinary approach , health care , nursing , qualitative research , family medicine , psychology , psychiatry , social psychology , social science , mathematics education , sociology , economics , economic growth
Aims To explore the experiential perspective of people with Type 1 diabetes mellitus and eating disorders and that of the healthcare professionals treating them, and to understand the experience of both sides to inform future development of healthcare services. Methods Participants were recruited from Diabetics with Eating Disorders (a national UK charity), and through professional networks. Nine partially/fully recovered individuals with Type 1 diabetes and eating disorders and eight healthcare professionals participated in semi‐structured interviews carried out by medically trained researchers. Data were transcribed and coded using a six‐stage framework of thematic analysis. Results Four superordinate themes and several subordinate themes emerged from the Type 1 diabetes and eating disorders dataset: (1) perceptions surrounding service provision; (2) reflections on the recovery process; (3) the experiential perspective of living with Type 1 diabetes and an eating disorder; and (4) support mechanisms. Healthcare professional data elicited three superordinate themes and several subordinate themes: (1) service provision; (2) personal insight and reflection of professional role; and (3) challenges of working with dual diagnoses. Conclusion People with Type 1 diabetes and eating disorders and their healthcare professionals provided insight into healthcare services from the patient and care delivery perspectives. There was general agreement from both groups that a multidisciplinary, collaborative (family inclusive), clinical approach to treatment is important, as well as adequate training opportunities for service providers. These findings may help to inform development strategies for multidisciplinary care approaches to Type 1 diabetes complicated by eating disorders.