Barbados Insulin Matters (BIM) study: perceptions on insulin initiation by primary care doctors in the Caribbean island of Barbados

Charles Grafton Taylor; Gordon Taylor; Anique Atherley; Ian Hambleton; Nigel Unwin; Oswald Peter Adams

doi:10.1016/j.pcd.2016.10.001

Barbados Insulin Matters (BIM) study: perceptions on insulin initiation by primary care doctors in the Caribbean island of Barbados

Charles Grafton Taylor, Gordon Taylor, Anique Atherley, Ian Hambleton, Nigel Unwin, Oswald Peter Adams

University of the West Indies

Research output: Contribution to journal › Article › peer-review

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Abstract

Aims: With regards to insulin initiation in Barbados we explored primary care doctor (PCD) perception, healthcare system factors and predictors of PCD reluctance to initiate insulin. Methods: PCDs completed a questionnaire based on the theory of planned behaviour (TPB) and a reluctance to initiate insulin scale. Using linear regression, we explored the association between TPB domains and the reluctance to initiate insulin scale. Results: Of 161 PCDs, 70% responded (75 private and 37 public sector). The majority felt initiating insulin was uncomplicated (68%) and there was benefit if used before complications developed (68%), but would not use it until absolutely necessary (58%). More private than public sector PCDs (p .

Original language	English
Pages (from-to)	49-53
Journal	Primary Care Diabetes
Volume	8
Early online date	4 Nov 2016
DOIs	https://doi.org/10.1016/j.pcd.2016.10.001
Publication status	Published - Apr 2017

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

Beliefs
Clinical inertia
Education
Initiation
Insulin
Primary care

ASJC Scopus subject areas

Internal Medicine
Endocrinology, Diabetes and Metabolism
Nutrition and Dietetics

Access to Document

10.1016/j.pcd.2016.10.001

Physician insulin initation perception_ final revision_OAAccepted author manuscript, 59.9 KBLicence: CC BY-NC-ND

Cite this

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title = "Barbados Insulin Matters (BIM) study: perceptions on insulin initiation by primary care doctors in the Caribbean island of Barbados",

abstract = "Aims: With regards to insulin initiation in Barbados we explored primary care doctor (PCD) perception, healthcare system factors and predictors of PCD reluctance to initiate insulin. Methods: PCDs completed a questionnaire based on the theory of planned behaviour (TPB) and a reluctance to initiate insulin scale. Using linear regression, we explored the association between TPB domains and the reluctance to initiate insulin scale. Results: Of 161 PCDs, 70\% responded (75 private and 37 public sector). The majority felt initiating insulin was uncomplicated (68\%) and there was benefit if used before complications developed (68\%), but would not use it until absolutely necessary (58\%). More private than public sector PCDs (p . ",

keywords = "Beliefs, Clinical inertia, Education, Initiation, Insulin, Primary care",

author = "Taylor, \{Charles Grafton\} and Gordon Taylor and Anique Atherley and Ian Hambleton and Nigel Unwin and Adams, \{Oswald Peter\}",

year = "2017",

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doi = "10.1016/j.pcd.2016.10.001",

language = "English",

volume = "8",

pages = "49--53",

journal = "Primary Care Diabetes",

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T1 - Barbados Insulin Matters (BIM) study

T2 - perceptions on insulin initiation by primary care doctors in the Caribbean island of Barbados

AU - Taylor, Charles Grafton

AU - Taylor, Gordon

AU - Atherley, Anique

AU - Hambleton, Ian

AU - Unwin, Nigel

AU - Adams, Oswald Peter

PY - 2017/4

Y1 - 2017/4

N2 - Aims: With regards to insulin initiation in Barbados we explored primary care doctor (PCD) perception, healthcare system factors and predictors of PCD reluctance to initiate insulin. Methods: PCDs completed a questionnaire based on the theory of planned behaviour (TPB) and a reluctance to initiate insulin scale. Using linear regression, we explored the association between TPB domains and the reluctance to initiate insulin scale. Results: Of 161 PCDs, 70% responded (75 private and 37 public sector). The majority felt initiating insulin was uncomplicated (68%) and there was benefit if used before complications developed (68%), but would not use it until absolutely necessary (58%). More private than public sector PCDs (p .

AB - Aims: With regards to insulin initiation in Barbados we explored primary care doctor (PCD) perception, healthcare system factors and predictors of PCD reluctance to initiate insulin. Methods: PCDs completed a questionnaire based on the theory of planned behaviour (TPB) and a reluctance to initiate insulin scale. Using linear regression, we explored the association between TPB domains and the reluctance to initiate insulin scale. Results: Of 161 PCDs, 70% responded (75 private and 37 public sector). The majority felt initiating insulin was uncomplicated (68%) and there was benefit if used before complications developed (68%), but would not use it until absolutely necessary (58%). More private than public sector PCDs (p .

KW - Beliefs

KW - Clinical inertia

KW - Education

KW - Initiation

KW - Insulin

KW - Primary care

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U2 - 10.1016/j.pcd.2016.10.001

DO - 10.1016/j.pcd.2016.10.001

M3 - Article

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SN - 1751-9918

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JF - Primary Care Diabetes

ER -

Barbados Insulin Matters (BIM) study: perceptions on insulin initiation by primary care doctors in the Caribbean island of Barbados

Abstract

UN SDGs

Keywords

ASJC Scopus subject areas

Access to Document

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