Correlates of psychological care strategies for people with diabetes in the second Diabetes Attitudes, Wishes and Needs (<scp>DAWN</scp>2<sup>™</sup>) study

Holt, Richard; Nicolucci, Antonio; Burns, Katharina Kovacs; Lucisano, Giuseppe; Skovlund, Søren E.; Forbes, Angus; Kalra, Sanjay; Torre, Edelmiro Menéndez; Munro, N.; Peyrot, Mark

doi:10.1111/dme.13109

Cited by 21 publications

(21 citation statements)

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“…From the perspective of the conference participants, challenges in integrating psychosocial support into routine diabetes care pertain to the patient-provider relationship, the organization and the community, which is also consistent with previous research [4][5][6][7][8][9][10][11].…”

Section: Discussionsupporting

confidence: 81%

Integrating psychosocial support into routine diabetes care: perspectives from participants at the Self‐Management Alliance meeting 2016

et al. 2018

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Aims To identify challenges and solutions to integrating psychosocial support into routine diabetes care from the perspective of stakeholders with expertise in diabetes self‐management education and support. Methods Ninety‐four people attended the annual international Diabetes Self‐Management Alliance meeting in 2016, which included plenary sessions and workshops on self‐management education, support and prevention. One workshop focused on how to integrate psychosocial support into routine diabetes care; this was run four times consecutively, allowing all conference participants to attend the workshops in groups of 20–25 people. Results Challenges and solutions associated with integrating psychosocial support into routine diabetes care concern the patient–provider relationship, the healthcare system and the community. Challenges identified were: lack of time, skills and resources to deal with psychological well‐being; a culture of patient blame and care expectations; the complexity of person‐centred assessment of psychological issues; and the substantial healthcare system focus on productivity and biomedical indicators. Lack of involvement of local communities and of inclusion of social determinants of health were also highlighted as challenging. Solutions identified were more patient–provider dialogue; more training and better skills among care providers; system incentives for psychosocial outcomes; and targeting social determinants of health and involvement of family and peers. Conclusions From the perspective of international stakeholders with an expertise in diabetes self‐management and support attending the conference in Denmark, substantial new incentives and systematic cultural changes are needed in healthcare systems to integrate psychosocial support into routine diabetes care, as recommended in international guidelines.

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Section: Discussionsupporting

confidence: 81%

Integrating psychosocial support into routine diabetes care: perspectives from participants at the Self‐Management Alliance meeting 2016

et al. 2018

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“…Regression analysis of all questionnaire items reported in the present study would not be possible within the space limitations of the journal; however, another paper provides such analyses for selected items .…”

Section: Methodsmentioning

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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“…In summary, the study comprised stakeholder‐specific questionnaires for people with diabetes, family members caring for adults with diabetes and healthcare professionals from 17 countries across four continents. While two companion publications focus on family members and healthcare professionals , this paper describes the study with emphasis on people with diabetes.…”

Section: Methodsmentioning

confidence: 99%

Correlates of psychological outcomes in people with diabetes: results from the second Diabetes Attitudes, Wishes and Needs (DAWN2^™) study

et al. 2016

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Correlates of psychological care strategies for people with diabetes in the second Diabetes Attitudes, Wishes and Needs (DAWN2^™) study

Abstract: Improvements in training and resources, recognition and assessment of psychological problems, and increased belief in the efficacy of psychological support may enhance healthcare professionals' efforts to address psychological problems in adults with diabetes.

Cited by 21 publications

References 25 publications

Integrating psychosocial support into routine diabetes care: perspectives from participants at the Self‐Management Alliance meeting 2016

Integrating psychosocial support into routine diabetes care: perspectives from participants at the Self‐Management Alliance meeting 2016

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

Correlates of psychological outcomes in people with diabetes: results from the second Diabetes Attitudes, Wishes and Needs (DAWN2^™) study

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Correlates of psychological care strategies for people with diabetes in the second Diabetes Attitudes, Wishes and Needs (DAWN2™) study

Abstract: Improvements in training and resources, recognition and assessment of psychological problems, and increased belief in the efficacy of psychological support may enhance healthcare professionals' efforts to address psychological problems in adults with diabetes.

Cited by 21 publications

References 25 publications

Integrating psychosocial support into routine diabetes care: perspectives from participants at the Self‐Management Alliance meeting 2016

Integrating psychosocial support into routine diabetes care: perspectives from participants at the Self‐Management Alliance meeting 2016

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

Correlates of psychological outcomes in people with diabetes: results from the second Diabetes Attitudes, Wishes and Needs (DAWN2™) study

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Correlates of psychological care strategies for people with diabetes in the second Diabetes Attitudes, Wishes and Needs (DAWN2^™) study

Correlates of psychological outcomes in people with diabetes: results from the second Diabetes Attitudes, Wishes and Needs (DAWN2^™) study