Patient-reported assessments in diabetes care: Clinical and research applications

Abstract

Patient-reported assessments play an increasing role in diabetes care and research today. These assessments are used to evaluate new treatment regimens, explore attitudes, beliefs, and needs of diabetes populations, support inclusion of psychosocial aspects in daily care, and establish new patient-centered standards for quality-of-care improvement initiatives. Much work remains to be done to ensure that these activities will result in improved access to patient-centered diabetes care.

The Diabetes Attitudes, Wishes, and Needs (DAWN) Program: A New Approach to Improving Outcomes of Diabetes Care

“…30 In addition, patient self-report assessment tools and decision-support tools can facilitate inclusion of psychosocial aspects in routine clinical encounters between health care professionals and patients to improve patients' well-being. 10,31 Examples of action. In response to the DAWN study, several countries have introduced internationally endorsed measures of psychological well-being, diabetes-related distress, and barriers to self-management into quality-of-care monitoring systems.…”

Patients With Type 2 Diabetes at Risk for Major Depressive Disorder Over Time

“…1,2 Patients with type 2 diabetes are 52% more likely to develop major depressive disorder (MDD) than the general population, 3 and most of these patients are managed in primary care. 4 Although several studies have suggested all patients with diabetes be screened for MDD, 5,6 the ability to identify subsets of patients with type 2 diabetes who are at risk would channel scarce resources and focus attention on a vulnerable population. 7,8 We undertook this study in an effort to identify biologic, behavioral, and psychosocial characteristics at baseline that predict the onset of MDD among primary care patients with diabetes.…”

Development of an instrument for patient-reported outcomes in Thai patients with type 2 diabetes mellitus (PRO-DM-Thai)

“…This dimension also included satisfaction with bodily appearance. By contrast, the "satisfaction with care and flexibility of treatment," asked about patient's contentment of health care given by physicians and nurses, including medicine [10,42,43]. Therefore, the core patient-reported outcomes dimensions of the instrument in diabetic care for the Thais were concluded to have 7 dimensions or domains, namely: (1) physical function, (2) symptoms, (3) psychological well-being, (4) self-care management, (5) social well-being, (6) global judgments for health, and (7) satisfaction with care and flexibility of treatment.…”

“…Accordingly, the ability of patients to self-assess any disease status and treatment outcomes play important roles. To empower DM patients, instruments for patient-reported outcome have been developed in many developed countries [7][8][9][10]. Going beyond clinical indicators, they have been applied in clinical trials or clinical settings to gather information regarding the outcomes from the perspectives of patients, such as quality of life data.…”