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Mark Peyrot Part 1, Psychology Of Diabetes

In part 1 of this Exclusive Interview, Mark Peyrot talks with Diabetes in Control Publisher Steve Freed during the ADA meeting in San Diego, CA about his work in the field of behavioral diabetes research.

Mark Peyrot is Professor of Sociology at Loyola University Maryland and Professor of Health and Social Sciences at Bergen University College (Norway). His 300+ publications include a co-edited collection of diabetes psychosocial care guidelines and a ADA position statement on diabetes psychosocial care recently published by ADA.

Transcript of this video segment:

Steve: We have with us a special guest, Mark Peyrot PhD.  He is a professor of Sociology at Loyola University Maryland and professor of Health and Social Sciences at Bergen University College in Norway. We can start by you telling us a little bit about yourself and what you do.

Dr. Peyrot: I have been working in the field of behavioral diabetes research for a little over 30 years and the goal in my work is to try to understand what is happening with people who are impacted by diabetes. The person with diabetes, their family member, and social network, and also look at the healthcare providers for diabetes from a humanistic prospective to try to understand how diabetes impacts them and what they do to help manage diabetes and live better or treat it better.

Steve: We will be discussing here the new psycho-social position statement from ADA, which I presume you helped to work out?

Dr. Peyrot: Yes, I did.

Steve: And also recommendations for the psycho-social care of people with diabetes, kind of an overview.

Dr. Peyrot: Yes.

Steve: How did this initiative get started?

Dr. Peyrot: Back in the early 2000’s I did an international study of psycho-social aspects of diabetes amongst people with diabetes and their healthcare providers. This included a number of countries, many in Europe, some in other continents, and in United States.  Through that process, I came to know many people who are the important players, researchers, and policy makers in the field and found that there were a number of countries that had established guidelines for how to deal with psycho-social factors – the impact of diabetes on the person’s psychological well-being, on their quality of life, on their relationship with their family members. It just seemed a tragedy, from my perspective, that United States, one of the most developed countries in the world, was lagging behind some of the other countries. I came to the ADA, and talked to a number of leaders there about us developing that kind of a program. They immediately said that’s a great idea, and we made a minor change to the medical standards incorporating a brief statement about psycho-social issues, like depression, anxiety, and so forth.  Soon, we started an initiative to write a book collecting the views from experts in the area, which was later published by ADA.  We followed that up by an initiative to actually pull together a formal position statement by ADA, which would be something that would try to influence providers, who are members of the ADA, or those who are responsive to the ADA guidelines to help them focus on how to better work with these kinds of issues. That has taken about 15 years, from the very first ideas about such a set of standards, to the position statement that came out at the end of 2016.

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