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

Abstract

Improvements in modifiable risk factors (reductions in burden and increases in support) may lead to better psychological outcomes in adults with diabetes.

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

“…The measures used are shown in Table . Two companion papers provide the results for family members and people with diabetes .…”

Assessing the perceived impact of diabetes on quality of life: Psychometric validation of the DAWN2 Impact of Diabetes Profile in the second Diabetes MILES – Australia (MILES-2) survey

“…Spanning 17 countries, DAWN2 surveyed 9,040 adults with Type 1 (T1DM) and Type 2 diabetes mellitus 4 (T2DM). DAWN2 findings, including DIDP descriptive statistics and correlates, have been published elsewhere [13,14]. However, the psychometric properties of the DIDP have not yet been examined separately by diabetes type/treatment.…”

DAWN2 shines more light on the psychological burden of living with diabetes and on the correlates of quality psychological care

“…The new publications show that, among people with diabetes, worse psychological outcomes are associated with complications, hypoglycaemia, using insulin or oral medications, perceived burden of diabetes, family conflict and experience of discrimination . Among family members, the correlates are similar but also include: not working because of diabetes, being a carer of a person with diabetes who is not a partner or child, and feeling frustrated about not knowing how to help the person with diabetes .…”

“…In both people with diabetes and family members, DAWN2 shows that outcomes are better if they have had greater access to diabetes self‐management education and greater psychosocial support from others . Ultimately, better access to education and support are needed, yet most resources and services are focused on people with diabetes rather than on the family members who support them (with the notable exception, perhaps, of parents of children with Type 1 diabetes).…”

“…In this issue of Diabetic Medicine, three new papers from the second Diabetes Attitudes Wishes and Needs (DAWN2) study are published. Involving 8596 people with diabetes, 2057 family members and 4785 health professionals across 17 countries and four continents, this remarkable study places a global spotlight on the factors associated with the psychological burden experienced by people with diabetes [1] and their families [2], and those associated with quality psychological care [3]. Variation exists between countries, and none stands out as doing better than others in all aspects.…”