Professor Katherine Barnard, psychologist, diabetes, KALMOD


people can't possibly be 'not trying hard

enough', so perhaps we should look

more closely at the way that healthcare is

delivered and try different ways to support

people. What many people with diabetes

perceive is that they are failing. This isn't

good for anyone. Living with diabetes is

not just about achieving HbA1c levels

but also about coping with a multitude of

other aspects of diabetes. Quality-of-life

matters as well."

Technology adoption

Barnard's aim is to improve the way

healthcare is delivered. To that end, she

and her team have developed KALMOD,

especially to improve what can be

achieved in consultations, for both the

person with diabetes and their HCPs.

"Currently, the HCP chooses for their

patient which therapy, often diabetes

technology, will give them the greatest

benefit from a medical point of view," says

Barnard, "But they do this often without

the context of the wider lifestyle factors

that impact on an individual's ability to use

that treatment or technology in their daily

lives for best effect . It's a matter of getting

the right therapy at the right time, with

the right support to reduce the burden

associated with living with diabetes. The

goal of any therapy is to provide optimal

medical benefits and improved quality of

life. While cost is often used as a barrier

to access to new technologies, in reality

the biggest cost is the device that is not

used or not used well. My team and I are

hoping to move these technology and

treatment decisions away from being

solely medical."

Barnard explains, "We believe if

you can better understand the patient's

needs then you can help them access

the therapy that best meets their needs

in the context of their own life. Some

technologies simply don't work for

some people for all sorts of reasons,

often lifestyle related as well as medical.

And sometimes other things are more

important at this time."

KALMOD is currently in the research

phase and early results are very positive.

Targetted for people with Type 1 diabetes,

a version for Type 2 diabetes is also

underway. "The idea is that people will

be doing this quickly on a tablet in the

waiting room prior to their appointment,"

says Barnard, "then the HCPs can talk

through the results and recommendations

with each person." Once the clinical trials

are complete, KALMOD will be accessible

outside of clinics.

*The Kaleidoscope model of care presents a

novel, holistic, tailored and individualized approach

to healthcare delivery for people with diabetes

through an assessment of an individual's current

regimen, barriers and motivation and available

support resources. The model promotes the

specific needs of individuals with diabetes. These

needs are dynamic, taking a different shape at

different points in time, recognizing and adapting

to the range of care needed. It is a flexible model

that can be applied in different healthcare settings.

Barnard, Lloyd, Dyson, Davies, O'Neil, Naresh,

Lawon, Ziegler, Hold. April 2014.

Would you like to test the system?

Professor Barnard is looking for volunteers to try the KALMOD tool via a secure

website (currently not live, but available for research purposes only). She says,

"We ask you to complete a brief survey, then at the end tell us about your

experience of using the tool and your thoughts about it by filling in a second

short survey. We'd very much like your help!"

To use the KALMOD tool in its pilot stage click on the link below and use the

supplied user name ProfessorKathBarnard and the password K4lm0dP455.

Don't forget! Any problems contact Professor

Barnard direct @drkathbarnard


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