Monitoring of Individual Needs in Diabetes (MIND): Baseline Data From the Cross-National Diabetes Attitudes, Wishes, and Needs (DAWN) MIND Study

Abstract

OBJECTIVETo test the feasibility and impact of implementing the computer-assisted Monitoring of Individual Needs in Diabetes (MIND) procedure, which is aimed at improving recognition and management of the psychological needs of diabetic patients in routine care.RESEARCH DESIGN AND METHODSThe MIND study was implemented in diabetes clinics across eight countries as part of the annual review. The computerized assessment covered emotional well-being (World Health Organization 5 Well-Being Index), diabetes-related distress (Problem Areas in Diabetes), life events, and the patient’s agenda. Medical data were retrieved from the charts, and agreed-upon actions were recorded.RESULTSOf 1,567 patients monitored using the MIND, 24.9% had either likely depression or high diabetes-related distress; 5.4% had both. Over 80% of these patients were newly identified cases, and 41% of patients with depression were referred to a mental health professional.CONCLUSIONSMonitoring of well-being and diabetes-related distress as part of routine diabetes care is feasible and helps to identify and discuss unmet psychosocial needs.

Prevalence and risk factors of depression and diabetes- related emotional distress in patients with type 2 diabetes: A cross-sectional study

“…The total mean PAID score was lower in the current study than in other studies [23,27,35,39] , which might be due to the older age of the study participants and their Caucasian background. PAID items related to negative emotions contributed the most to diabetes-related distress, as has been reported previously [23,35] .…”

Diabetesbezogene Belastungen, Wohlbefinden und Einstellung von Menschen mit Diabetes

“…Trotz zahlreicher Fortschritte seit der ersten DAWN-Studie gibt es noch immer Wissensdefizite bezüglich der Bedürf-nisse, Einstellungen und Wünsche von Menschen mit Diabetes, die zudem in der Behandlung des Diabetes zu wenig berücksichtigt werden [10,11,12,13]. Dies war der Grund für die Durchführung der zweiten globalen Studie zu psychosozialen Belastungen und Barrieren der Diabetestherapie: DAWN2™ [14].…”

Structured type 1 diabetes education delivered in routine care in Australia reduces diabetes-related emergencies and severe diabetes-related distress: The OzDAFNE program

“…Item scores are summed and standardised to provide a total score (range: 0-100), with higher scores indicating greater distress, and scores ≥40 indicating severe diabetes-related distress [13]. Missing datapoints were replaced with the mean of participants' other scores if ≤2 item scores were missing.…”