Feasibility Study to Assess the Incorporation of the Diabetes Distress Assessment System and Diabetes Distress Scale Into a Veterans Administration Diabetes Clinic Practice.

Q3 Medicine

Diabetes Spectrum Pub Date : 2025-03-18 eCollection Date: 2025-01-01 DOI:10.2337/ds24-0070

Beth D Greck, Paula Geigle, Mara Vitolins

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引用次数: 0

Abstract

Objective: Diabetes affects nearly 25% of the Veterans Health Administration population, and a diagnosis of diabetes has been reported to increase distress in patients. This study aimed to assess the feasibility of incorporating a diabetes distress (DD) screening program in a Veterans Administration (VA) diabetes clinic and identifying opportunities for intervention.

Research design and methods: Veterans diagnosed with diabetes attending appointments with the clinical pharmacist practitioner in the endocrinology diabetes clinic were asked to participate. Veterans diagnosed with cognitive impairment and/or unable to answer multi-part questions were excluded. Veterans who agreed to participate were asked to complete the two-question Diabetes Distress Scale (DDS2) screening tool and then complete the Type 1 Diabetes Distress Scale (T1-DDS) or the Type 2 Diabetes Distress Assessment System (T2-DDAS), if indicated.

Results: Eighty-seven veterans were identified to complete the DD2S, and 58 (67%) agreed. The mean DDS2 score was 3.2 ± 1.3. Twenty of the 32 participants (67%) who were then offered the T1-DDS or T2-DDAS completed it. A majority of those with a score indicating at least moderate distress accepted a referral to a Whole Health health coach for follow-up.

Conclusion: Veterans were interested in completing the DD2S and the T1-DDS or T2-DDAS. This feasibility study was conducted to develop a foundation for larger trials to identify the optimal approach to identifying DD and providing proper referrals for interventions to address it. Successful integration of DD screening into daily clinical practice in VA clinics could improve diabetes care for veterans.

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评估将糖尿病困扰评估系统及糖尿病困扰量表纳入退伍军人管理局糖尿病诊所实践的可行性研究。

目的：糖尿病影响了近25%的退伍军人健康管理局人口，据报道，糖尿病的诊断增加了患者的痛苦。本研究旨在评估在退伍军人管理局（VA）糖尿病诊所纳入糖尿病窘迫（DD）筛查项目的可行性，并确定干预的机会。研究设计与方法：在内分泌科糖尿病诊所与临床药师预约的糖尿病退伍军人参与研究。被诊断为认知障碍和/或无法回答多部分问题的退伍军人被排除在外。同意参加的退伍军人被要求完成两题糖尿病困扰量表（DDS2）筛选工具，然后完成1型糖尿病困扰量表（T1-DDS）或2型糖尿病困扰评估系统（T2-DDAS），如果需要的话。结果：87名退伍军人完成DD2S， 58名（67%）同意完成DD2S。平均DDS2评分为3.2±1.3分。32名参与者中有20名（67%）完成了T1-DDS或T2-DDAS。大多数得分表明至少有中度痛苦的人接受了“全健康”健康教练的随访。结论：退伍军人对完成DD2S和T1-DDS或T2-DDAS感兴趣。进行这项可行性研究是为了为更大规模的试验奠定基础，以确定确定DD的最佳方法，并为解决DD的干预措施提供适当的转诊。将DD筛查成功整合到VA诊所的日常临床实践中可以改善退伍军人的糖尿病护理。

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来源期刊

Diabetes Spectrum Medicine-Internal Medicine

CiteScore

2.70

自引率

0.00%

发文量

期刊介绍： The mission of Diabetes Spectrum: From Research to Practice is to assist health care professionals in the development of strategies to individualize treatment and diabetes self-management education for improved quality of life and diabetes control. These goals are achieved by presenting review as well as original, peer-reviewed articles on topics in clinical diabetes management, professional and patient education, nutrition, behavioral science and counseling, educational program development, and advocacy. In each issue, the FROM RESEARCH TO PRACTICE section explores, in depth, a diabetes care topic and provides practical application of current research findings.