SRFP019: Changing Language to Reduce Diabetes-Related Stigma
Alexandra Agapiou, BSN; Kevin Joiner, PhD, APRN
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.
Jack Westfall
jwestfall@aafp.org 11/21/2021This is a great topic and research study. Nice work. Thanks