Involving family members in disease management is vital to people with type 2 diabetes. New innovations that support family members’ involvement can help both the person with type 2 diabetes and the relatives to create the supportive environment they need. The objective of the present study is to examine what facilitates and obstructs implementation of an innovation that supports intra-familial involvement in life with type 2 diabetes. Of the 48 healthcare professionals trained in facilitating the innovation in municipal patient education courses, single, semi-structured interviews were conducted with 13 of them. The interviews were focused specifically on the implementation process. All interviews were transcribed verbatim and analyzed using radical hermeneutics. The analysis revealed three distinct themes affecting implementation of the innovation. 1) Focusing on creating family involvement in patient education for people with type 2 diabetes was relevant and important to the healthcare professionals. 2) The dynamics of group-based patient education sessions changed when family members were involved, which affects healthcare professionals’ group facilitation methods. 3) Implementing new methods in patient education requires great commitment and support from the organization and management. Implementation of an innovation to involve families and close relatives in patient education in Danish municipalities is feasible, but highly dependent on the commitment of healthcare professionals and managers as well as their openness to new ways of facilitating group processes.

中文翻译：

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实施基于研究的创新，促进家庭内部参与 2 型糖尿病自我管理，以便在不同的城市环境中使用：障碍和促进因素的定性研究


让家庭成员参与疾病管理对于 2 型糖尿病患者至关重要。支持家庭成员参与的新创新可以帮助 2 型糖尿病患者及其亲属创造他们所需的支持性环境。本研究的目的是探讨是什么促进和阻碍了一项支持家庭内部参与 2 型糖尿病患者生活的创新的实施。在接受过促进市患者教育课程创新培训的 48 名医疗保健专业人员中，我们对其中 13 人进行了单一、半结构化访谈。访谈特别关注实施过程。所有采访均逐字记录并使用激进的解释学进行分析。分析揭示了影响创新实施的三个不同主题。 1) 注重让家庭参与 2 型糖尿病患者的患者教育对于医疗保健专业人员来说是相关且重要的。 2) 当家庭成员参与时，基于小组的患者教育课程的动态发生了变化，这影响了医疗保健专业人员的小组促进方法。 3）实施患者教育新方法需要组织和管理层的大力承诺和支持。在丹麦各城市实施一项让家庭和近亲参与患者教育的创新是可行的，但在很大程度上取决于医疗保健专业人员和管理人员的承诺以及他们对促进团体流程的新方法的开放态度。