Table 10 Practice implications
Reach | • Lead clinician’s support required alongside a team approach to foster integration, normalisation and consistency in the messages given to patients and their carers |
Effectiveness (potential and perceived) | • Time between patients’ completions and clinic reviews critical to success |
Adoption | • Access to technical support and iPads with SIM cards to overcome Wi-Fi problems in clinics • Staff training: use an activity style of learning and limit to a maximum of 4 h to support team working and the tailoring of ADNAT for each team • Include expert patients in the training to provide insights into their ADNAT experiences to support connections between theory and practice |
Implementation/maintenance: | • Consents to be taken in clinic, followed by instructions at a later date in patients’ appointment letters • ADNAT to be completed at home prior to their clinic consultation, supported by automatic text reminders • Short time span needed between patients’ completions of ADNAT and follow-up reviews ADNAT requires: • Section for patients to ask for immediate feedback/help from diabetes teams • Short on-line reports, i.e. ADNAT profiles for each patient for practitioners • Less threatening feedback response for patients to overcome potential negative responses to the (red) traffic light feedback system |