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

Correlates of psychological care strategies for people with diabetes in the second Diabetes Attitudes, Wishes and Needs (DAWN2™ ) study
Correlates of psychological care strategies for people with diabetes in the second Diabetes Attitudes, Wishes and Needs (DAWN2™ ) study
Aims: to assess the ways in which healthcare professionals address psychological problems of adults with diabetes in the second Diabetes Attitudes, Wishes and Needs (DAWN2™) study.

Methods: approximately 120 primary care physicians, 80 diabetes specialists and 80 nurses and dietitians providing diabetes care participated in each of 17 countries (N=4785). Multiple regression analyses were used to evaluate independent statistically significant associations of respondent attributes concerning psychological care strategies, including assessment of diabetes impact on the patient's life, assessment of depression, provision of psychological assessment and support, and coordination with mental health professionals.

Results: psychological care strategies were positively associated with each other but differed by healthcare practice site and discipline; nurses and dietitians were less likely to assess depression than other healthcare professionals, while primary care physicians were less likely to coordinate with mental health specialists or ask patients how diabetes affects their lives. Psychological care was positively associated with healthcare professionals' beliefs that patients need help dealing with emotional issues and that clinical success depends on doing so, and also with level of psychological care training, multidisciplinary team membership and availability of resources for psychological care. There were significant between-country variations in psychological care strategies, before and after adjustment for individual-level factors, and significant country-by-covariate interactions for almost all individual-level factors investigated.

Conclusions: improvements in training and resources, recognition and assessment of psychological problems, and increased belief in the efficacy of psychological support may enhance healthcare professionals' efforts to address psychological problems in adults with diabetes
0742-3071
Holt, Richard
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Nicolucci, A.
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Kovacs Burns, K.
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Lucisano, G.
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Skovlund, S.E.
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Forbes, A.
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Kalra, S.
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Menéndez Torre, E.
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Munro, N.
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Peyrot, M.
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Holt, Richard
d54202e1-fcf6-4a17-a320-9f32d7024393
Nicolucci, A.
471a96a2-875e-418c-93be-dccda1c68fda
Kovacs Burns, K.
1ea99da5-2256-4546-935b-cdefe91bd13d
Lucisano, G.
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Skovlund, S.E.
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Forbes, A.
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Kalra, S.
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Menéndez Torre, E.
85ddf949-9ddf-4c83-b80e-1160443d8e14
Munro, N.
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Peyrot, M.
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Holt, Richard, Nicolucci, A., Kovacs Burns, K., Lucisano, G., Skovlund, S.E., Forbes, A., Kalra, S., Menéndez Torre, E., Munro, N. and Peyrot, M. (2016) Correlates of psychological care strategies for people with diabetes in the second Diabetes Attitudes, Wishes and Needs (DAWN2™ ) study. Diabetic Medicine. (doi:10.1111/dme.13109). (PMID:26939906)

Record type: Article

Abstract

Aims: to assess the ways in which healthcare professionals address psychological problems of adults with diabetes in the second Diabetes Attitudes, Wishes and Needs (DAWN2™) study.

Methods: approximately 120 primary care physicians, 80 diabetes specialists and 80 nurses and dietitians providing diabetes care participated in each of 17 countries (N=4785). Multiple regression analyses were used to evaluate independent statistically significant associations of respondent attributes concerning psychological care strategies, including assessment of diabetes impact on the patient's life, assessment of depression, provision of psychological assessment and support, and coordination with mental health professionals.

Results: psychological care strategies were positively associated with each other but differed by healthcare practice site and discipline; nurses and dietitians were less likely to assess depression than other healthcare professionals, while primary care physicians were less likely to coordinate with mental health specialists or ask patients how diabetes affects their lives. Psychological care was positively associated with healthcare professionals' beliefs that patients need help dealing with emotional issues and that clinical success depends on doing so, and also with level of psychological care training, multidisciplinary team membership and availability of resources for psychological care. There were significant between-country variations in psychological care strategies, before and after adjustment for individual-level factors, and significant country-by-covariate interactions for almost all individual-level factors investigated.

Conclusions: improvements in training and resources, recognition and assessment of psychological problems, and increased belief in the efficacy of psychological support may enhance healthcare professionals' efforts to address psychological problems in adults with diabetes

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DAWN2 FM Correlates Manuscript - revised as per tracked change 040216.docx - Accepted Manuscript
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Accepted/In Press date: 1 March 2016
e-pub ahead of print date: 31 March 2016
Organisations: Faculty of Medicine

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Local EPrints ID: 394701
URI: http://eprints.soton.ac.uk/id/eprint/394701
ISSN: 0742-3071
PURE UUID: c7634ea2-7f36-4ecd-8c8c-fd87938a6dba
ORCID for Richard Holt: ORCID iD orcid.org/0000-0001-8911-6744

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Date deposited: 20 May 2016 10:45
Last modified: 18 Feb 2021 16:56

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Contributors

Author: Richard Holt ORCID iD
Author: A. Nicolucci
Author: K. Kovacs Burns
Author: G. Lucisano
Author: S.E. Skovlund
Author: A. Forbes
Author: S. Kalra
Author: E. Menéndez Torre
Author: N. Munro
Author: M. Peyrot

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