SRFP019: Changing Language to Reduce Diabetes-Related Stigma

Alexandra Agapiou, BSN; Kevin Joiner, PhD, APRN

Abstract

Learning Objectives: 1. On completion of this session, participants should be able to identify and replace stigmatizing language used in relation to people with type 1 and type 2 diabetes. 2. On completion of this session, participants should be able to Identify personal assumptions about persons with diabetes, and how these views can influence patient care. Context: Stigma is a universal phenomenon associated with many medical conditions, including diabetes. For individuals affected by type 1 and type 2 diabetes, daily self-management behaviors may lead to stigmatization. Healthcare providers have the ability to use language that is empowering and patient-centered, which can help reduce stereotypes, negative assumptions and generalizations. Objective: To determine whether a brief educational video intervention targeted to NPs would increase their awareness on ways to improve language used in type 1 and type 2 diabetes care. Study Design: Quality improvement project. Interviews will be conducted after NPs view the presentation to gather feedback. Data regarding satisfaction of the course will be collected. Setting or Dataset: Target population: Nurse practitioners. Recruitment is from a professional Michigan NP organization. Population studied: NPs (N=40) will be recruited from the Michigan Council of Nurse Practitioners. Inclusion criteria: NPs practicing in direct primary care, can understand English, and have been working as an NP for at least six months. Exclusion criteria: NPs with no Internet access and work in an acute care setting. Intervention: A 15- minute digitally delivered educational video composed of two scenes. The first scene is a scripted dialogue between a NP and a patient with diabetes that demonstrates ineffective language, which can decrease motivation and may lead to stigma. The second scene is a scripted dialogue that demonstrates effective language, which includes using language that is neutral, free from stigma and strengths-based. Outcome Measures: The module will increase NPs’ awareness of how strengths-based language can improve care of people with diabetes. Anticipated Results: Participants will increase their awareness of language that is free from bias and more strengths based, with a 30% increase in post-test scores when compared to the pre-test scores. Conclusions: The study will demonstrate there is a need for increased awareness for NPs in regard to language use to reduce diabetes-related stigma.
Leave a Comment
Jack Westfall
jwestfall@aafp.org 11/21/2021

This is a great topic and research study. Nice work. Thanks

Lauren Oshman
laoshman@med.umich.edu 11/22/2021

Nice project! Go Blue!

William R. Phillips
wphllps@uw.edu 11/22/2021

Thank you for sharing this attractive and effective poster on a very important topic. Language may be the most impactful tool in the doctors bag. It deserves a constant attention and thoughtful research like your study here. Adverse effects of languages may go beyond creating stigma. What other adverse effects do you hope to measure? Will your eventual study examine impacts of language use and changes with the training program on patient intermediate and clinical outcomes? Thanks for sharing your work here at NAPCRG. - Bill Phillips

Diane Harper
harperdi@med.umich.edu 11/22/2021

Present your results in Phoenix next year! Join the Michigan contingent! Let Chris Friese know you are attending! Thank you for sharing your work with NAPCRG!

Andy Pasternak
avpiv711@sbcglobal.net 11/28/2021

Yeah- I've been guilty of the "poor control " comment over the years. This is really nice work

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