Exploring patient information needs in type 2 diabetes: a cross sectional study of questions

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dc.contributor.authorCrangle, Colleen E.
dc.contributor.authorBradley, Colin
dc.contributor.authorCarlin, Paul F.
dc.contributor.authorEsterhay, Robert J.
dc.contributor.authorHarper, Roy
dc.contributor.authorKearney, Patricia M.
dc.contributor.authorMcCarthy, Vera J. C.
dc.contributor.authorMcTear, Michael F.
dc.contributor.authorSavage, Eileen
dc.contributor.authorTuttle, Mark S.
dc.contributor.authorWallace, Jonathan G.
dc.date.accessioned2019-07-17T11:49:10Z
dc.date.available2019-07-17T11:49:10Z
dc.date.issued2018-11-16
dc.description.abstractThis study set out to analyze questions about type 2 diabetes mellitus (T2DM) from patients and the public. The aim was to better understand people’s information needs by starting with what they do not know, discovered through their own questions, rather than starting with what we know about T2DM and subsequently finding ways to communicate that information to people affected by or at risk of the disease. One hundred and sixty-four questions were collected from 120 patients attending outpatient diabetes clinics and 300 questions from 100 members of the public through the Amazon Mechanical Turk crowdsourcing platform. Twenty-three general and diabetes-specific topics and five phases of disease progression were identified; these were used to manually categorize the questions. Analyses were performed to determine which topics, if any, were significant predictors of a question’s being asked by a patient or the public, and similarly for questions from a woman or a man. Further analysis identified the individual topics that were assigned significantly more often to the crowdsourced or clinic questions. These were Causes (CI: [-0.07, -0.03], p < .001), Risk Factors ([-0.08, -0.03], p < .001), Prevention ([-0.06, -0.02], p < .001), Diagnosis ([-0.05, -0.02], p < .001), and Distribution of a Disease in a Population ([-0.05,-0.01], p = .0016) for the crowdsourced questions and Treatment ([0.03, 0.01], p = .0019), Disease Complications ([0.02, 0.07], p < .001), and Psychosocial ([0.05, 0.1], p < .001) for the clinic questions. No highly significant gender-specific topics emerged in our study, but questions about Weight were more likely to come from women and Psychosocial questions from men. There were significantly more crowdsourced questions about the time Prior to any Diagnosis ([(-0.11, -0.04], p = .0013) and significantly more clinic questions about Health Maintenance and Prevention after diagnosis ([0.07. 0.17], p < .001). A descriptive analysis pointed to the value provided by the specificity of questions, their potential to disclose emotions behind questions, and the as-yet unrecognized information needs they can reveal. Large-scale collection of questions from patients across the spectrum of T2DM progression and from the public–a significant percentage of whom are likely to be as yet undiagnosed–is expected to yield further valuable insights.en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.articleide0203429en
dc.identifier.citationCrangle, C.E., Bradley, C., Carlin, P.F., Esterhay, R.J., Harper, R., Kearney, P.M., McCarthy, V.J., McTear, M.F., Savage, E., Tuttle, M.S. and Wallace, J.G., 2018. Exploring patient information needs in type 2 diabetes: A cross sectional study of questions. PloS one, 13(11):e0203429. DOI:10.1371/journal.pone.0203429en
dc.identifier.doi10.1371/journal.pone.0203429en
dc.identifier.endpage19en
dc.identifier.issn1932-6203
dc.identifier.issued11en
dc.identifier.journaltitlePLOS ONEen
dc.identifier.startpage1en
dc.identifier.urihttps://hdl.handle.net/10468/8190
dc.identifier.volume13en
dc.language.isoenen
dc.publisherPLoSen
dc.relation.urihttps://journals.plos.org/plosone/article?id=10.1371/journal.pone.0203429
dc.relation.urihttps://figshare.com/articles/Questions_on_Diabetes_from_Patients_and_the_Public/7038584
dc.rights© 2018 Crangle et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.en
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/en
dc.subjectType 2 diabetesen
dc.subjectT2DMen
dc.subjectOutpatienten
dc.subjectDisease progressionen
dc.titleExploring patient information needs in type 2 diabetes: a cross sectional study of questionsen
dc.typeArticle (peer-reviewed)en
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