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  1. Article ; Online: It Is "All About Relationships" in Lifestyle Programmes for Adults Living With Type Two Diabetes Underpinned by a Person/Whānau-Centred Care Approach.

    Hale, Leigh / Higgs, Christopher / Keen, Donna / Smith, Catherine

    Frontiers in rehabilitation sciences

    2022  Volume 3, Page(s) 829542

    Abstract: Background: Lifestyle programmes are important in the management of type 2 diabetes (T2D). The Diabetes Community Exercise Programme (DCEP) is an exercise and educational programme for adults living with T2D with the aim of enhancing exercise self- ... ...

    Abstract Background: Lifestyle programmes are important in the management of type 2 diabetes (T2D). The Diabetes Community Exercise Programme (DCEP) is an exercise and educational programme for adults living with T2D with the aim of enhancing exercise self-efficacy and supporting wellbeing. DCEP is underpinned by a model of person/whānau-centred care and the spirit of Motivational Interviewing. Person-centred care models in the context of rehabilitation and long-term health conditions are still evolving. This paper explores what those involved in DCEP perceived important to its person/whānau-centredness.
    Method: An evaluative qualitative methodological approach was used with data collected by open-ended interviews and a focus-group at completion of the initial 12-week part of DCEP. Interviews were audio-recorded and transcribed verbatim. Participants were 16 DCEP attendees and 13 healthcare professionals (HCPs) involved in DCEP delivering. Data were analysed using the General Inductive Approach.
    Results: The three interconnected themes constructed from the analysis were '
    Conclusion: It is "all about relationships" was key to DCEP's person/whānau-centred approach-all other factors related back to the development and maintenance of relationships. These relationships were between all whānau involved: the attendees, their family, the wider community, the healthcare provider organisations, and the HCPs and personnel involved in delivering DCEPs. These relationships created an accepting, understanding and social atmosphere that enabled attendance and facilitated both knowledge exchange and ability to exercise, both considered to be beneficial by attendees. Importantly, these relationships took time to develop, but the benefits were worth the investment.
    Language English
    Publishing date 2022-04-29
    Publishing country Switzerland
    Document type Journal Article
    ISSN 2673-6861
    ISSN (online) 2673-6861
    DOI 10.3389/fresc.2022.829542
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Long Term Exercise Engagement of Adults Living With Type Two Diabetes Is Enhanced by a Person-Centred Care Approach Delivered by Knowledgeable, Well Trained Health Care Professionals.

    Hale, Leigh / Higgs, Christopher / Keen, Donna / Smith, Catherine

    Frontiers in rehabilitation sciences

    2021  Volume 2, Page(s) 692311

    Abstract: Background: ...

    Abstract Background:
    Language English
    Publishing date 2021-07-14
    Publishing country Switzerland
    Document type Journal Article
    ISSN 2673-6861
    ISSN (online) 2673-6861
    DOI 10.3389/fresc.2021.692311
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Implementation of the Diabetes Community Exercise and Education Programme (DCEP) for the management of type 2 diabetes: qualitative process evaluation.

    Stokes, Tim / Wilkinson, Amanda / Jayakaran, Prasath / Higgs, Christopher / Keen, Donna / Mani, Ramakrishnan / Sullivan, Trudy / Gray, Andrew R / Doolan-Noble, Fiona / Mann, Jim / Hale, Leigh

    BMJ open

    2022  Volume 12, Issue 5, Page(s) e059853

    Abstract: Objectives: To examine context-specific delivery factors, facilitators and barriers to implementation of the Diabetes Community Exercise and Education Programme (DCEP) for adults with type 2 diabetes (T2D) using the Reach, Effectiveness, Adoption, ... ...

    Abstract Objectives: To examine context-specific delivery factors, facilitators and barriers to implementation of the Diabetes Community Exercise and Education Programme (DCEP) for adults with type 2 diabetes (T2D) using the Reach, Effectiveness, Adoption, Implementation and Maintenance framework.
    Design: A qualitative evaluation embedded within the DCEP pragmatic randomised controlled trial. Data collected via focus groups and interviews and analysed thematically.
    Setting: Community-based in two cities (Dunedin and Invercargill) in the lower south island of New Zealand.
    Participants: Seventeen adults diagnosed with T2D attending DCEP and 14 healthcare professionals involved in DCEP delivery.
    Intervention: DCEP is a twice weekly session of exercise and education over 12 weeks, followed by a twice weekly ongoing exercise class.
    Results: While our reach target was met (sample size, ethnic representation), the randomisation process potentially deterred Māori and Pasifika from participating. The reach of DCEP may be extended through the use of several strategies: promotion of self-referral, primary healthcare organisation ownership and community champions. DCEP was considered effective based on perceived benefit. The social and welcoming environment created relationships and connections. People felt comfortable attending DCEP and empowered to learn. Key to implementation and adoption was the building of trusting relationships with local health providers and communities. This takes time and care and cannot be rushed. Training of staff and optimising communication needed further attention. To maintain DCEP, delivery close to where people live and a generic approach catering for people with multiple chronic conditions may be required.
    Conclusions: For success, lifestyle programmes such as DCEP, need time and diligence to build and maintain networks and trust. Beyond frontline delivery staff and target populations, relationships should extend to local healthcare organisations and communities. Access and ongoing attendance are enabled by healthcare professionals practicing in a nuanced person-centred manner; this, plus high staff turnover, necessitates ongoing training.
    Trial registration number: ACTRN12617001624370.
    MeSH term(s) Adult ; Delivery of Health Care ; Diabetes Mellitus, Type 2/therapy ; Exercise ; Health Education ; Humans ; Life Style
    Language English
    Publishing date 2022-05-27
    Publishing country England
    Document type Journal Article ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov't
    ZDB-ID 2599832-8
    ISSN 2044-6055 ; 2044-6055
    ISSN (online) 2044-6055
    ISSN 2044-6055
    DOI 10.1136/bmjopen-2021-059853
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: The interaction of community and small tourism businesses in rural New Zealand

    Keen, Donna

    Small firms in tourism: international perspectives , p. 139-151

    2004  , Page(s) 139–151

    Author's details Donna Keen
    Language English
    Publisher Elsevier
    Publishing place Amsterdam [u.a.]
    Document type Article
    Note Literaturangaben
    Database ECONomics Information System

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