WHO-5, a tool focusing on psychological needs in patients with diabetes: The French contribution to the DAWN study

Hochberg, G.; Pucheu, Sylvie; Kleinebreil, Line; Halimi, Serge; Fructuoso-Voisin, C.

doi:10.1016/j.diabet.2012.06.002

Cited by 25 publications

(15 citation statements)

References 22 publications

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“…Hence, this study further indicates that T1 felt a greater negative effect from diabetic conditions on emotional well-being and leisure activities than did T2. This data is consistent with that of previous studies 22 which showed that the QoL of PWD was reduced and that the magnitude of negative impact differed between T1 and T2. 23 , 24 …”

Section: Discussionsupporting

confidence: 93%

The multinational second Diabetes, Attitudes, Wishes and Needs study: results of the French survey

Réach¹,

Consoli

Halimi³

et al. 2015

PPA

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AimThe second Diabetes, Attitudes, Wishes and Needs (DAWN2™) multinational cross-sectional study was aimed at generating insights to facilitate innovative efforts by people with diabetes (PWD), family members (FMs), and health care professionals (HCPs) to improve self-management and psychosocial support in diabetes. Here, the French data from the DAWN2™ study are described.MethodsIn France, 500 PWD (80 with type 1 diabetes [T1] and 420 with type 2 diabetes [T2]), 120 FMs, and 288 HCPs were recruited. The questionnaires assessed the impact of diabetes on quality of life and mood, self-management, attitudes/beliefs, and care/support.ResultsDiabetes negatively impacted the emotional well-being of 59% of people with T1 versus 45% of people with T2 (P<0.05) and about half of FMs. A high level of distress was felt by about half of PWD and FMs. About half of HCPs reported assessing depression in their patients. Sixty-two percent of FMs considered managing diabetes to be a burden. Hypoglycemia was a source of concern for 64% of people with T1 and 73% of FMs of insulin users. About two-thirds of non-insulin-medicated people with T2 agreed to start insulin if prescribed, while half of HCPs preferred to delay insulin initiation. A discrepancy between HCPs’ perceptions of their interactions with their patients and PWD’s recollection of these interactions with regard to patients’ personal needs and distress was also observed.ConclusionWhile distress remains under-assessed by HCPs, the negative impact of diabetes on the lives of PWD and FMs clearly induces distress on both groups. These findings provide new understanding of barriers precluding optimal management of diabetes. Developing strategies to overcome these barriers is now warranted.

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Section: Discussionsupporting

confidence: 93%

The multinational second Diabetes, Attitudes, Wishes and Needs study: results of the French survey

Réach¹,

Consoli

Halimi³

et al. 2015

PPA

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“…[789] The overall mean (standard deviation (SD)) WHO-5 score in our study population was 74.6 (19.4), which is higher (indicating better emotional adjustment) than that reported by de Wit et al ., among Dutch diabetic children, which was 63.38 (18.9). [8] The score was significantly lower among those with elevated HbA1c compared to those with normal HbA1c (71.1 (19.4) vs 90 (7.4), P = 0.004).…”

Section: Discussioncontrasting

confidence: 50%

“…It has been shown to be a reliable tool to assess emotional well-being over the preceding 2 weeks. [789]…”

Section: Methodsmentioning

confidence: 99%

Emotional, behavioral and cognitive profile, and quality of life of Indian children and adolescents with type 1 diabetes

Puri

Sapra

Jain

2013

Indian J Endocr Metab

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Background and Aims:The psychological stress associated with type 1 diabetes (T1D) may be higher in children from developing world due to limited health resources. The aims of the study were to assess the quality of life (QoL), emotional well-being, behavioral, and cognitive profile of children/adolescents with T1D diagnosed at least 6 months prior.Materials and Methods:Forty-nine children with T1D, aged 6−18 years were assessed using DAWN Youth QoL questionnaire, WHO-5 Well-Being Index, Child Behavior Checklist (CBCL), and Malin's Intelligence Scale for Indian children (MISIC). The association of the scores was studied with age, gender, socioeconomic status (SES), frequency of hypoglycemia, HbA1c, and age of onset and duration of T1D.Results:The mean (standard deviation (SD)) for DAWN QoL, WHO-5, CBCL, and MISIC scores was 24.7 (16.7), 74.6 (19.4), 52.6 (8.8), and 96.0 (11.2), respectively. The significant associations noted were: Elevated HbA1c with poorer emotional well-being; higher negative impact on ‘symptoms of disease’ and ‘future prospects’ sub-areas of QoL; shorter duration of disease with more behavioral issues; lower maternal education with more ‘withdrawn/depressed’ behaviors and ‘worry about future prospects’; and lower SES with lower MISIC scores. Earlier onset (age <5 years) was associated with fewer behavioral problems and less negative impact on QoL.Conclusion:Children with recent diagnosis, older age at onset, lower maternal educational level, elevated HbA1c, or belonging to lower SES were identified to have higher prevalence of various psychological and cognitive problems. In resource-limited settings, these children should be prioritized for behavioral and cognitive evaluation.

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“…We used the World Health Organization Five Well-Being Index (WHO-5) (time frame: the previous 2 weeks) to collect data about emotional well-being [11]- [15]. It has five items rated on a six-point Likert scale, ranging from 0 to 5: "at no time" (0), "some of the time" (1), "less than half of the time" (2), "more than half of the time" (3), "most of the time" (4) and "all of the time" (5).…”

Section: Measurementsmentioning

confidence: 99%

Relationships between Emotional Well-Being, Patient Activation and Social Support among Adults with Severe Obesity Who Have Undergone Gastric Bypass Surgery

Solberg¹,

Aarflot²,

Skotnes³

et al. 2015

OJN

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Objective: To examine the relationship between emotional well-being, patient activation and social support in a cohort of adults with severe obesity who underwent gastric bypass surgery from January to December 2012. Design: Cross-sectional survey. Subjects: Of a total population of 129 people, aged 18-68 years, at a local hospital in central Norway, 64 (50%) responding to the questionnaire, 52 (81%) being women. Main Outcome Measures: The World Health Organization-Five Well-Being Index (WHO-5), the 13-item Patient Activation Measure (PAM-13), a 16-item instrument on the frequency and content of social support, and demographic and clinical data. Results: A significant positive association was found between higher level of patient activation and better emotional well-being (P = 0.02) in linear regression analysis. A higher level of family support was significantly associated with better emotional well-being (practical social support from the family (P = 0.04), emotional social support from family (P = 0.01) and from friends (P = 0.005)). Conclusion: Screening tools for emotional well-being should be used systematically in postoperative consultations to recognize those who need a more individually tailored post-surgery follow-up care after gastric bypass surgery. In addition, health care providers in both specialist and primary health care settings should consider assessing the level of social support as part of regular follow-up routines.

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WHO-5, a tool focusing on psychological needs in patients with diabetes: The French contribution to the DAWN study

Cited by 25 publications

References 22 publications

The multinational second Diabetes, Attitudes, Wishes and Needs study: results of the French survey

The multinational second Diabetes, Attitudes, Wishes and Needs study: results of the French survey

Emotional, behavioral and cognitive profile, and quality of life of Indian children and adolescents with type 1 diabetes

Relationships between Emotional Well-Being, Patient Activation and Social Support among Adults with Severe Obesity Who Have Undergone Gastric Bypass Surgery

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