Barbados Insulin Matters (BIM) study

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

OAI: oai:purehost.bath.ac.uk:openaire_cris_publications/1f558141-74ff-4aa8-a020-c2cb8a5b7f4f • DOI: https://doi.org/10.1016/j.pcd.2016.10.001

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 .

beliefs Clinical inertia Education initiation Insulin PRIMARY CARE /dk/atira/pure/subjectarea/asjc/2700/2724 name=Internal Medicine /dk/atira/pure/subjectarea/asjc/2700/2712 name=Endocrinology, Diabetes and Metabolism /dk/atira/pure/subjectarea/asjc/2900/2916 name=Nutrition and Dietetics /dk/atira/pure/sustainabledevelopmentgoals/good_health_and_well_being name=SDG 3 - Good Health and Well-being