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American Diabetes Association, Diabetes, Supplement_1(73), 2024

DOI: 10.2337/db24-662-p

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662-P: Type 1 Diabetes (T1D) Medical Providers' Perceptions of a Video to Bring Awareness to Diabetes Stigmatizing Language

Journal article published in 2024 by Kevin Joiner, Alexandra Agapiou, Sarah A. Eljahmi, Gretchen Piatt ORCID
This paper was not found in any repository, but could be made available legally by the author.
This paper was not found in any repository, but could be made available legally by the author.

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Abstract

Introduction & Objective: Language guidelines state that when medical providers use certain language in encounters with adults with type 1 diabetes (T1D), they contribute to diabetes stigma and other language might be preferred. A team at the University of Michigan created a video in consultation with a leader of the language matters movement, which shows the difference between a clinical encounter when diabetes stigmatizing language is used and the same clinical encounter when preferred language is used. The purpose was to explore the acceptability of this video in a sample of medical providers who care for adults with T1D. Methods: Nurse practitioners, physicians, and physician assistants were invited to participate using snowball sampling. Participants (n=16; 56% aged 30-39 yrs., 94% female, 56% non-Hispanic White, 56% physicians) viewed the video, and were interviewed via Zoom. The transcriptions were analyzed using a qualitative descriptive approach. Results: Four themes emerged from the data: (1) the juxtaposition of the diabetes stigmatizing language and the preferred language aligns with values of empathy and respect, (2) the language used by medical providers is central to building and maintaining therapeutic relationships, (3) medical providers play an outsized role in determining the culture of outpatient settings, and (4) systemic issues (e.g., time constraints) exacerbate and provoke the use of diabetes stigmatizing language. The majority indicated that the video brings awareness to diabetes stigmatizing language (87%), that they planned to make a personal practice change after viewing the video (69%), and that raising awareness about diabetes stigmatizing language among medical providers is important (100%). Conclusion: The results suggest that the video brings awareness to diabetes stigmatizing language among medical providers who provide care for adults with T1D. Future research to pilot the video as part of an intervention is warranted. Disclosure K. Joiner: None. A. Agapiou: None. S.A. Eljahmi: None. G. Piatt: None.