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Putting person-centred psychosocial diabetes care into practice:two psychosocial care pathways based on outcome preferences of people with diabetes and healthcare professionals
Seidler, Yuki Porth, Ann Kristin Long, Preston Alexander Stamm, Tanja Huberts, Anouk Sjoukje Hamilton, Kathryn Kautzky-Willer, Alexandra
Seidler, Yuki
Porth, Ann Kristin
Long, Preston Alexander
Stamm, Tanja
Huberts, Anouk Sjoukje
Hamilton, Kathryn
Kautzky-Willer, Alexandra
Title / Series / Name
Publication Volume
27
Publication Issue
1
Pages
Editors
Keywords
Anxiety disorders
Cross-Sectional Studies
Data Interpretation, Statistical
Depression & mood disorders
Eating disorders
Psychiatry and Mental Health
General Medicine
SDG 3 - Good Health and Well-being
SDG 5 - Gender Equality
Cross-Sectional Studies
Data Interpretation, Statistical
Depression & mood disorders
Eating disorders
Psychiatry and Mental Health
General Medicine
SDG 3 - Good Health and Well-being
SDG 5 - Gender Equality
Files
URI
https://hdl.handle.net/20.500.14018/29056
Abstract
Background Diabetes increases the risk of psychosocial health problems. Person-centred psychosocial care is therefore advocated. However, several barriers to implementation exist, including uncertainty about how to approach psychosocial problems in consultations. Objective We aimed to explore which psychosocial outcomes patients and healthcare professionals consider important and whether certain characteristics are associated with this. We propose strategies for facilitating psychosocial diabetes care on this basis. Methods The results of an international Delphi study aimed at achieving multi-stakeholder consensus on a diabetes outcome set were analysed. We compared the importance ratings of the two stakeholder groups for each psychosocial outcome. A multivariable linear regression analysis tested whether certain characteristics would predict the importance attributed to outcomes that were not generally considered important. Findings Patients and healthcare professionals agreed on the importance of regularly assessing psychological well-being, diabetes distress and diabetes-specific quality of life, while they regarded it as less important to monitor depression, anxiety, eating problems, social support and sexual health. Being a woman, younger and living with type 1 diabetes were associated with considering it important to assess eating problems. Conclusions We propose two psychosocial care pathways that reflect the outcome preferences of patients and healthcare providers. They follow a stepped approach, starting with the assessment of psychological well-being and quality of life and proceeding from there. Clinical implications Adopting this approach can facilitate the implementation of person-centred psychosocial diabetes care by reducing the burden and making psychosocial issues more accessible. This approach should be tested for feasibility, safety and effectiveness.
Topic
Publisher
Place of Publication
Type
Journal article
Date
2024-08-25
Language
ISBN
Identifiers
10.1136/bmjment-2024-301061