Diabetes Attitudes, Wishes and Needs second study (DAWN2™): Cross‐national benchmarking of diabetes‐related psychosocial outcomes for people with diabetes
Antonio Nicolucci,K. Kovacs Burns,Richard I. G. Holt,M. Comaschi,Norbert Hermanns,Hitoshi Ishii,Andrzej Kokoszka,Frans Pouwer,Soren E. Skovlund,Heather L. Stuckey,I. Tarkun,Michael Vallis,Johan Wens,Mark Peyrot +13 more
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TLDR
The second Diabetes Attitudes, Wishes and Needs (DAWN2) study aimed to assess psychosocial outcomes in people with diabetes across countries for benchmarking.Abstract:
Aims
The second Diabetes Attitudes, Wishes and Needs (DAWN2) study aimed to assess psychosocial outcomes in people with diabetes across countries for benchmarking.
Methods
Surveys included new and adapted questions from validated questionnaires that assess health-related quality of life, self-management, attitudes/beliefs, social support and priorities for improving diabetes care. Questionnaires were conducted online, by telephone or in person.
Results
Participants were 8596 adults with diabetes across 17 countries. There were significant between-country differences for all benchmarking indicators; no one country's outcomes were consistently better or worse than others. The proportion with likely depression [WHO-5 Well-Being Index (WHO-5) score ≤ 28] was 13.8% (country range 6.5–24.1%). Diabetes-related distress [Problem Areas in Diabetes Scale 5 (PAID-5) score ≥ 40] was reported by 44.6% of participants (17.2–67.6%). Overall quality of life was rated ‘poor’ or ‘very poor’ by 12.2% of participants (7.6–26.1%). Diabetes had a negative impact on all aspects investigated, ranging from 20.5% on relationship with family/friends to 62.2% on physical health. Approximately 40% of participants (18.6–64.9%) reported that their medication interfered with their ability to live a normal life. The availability of person-centred chronic illness care and support for active involvement was rated as low. Following self-care advice for medication and diet was most common, and least common for glucose monitoring and foot examination, with marked country variation. Only 48.8% of respondents had participated in diabetes educational programmes/activities to help manage their diabetes.
Conclusions
Cross-national benchmarking using psychometrically validated indicators can help identify areas for improvement and best practices to drive changes that improve outcomes for people with diabetes.read more
Citations
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Journal ArticleDOI
Psychosocial Care for People With Diabetes: A Position Statement of the American Diabetes Association
Deborah Young-Hyman,Mary de Groot,Felicia Hill-Briggs,Jeffrey S. Gonzalez,Korey K. Hood,Mark Peyrot +5 more
TL;DR: The most common psychological factors affecting PWD, including diabetes distress and psychological comorbidities, are focused on, while also considering the needs of special populations and the context of care.
Journal ArticleDOI
Diabetes Self-management Education and Support in Type 2 Diabetes: A Joint Position Statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dietetics
Margaret A. Powers,Joan K. Bardsley,Marjorie Cypress,Paulina Duker,Martha M. Funnell,Amy Hess Fischl,Melinda D. Maryniuk,Linda Siminerio,Eva M. Vivian +8 more
TL;DR: It is important for health care providers and their practice settings to have the resources and a systematic referral process to ensure that patients with type 2 diabetes receive both DSME and DSMS in a consistent manner.
Journal ArticleDOI
Diabetes Self-management Education and Support in Type 2 Diabetes: A Joint Position Statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dietetics
Margaret A. Powers,Joan K. Bardsley,Marjorie Cypress,Paulina Duker,Martha M. Funnell,Amy Hess Fischl,Melinda D. Maryniuk,Linda Siminerio,Eva M. Vivian +8 more
TL;DR: It is important for health care providers and their practice settings to have the resources and a systematic referral process to ensure that patients with type 2 diabetes receive both DSME and DSMS in a consistent manner.
Journal ArticleDOI
Diabetes Self-management Education and Support in Type 2 Diabetes: A Joint Position Statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dietetics
Margaret A. Powers,Joan K. Bardsley,Marjorie Cypress,Paulina Duker,Martha M. Funnell,Amy Hess Fischl,Melinda D. Maryniuk,Linda Siminerio,Eva M. Vivian +8 more
TL;DR: It is important for health care providers and their practice settings to have the resources and a systematic referral process to ensure that patients with type 2 diabetes receive both DSME and DSMS in a consistent manner.
Journal ArticleDOI
The prevalence of diabetes-specific emotional distress in people with Type 2 diabetes: a systematic review and meta-analysis.
TL;DR: The aim of this systematic review was to determine the overall prevalence of diabetes distress in people with Type 2 diabetes.
References
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Psychosocial problems and barriers to improved diabetes management: results of the Cross-National Diabetes Attitudes, Wishes and Needs (DAWN) Study
Mark Peyrot,Richard R. Rubin,T. Lauritzen,Frank J. Snoek,David R. Matthews,Soren E. Skovlund +5 more
TL;DR: The aim is to examine patient‐ and provider‐reported psychosocial problems and barriers to effective self‐care and resources for dealing with those barriers.
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TL;DR: The empowerment approach is clarified and common misconceptions have been corrected and it is confirmed that patient are in control of their daily diabetes care.
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TL;DR: In this article, a systematic review is presented to summarize existing knowledge regarding various barriers of diabetes management from the perspectives of both patients and clinicians, such as adherence, attitude, beliefs, and knowledge about diabetes may affect self-management.