Bryan Cleal

The Friendly Neighbourhood Hospital: Rethinking Diabetes Care Beyond the Consultation: A Conceptual Perspective

Zandra Overgaard Pedersen, Bryan Cleal, Kristoffer Marsaa

Contemporary diabetes care is largely organised around one-to-one clinical consultations and the regulation of biomedical outcomes. While such approaches remain essential, they may be insufficient for addressing the social and behavioural aspects of chronic disease management. Based on this conceptual perspective, we …

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Psychological and emotional aspects in people with diabetic foot disease: a systematic scoping review

Alice Cardon, Tue Helms Andersen, Abhilasha Akerkar, Mette Due-Christensen et autres

BACKGROUND: Several psychological and emotional aspects have been identified in people with diabetic foot disease (DFD). Currently, the scope of evidence on the topic is unclear. The aim of this scoping review is to identify and map the literature on psychological and …

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Psychosocial aspects of early detection in type 1 diabetes: Language matters, decision making and support needs

Maartje de Wit, L Klinker, Belinda Moore, Anna Boggiss et autres

AIM: The potential implementation of early type 1 diabetes (T1D) detection pathways, encompassing autoantibody screening and longitudinal monitoring, raises important psychosocial considerations for ethical, person-centred care. This review summarises evidence on the psychosocial impact of early T1D detection, identifying key evidence gaps …

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Psychosocial support for adult-onset type 1 diabetes: the living with and adapting to type 1 diabetes programme - a cross-national feasibility study

Mette Due-Christensen, Rhawann El Hakim, Daniel Piper, Ewa Romanczuk et autres

Background: Psychosocial challenges related to adult-onset type 1 diabetes are not systematically addressed in routine diabetes care. The Living with and Adapting to DiabetEs pRogramme (LADDER) was developed to support psychosocial adaptation to diabetes through two distinct interventions: 1) one-to-one consultations, and …

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Adults with type 1 diabetes define what matters to them in stem-cell derived islet cell therapy

Jane Speight, Sufyan Hussain, Ananthi Anandhakrishnan, Thomas Danne et autres

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Experienced barriers and facilitators of change in a video‐feedback intervention among parents of preschool children with externalizing behaviors: A qualitative study

Tine Steenhoff, Ida Egmose, Bryan Cleal, Mette Skovgaard Væver

Lack of parental sensitivity and inappropriate disciplining behaviors are known risk factors for child externalizing behavior. The Video-feedback Intervention to promote Positive Parenting and Sensitive Discipline (VIPP-SD) is an evidence-based parenting program targeting families with children aged 1-6 years. This study explores …

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Where is the social in the psychosocial? A narrative review

Bryan Cleal, Søren Skovlund, Timothy Skinner, Shane O'Donnell

AIMS: To examine how the 'social' is conceptualised and mobilised within psychosocial diabetes research, and to consider how disciplinary perspectives shape the field. METHODS: We conducted a narrative review focusing on psychology, sociology and anthropology. Using a purposive and iterative approach, we …

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“It feels more natural for me to take a step back”: Cross-cultural analysis of paternal care in paediatric diabetes

Maria Campbell, Bryan Cleal, Dan Grabowski, Jannet Svensson et autres

Type 1 diabetes is one of the most common chronic conditions among children globally. While advances in treatment have improved outcomes, paediatric diabetes remains an intensive condition that demands ongoing care and vigilance from parents. Despite growing attention to family-centred care, fathers’ …

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Silence, Awkwardness and Discomfort: Understanding How Health Interventions Fail—An Ethnographic Study of a Peer Support Intervention for People With Type 2 Diabetes in Denmark

Astrid Andrea Anesen, Bryan Cleal, Tine Gammeltoft

Unsuccessful peer support interventions rarely receive detailed ethnographic attention. The article examines a peer support intervention part of a randomised controlled trial designed to provide people with type 2 diabetes socio-emotional support while adopting self-care technology. The trial concluded that the intervention …

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Addressing binge eating in people with type 2 diabetes: Co-creating and feasibility testing dialogue tools based on a design thinking approach

Pil Lindgreen, Loa Clausen, Helle Nergaard Grønbæk, Charlotte Humble Andersen et autres

Background: Binge eating disorder may affect one in four individuals with type 2 diabetes, potentially leading to negative health outcomes. However, binge eating often goes unaddressed in diabetes care due to the absence of screening tools and the reluctance of patients to …

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Type 2 diabetes and binge eating disorder

Pil Lindgreen, Pernille Fiil Nybo, Mia Beck Lichtenstein, Jakob Linnet et autres

This review finds that co-existing type 2 diabetes (T2D) and binge eating disorder (BED) may have significant individual and societal costs due to health and socioeconomic consequences. BED may worsen T2D management, potentially raising HbA1c levels and complicating treatment. ≤ 25% of …

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The psychosocial problem areas, needs and resources in people with coexisting schizophrenia and type 2 diabetes. Design and results of a survey study

Sabrina Trappaud Rønne, Mette Juel Rothmann, Rikke Jørgensen, Lene Eide Joensen et autres

AIM: To explore the illness and treatment burden, mental well-being, and received support for illness management among people with schizophrenia and type 2 diabetes. MATERIALS AND METHODS: 62 Danish adults recruited from psychiatric outpatient clinics participated in this cross-sectional study using a …

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