{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T20:42:58Z","timestamp":1791060178734,"version":"4.1.0"},"reference-count":30,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2022,5,28]],"date-time":"2022-05-28T00:00:00Z","timestamp":1653696000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabet Med"],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Although binge\u2010eating disorder (BED) is a common comorbidity of type 2 diabetes, little is known about the treatment experiences for persons with both conditions. Our aim was to explore perceptions of Primary Care Providers' (PCPs') treatment among adult women with both diagnoses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this qualitative descriptive study, we conducted semi\u2010structured interviews with a sample of 21 women (90% non\u2010Hispanic white; mean age 49\u2009\u00b1\u200914.8\u2009years, mean body mass index [BMI] 43.8\u00a0\u00b1\u20098.4; 48% had type 2 diabetes, mean HbA<jats:sub>1c<\/jats:sub>68\u2009mmol\/mol, 8.4%) who had previously participated in a secondary care specialized eating disorder treatment programme. Interviews were audio\u2010recorded, transcribed and analysed using thematic analysis and NVivo 12.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Participants described PCPs' helpful and unhelpful attitudes and behaviours during type 2 diabetes and BED treatment experiences. Helpful treatment was experienced when PCPs demonstrated a person\u2010centred approach by providing adequate diabetes education, individualized care and non\u2010judgmental attitudes from which participants reported increased understanding of diabetes and BED, improved diabetes self\u2010care and fewer negative self\u2010perceptions. Unhelpful treatment occurred when PCPs did not provide sufficient diabetes education and manifested deficient understanding of BED characterized by simplistic advice or judgmental attitudes, from which participants reported having limited knowledge and understanding of diabetes and BED, low self\u2010efficacy, diminished trust and feelings of guilt, shame and failure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>We propose a preliminary pathways treatment model derived from our findings, which utilizes integrated type 2 diabetes and BED education and person\u2010centred collaboration. This preliminary model needs to be tested in quantitative research with a larger sample.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dme.14887","type":"journal-article","created":{"date-parts":[[2022,5,20]],"date-time":"2022-05-20T07:44:08Z","timestamp":1653032648000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["What helps and what hinders primary care treatment for women with type 2 diabetes and binge eating disorder? A\u00a0qualitative study"],"prefix":"10.1111","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5020-4621","authenticated-orcid":false,"given":"Marilyn","family":"Ritholz","sequence":"first","affiliation":[{"name":"Joslin Diabetes Center Boston Massachusetts USA"},{"name":"Harvard Medical School Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret","family":"Salvia","sequence":"additional","affiliation":[{"name":"Boston University Boston Massachusetts USA"},{"name":"Harvard T.H. Chan School of Public Health Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine L. E.","family":"Craigen","sequence":"additional","affiliation":[{"name":"Walden Behavioral Care Waltham Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paula","family":"Quatromoni","sequence":"additional","affiliation":[{"name":"Boston University Boston Massachusetts USA"},{"name":"Walden Behavioral Care Waltham Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,5,28]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"Centers for Disease Control.National Diabetes Statistics Report 2020"},{"key":"e_1_2_9_3_1","unstructured":"World Health Organization.Newsletter. Facts in Pictures. Diabetes. 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