Nursing home compliance improved and antipsychotic use declined during pharmacist intervention at one nursing home. Multiple factors may be involved in pharmacist recommendation acceptance.

sychological health and levels of emotional distress in people with diabetes directly affect their ability to undertake the complicated tasks needed for effective diabetes management. According to the second Diabetes Attitudes Wishes and Needs study (1), quality of life for people with diabetes is negatively affected by this condition; 62.2% of people with diabetes report that diabetes has a negative impact on their physical health (2). People with diabetes are always advised to integrate rigorous diabetes self-care practices into their disease management regimen, leading some to feel burdened with the psychological stress that can accompany the process of accepting the disease and developing ways to integrate its management into their daily life. To address some of this burden, a 2016 American Diabetes Association (ADA) position statement focused on the psychosocial care of individuals with di-abetes, advocating for the assessment of diabetes-related distress (DRD) via validated tools and the integration of appropriate psychological interventions as part of patient-centered care in the primary care setting (3).Psychosocial issues that interfere with patients' diabetes self-care practices and are associated with suboptimal glycemic control include DRD, depression, anxiety, eating disorders, social factors, and cognitive factors. Although DRD is not a proxy to assess clinical depression, it comprehensively summarizes the affective experiences of people living with diabetes, addressing their worries (e.g., the cost and quality of care), concerns (e.g., future diabetes-related complications), and fears (e.g., medication-related adverse outcomes such as hypoglycemia) about having to manage this progressive chronic condition. The DAWN 2 study group, surveying 8,596 adults with diabetes

No abstract

Type 2 diabetes is over-represented in vulnerable populations. Vulnerable patients managing diabetes are challenged with less-than-optimal processes and outcomes of care; thus, and the American Diabetes Association have renewed the focus on social determinants of health with regard to the management of chronic diseases such as diabetes. This study explored the correlations between A1C and social and personal factors, including diabetes knowledge, diabetes numeracy, and food security. The Diabetes Numeracy Test-15, the Spoken Knowledge in Low Literacy Diabetes Scale, and the U.S. Department of Agriculture Food Security Questionnaire were administered to a Caucasian study population ( = 96) receiving diabetes care at a federally qualified health center. Although the correlation coefficients generated by the results obtained from the three questionnaires and A1C levels were generally small, a correlation coefficient of 0.46 was found between food security and A1C. An improved understanding of factors that contribute to the successful self-management of diabetes is necessary to improve diabetes outcomes in vulnerable populations.

Context Diabetes is a complex, chronic condition and managing it can have psychosocial implications for patients, including an impact on relationships with their loved ones and physical wellness. The necessary modifications to daily behaviors can be very overwhelming, thus leading to diabetes-related distress. Objective To investigate the association between diabetes-related distress and perceived social support among people with type 2 diabetes. Methods This cross-sectional study surveyed a population with a lower socioeconomic status (Medi-Cal recipients, which are only given to low-income individuals) in Solano County, California. Patients who had type 2 diabetes mellitus, who were between 40 and 80 years old, and who had a medical appointment in the clinic(s) at least once between December 2015 and December 2016 were included. Patients who could not understand or speak English and patients whose primary care clinicians declined their participation in the study were excluded from the study. Each study participant was recruited at the end of their medical appointment, and the survey instrument in paper form was administered. The Problem Areas in Diabetes (PAID) scale, which indicates diabetes-related distress, and Multidimensional Scale of Perceived Social Support (MSPSS) with 3 subscales (family, friends, and significant others) were used in this study. Multiple linear regression models were used to analyze the associations between PAID and MSPSS surveys. Results For the 101 participants included in our study, multiple linear regression models showed statistically significant association between total MSPSS scores and total PAID scores (β = −.318; 95% CI, .577, −.0581; P=.017) as well as between MSPSS family subscale scores and total PAID scores (β= −.761; 95% CI, −1.35, −.168; P=.012). Among the 3 MSPSS subscales, higher perceived support from family members was found to be significantly associated with lower total PAID scores (β= −.761; 95% CI, −1.35, −.168; P=.012). Conclusion Our findings suggest that a higher level of perceived social support experienced was associated with lower diabetes-related distress among patients with type 2 diabetes. Osteopathic physicians have a central role in providing comprehensive, patient-centered, holistic care, and the attention to social support in chronic disease management can help remove barriers in providing optimal care.