Ageing well with diabetes: A workshop to co-design research recommendations for improving the diabetes care of older people.
Ageing well with diabetes: A workshop to co-design research recommendations for improving the diabetes care of older people.
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DOI：
10.1111/dme.14795
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发表时间：
2022-07
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影响因子：
--
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文献类型：
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确定关键的研究问题，答案可以改善老年糖尿病患者（PLWD）的护理，并为研究人员和研究资助者提供详细的建议，以最好地解决这些问题。进行了一系列在线研究研讨会，汇集了一系列PLWD和一组公认的糖尿病护理学术和临床专家，以确定未来的研究领域。在整个研讨会前阶段、每次研讨会期间以及在手稿准备和编辑过程中，PLWD在讨论中发挥了积极和能动的作用，作为迭代和叙述过程的一部分。我们如何才能更好地了解老年糖尿病患者（PLWD）的特征及其结局，以及这是否能提供更好的以人为本的护理？目前如何为老年PLWD提供护理服务，包括糖尿病和其他疾病？我们如何优化和简化流程，确保每个人都能得到最好的护理，满足他们的个人需求？哪些工具可用于评估非专科医疗保健专业人员（HCP）对老年人群糖尿病的了解程度？虚拟专家或中心如何最有效地为老年PLWD和照顾他们的HCP提供专家多学科团队（MDT）的专业知识？运动和营养密集的高蛋白饮食相结合是否能有效预防2型糖尿病的不良反应和虚弱恶化，以及如何以2型糖尿病患者可接受的方式提供？我们如何在老年人中最好地使用动态葡萄糖监测（CGM），对于那些需要支持的人，应该如何共享数据？如何更好地授权老年PLWD在自己家中管理糖尿病，特别是在患有其他长期疾病时？同伴支持模式对老年PLWD有什么好处，无论是在独立生活还是在护理中？确定了这一领域的以下关键问题，并为每个问题提出了研究建议： 本文概述了PLWD支持的建议，通过这些建议，新的研究可以改善他们的糖尿病护理，并呼吁研究界和资助者在未来的研究计划和战略中解决这些问题。
To identify key research questions where answers could improve care for older people living with diabetes (PLWD), and provide detailed recommendations for researchers and research funders on how best to address them. A series of online research workshops were conducted, bringing together a range of PLWD and an acknowledged group of academic and clinical experts in their diabetes care to identify areas for future research. Throughout the pre‐workshop phase, during each workshop, and in manuscript preparation and editing, PLWD played an active and dynamic role in discussions as part of both an iterative and narrative process. How can we improve our understanding of the characteristics of older people living with diabetes (PLWD) and their outcomes, and can this deliver better person‐centred care? How are services to care for older PLWD currently delivered, both for their diabetes and other conditions? How can we optimise and streamline the process and ensure everyone gets the best care, tailored to their individual needs? What tools might be used to evaluate the level of understanding of diabetes in the older population amongst non‐specialist Healthcare Professionals (HCPs)? How can virtual experts or centres most effectively provide access to specialist multi‐disciplinary team (MDT) expertise for older PLWD and the HCPs caring for them? Is a combination of exercise and a nutrition‐dense, high protein diet effective in the prevention of the adverse effects of type 2 diabetes and deterioration in frailty, and how might this be delivered in a way which is acceptable to people with type 2 diabetes? How might we best use continuous glucose monitoring (CGM) in older people and, for those who require support, how should the data be shared? How can older PLWD be better empowered to manage their diabetes in their own home, particularly when living with additional long‐term conditions? What are the benefits of models of peer support for older PLWD, both when living independently and when in care? The following key questions in this field were identified, and research recommendations for each were developed: This paper outlines recommendations supported by PLWD through which new research could improve their diabetes care and calls on the research community and funders to address them in future research programmes and strategies.
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影响因子：
6.3
作者：
Cruz-Jentoft, Alfonso J.;Carpena-Ruiz, Marina;Sanchez-Garcia, Elisabet
通讯作者：
Sanchez-Garcia, Elisabet
影响因子：
3
作者：
Abdelhafiz, Ahmed H.;McNicholas, Emily;Sinclair, Alan J.
通讯作者：
Sinclair, Alan J.
影响因子：
--
作者：
Barber, N. D.;Alldred, D. P.;Zermansky, A. G.
通讯作者：
Zermansky, A. G.
影响因子：
2.9
作者：
Hope, Suzy V.;Taylor, Phil J.;Hamilton, Willie
通讯作者：
Hamilton, Willie
影响因子：
3.3
作者：
Carlos Castrejon-Perez, Roberto;Miguel Gutierrez-Robledo, Luis;Ulises Perez-Zepeda, Mario
通讯作者：
Ulises Perez-Zepeda, Mario