A consultation dialogue tool helps address psychological aspects of diabetes

Johansen, C. B.; Torenholt, Rikke; Hommel, Eva; Wittrup, Minna; Willaing, Ingrid

doi:10.1111/dme.12584

Cited by 3 publications

(3 citation statements)

References 10 publications

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“…There was clearly a consensus among respondents on the need for more training on the psychological aspects of diabetes, this being the most frequently reported training need identified by HCPs (59.1%), but few HCPs have had training in this area . The concern is that, while the most common training for HCPs to support patient self‐management is limited to basic communication skills, any productive discussion of their patients’ emotional issues is not initiated, except sometimes by the person with diabetes, and when initiated, is often not effectively addressed . This is an issue that was highlighted in the original DAWN study of 2001 .…”

Section: Discussionmentioning

confidence: 99%

Deficiencies in postgraduate training for healthcare professionals who provide diabetes education and support: results from the Diabetes Attitudes, Wishes and Needs (DAWN2) study

et al. 2017

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The present study shows that healthcare professionals report being insufficiently equipped to provide diabetes self-management education, including emotional and psychological aspects of diabetes, and many are not receiving postgraduate training in any part (including medical care) of the management of diabetes. It is paramount that those responsible for the continuing professional development of healthcare professionals address this skills gap.

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Section: Discussionmentioning

confidence: 99%

Deficiencies in postgraduate training for healthcare professionals who provide diabetes education and support: results from the Diabetes Attitudes, Wishes and Needs (DAWN2) study

et al. 2017

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“…A study showed that the DDS2 is easier for addressing psychological issues, but this scale does not have as strong a relation with glycemia control as DDS17. (32) …”

Section: Discussionmentioning

confidence: 99%

Clinical and sociodemographic variables associated with diabetes-related distress in patients with type 2 diabetes mellitus

Zanchetta

Trevisan

Apolinário

et al. 2016

Einstein (São Paulo)

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Objective:To evaluate the relation between diabetes-related distress and the clinical and sociodemographic characteristics of type 2 diabetes mellitus patients.Methods:A cross-sectional study based on a secondary analysis of data collected at a specialized care outpatient center in Brazil. Participants completed a questionnaire on sociodemographic and clinical characteristics and the Brazilian version of the Diabetes Distress Scale (B-DDS).Results:About 31% of the 130 eligible patients reported diabetes distress, and the mean B-DDS score was 2.6. Multiple regression analysis showed the B-DDS score was positively correlated with marital status (p=0.0230), use of diet and physical activities for diabetes management (p=0.0180), and use of insulin therapy (p=0.0030). The “emotional burden”, “regimen-related distress”, and “interpersonal distress” domains from B-DDS were associated with the use of insulin therapy (p=0.0010), marital status (p=0.0110), and the presence of three or more comorbidities (p=0.0175).Conclusion:These findings suggest the clinical and sociodemographic variables are relatively weak predictors of diabetes-related distress. The highest scores in the B-DDS were observed in the emotional burden domain, indicating the presence of diabetes distress among the participants of the study.

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“…Our data do not allow us to say whether relieving this distress will affect glycaemic control, but suggest that diabetes‐specific emotional distress can be used to identify high‐risk patients for more intensive intervention. A recent study investigating the use of the DDS2 to facilitate conversation about psychological concerns in clinical consultation, found that a dialogue tool might make it easier to address psychological issues, but emphasized the importance of a short tool and the importance of using the tool in a flexible manner in clinical consultations . Ease of use favours the two‐item DDS2 over the full 17‐item DDS, but the DDS2 does not have as strong a relationship with glycaemic control as the longer version; however, the five‐item regimen distress scale is shorter than the full DDS, and has a stronger association with follow‐up glycaemic control.…”

Section: Discussionmentioning

confidence: 99%

Longitudinal relationship between diabetes‐specific emotional distress and follow‐up HbA_1c in adults with Type 1 diabetes mellitus

et al. 2015

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AimTo examine whether diabetes-specific emotional distress was related to follow-up glycaemic control in adults with Type 1 diabetes mellitus.MethodsAdults with Type 1 diabetes mellitus completed the Diabetes Distress Scale and reported sociodemographic information when attending a clinical consultation at a university endocrinology unit. Blood samples to determine baseline HbA1c were taken during consultations. All respondents’ HbA1c measurements registered from January 2009 to December 2011 were collected from medical records. The relationship between baseline diabetes-specific emotional distress and HbA1c was examined with linear mixed-effects models in 175 patients with complete data.ResultsAfter controlling for confounders, baseline diabetes-specific emotional distress and glycaemic control were significantly associated (fixed-effect coefficient 0.40, P < 0.001) and the regimen-related distress subscale had the strongest association with glycaemic control (fixed-effect coefficient 0.47, P < 0.001). The two-item measure of diabetes-specific distress had a weaker but still significant association with glycaemic control (fixed-effect coefficient 0.31, P < 0.001). None of these relationships was significant after adjusting for the baseline HbA1c.ConclusionsPeople with elevated baseline diabetes-specific emotional distress are at risk of prolonged suboptimum glycaemic control; therefore, elevated diabetes-specific emotional distress, especially regimen-related distress, might be an important marker for prolonged suboptimum glycaemic control, and might indicate a need for special attention regarding patient self-management.What’s new? In adults with Type 1 diabetes, elevated baseline diabetes-specific emotional distress is associated with worse glycaemic control over a 1–3-year period and regimen-related distress had the strongest association with subsequent glycaemic control. Baseline diabetes-specific emotional distress is associated with the stable component of glycaemic control and does not account for within-individual change in glycaemic control over 1–3 years. Elevated diabetes-specific emotional distress may be an important marker for risk of prolonged suboptimum glycaemic control.

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A consultation dialogue tool helps address psychological aspects of diabetes

Cited by 3 publications

References 10 publications

Deficiencies in postgraduate training for healthcare professionals who provide diabetes education and support: results from the Diabetes Attitudes, Wishes and Needs (DAWN2) study

Deficiencies in postgraduate training for healthcare professionals who provide diabetes education and support: results from the Diabetes Attitudes, Wishes and Needs (DAWN2) study

Clinical and sociodemographic variables associated with diabetes-related distress in patients with type 2 diabetes mellitus

Longitudinal relationship between diabetes‐specific emotional distress and follow‐up HbA_1c in adults with Type 1 diabetes mellitus

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A consultation dialogue tool helps address psychological aspects of diabetes

Cited by 3 publications

References 10 publications

Deficiencies in postgraduate training for healthcare professionals who provide diabetes education and support: results from the Diabetes Attitudes, Wishes and Needs (DAWN2) study

Deficiencies in postgraduate training for healthcare professionals who provide diabetes education and support: results from the Diabetes Attitudes, Wishes and Needs (DAWN2) study

Clinical and sociodemographic variables associated with diabetes-related distress in patients with type 2 diabetes mellitus

Longitudinal relationship between diabetes‐specific emotional distress and follow‐up HbA1c in adults with Type 1 diabetes mellitus

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Longitudinal relationship between diabetes‐specific emotional distress and follow‐up HbA_1c in adults with Type 1 diabetes mellitus