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

R. I G Holt, A. Nicolucci, K. Kovacs Burns, G. Lucisano, S. E. Skovlund, A. Forbes, S. Kalra, E. Menéndez Torre, N. Munro, M. Peyrot

Research output: Contribution to journalArticle

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.

Original languageEnglish (US)
Pages (from-to)1174-1183
Number of pages10
JournalDiabetic Medicine
Volume33
Issue number9
DOIs
StatePublished - Sep 1 2016
Externally publishedYes

Fingerprint

Psychology
Delivery of Health Care
Nutritionists
Primary Care Physicians
Mental Health
Depression
Nurses
Regression Analysis

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Medicine(all)
  • Endocrinology

Cite this

Holt, R. I. G., Nicolucci, A., Kovacs Burns, K., Lucisano, G., Skovlund, S. E., Forbes, A., ... Peyrot, M. (2016). Correlates of psychological care strategies for people with diabetes in the second Diabetes Attitudes, Wishes and Needs (DAWN2) study. Diabetic Medicine, 33(9), 1174-1183. https://doi.org/10.1111/dme.13109

Correlates of psychological care strategies for people with diabetes in the second Diabetes Attitudes, Wishes and Needs (DAWN2) study. / Holt, R. I G; Nicolucci, A.; Kovacs Burns, K.; Lucisano, G.; Skovlund, S. E.; Forbes, A.; Kalra, S.; Menéndez Torre, E.; Munro, N.; Peyrot, M.

In: Diabetic Medicine, Vol. 33, No. 9, 01.09.2016, p. 1174-1183.

Research output: Contribution to journalArticle

Holt, RIG, Nicolucci, A, Kovacs Burns, K, Lucisano, G, Skovlund, SE, Forbes, A, Kalra, S, Menéndez Torre, E, Munro, N & Peyrot, M 2016, 'Correlates of psychological care strategies for people with diabetes in the second Diabetes Attitudes, Wishes and Needs (DAWN2) study', Diabetic Medicine, vol. 33, no. 9, pp. 1174-1183. https://doi.org/10.1111/dme.13109
Holt, R. I G ; Nicolucci, A. ; Kovacs Burns, K. ; Lucisano, G. ; Skovlund, S. E. ; Forbes, A. ; Kalra, S. ; Menéndez Torre, E. ; Munro, N. ; Peyrot, M. / Correlates of psychological care strategies for people with diabetes in the second Diabetes Attitudes, Wishes and Needs (DAWN2) study. In: Diabetic Medicine. 2016 ; Vol. 33, No. 9. pp. 1174-1183.
@article{9ab1bd0071074fcc82df1d21e94eea42,
title = "Correlates of psychological care strategies for people with diabetes in the second Diabetes Attitudes, Wishes and Needs (DAWN2™) study",
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.",
author = "Holt, {R. I G} and A. Nicolucci and {Kovacs Burns}, K. and G. Lucisano and Skovlund, {S. E.} and A. Forbes and S. Kalra and {Men{\'e}ndez Torre}, E. and N. Munro and M. Peyrot",
year = "2016",
month = "9",
day = "1",
doi = "10.1111/dme.13109",
language = "English (US)",
volume = "33",
pages = "1174--1183",
journal = "Diabetic Medicine",
issn = "0742-3071",
publisher = "Wiley-Blackwell",
number = "9",

}

TY - JOUR

T1 - Correlates of psychological care strategies for people with diabetes in the second Diabetes Attitudes, Wishes and Needs (DAWN2™) study

AU - Holt, R. I G

AU - Nicolucci, A.

AU - Kovacs Burns, K.

AU - Lucisano, G.

AU - Skovlund, S. E.

AU - Forbes, A.

AU - Kalra, S.

AU - Menéndez Torre, E.

AU - Munro, N.

AU - Peyrot, M.

PY - 2016/9/1

Y1 - 2016/9/1

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=84982296237&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84982296237&partnerID=8YFLogxK

U2 - 10.1111/dme.13109

DO - 10.1111/dme.13109

M3 - Article

VL - 33

SP - 1174

EP - 1183

JO - Diabetic Medicine

JF - Diabetic Medicine

SN - 0742-3071

IS - 9

ER -