Feasibility and acceptability of a two-phase survey for estimating the prevalence of mental disorders in adults with type 1 diabetes.

IF 1.6 Q3 MEDICINE, RESEARCH & EXPERIMENTAL

Pilot and Feasibility Studies Pub Date : 2025-08-28 DOI:10.1186/s40814-025-01669-7

Jeni Baykoca, Madeleine Benton, Paul Moran, Beth Stuart, Ian Glass, Hermione Price, Khalida Ismail

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引用次数: 0

Abstract

Background: We assessed the feasibility and acceptability of conducting an epidemiological survey to estimate the distribution of mental disorders in a sample of adults with type 1 diabetes mellitus (T1D).

Methods: Eligible participants were adults with T1D recruited from four general practices in southeast England. Phase 1 included screening measures for mental disorders in the DSM-5. Participants at phase 1 were invited to a structured clinical interview for DSM-5 at phase 2. Feasibility parameters included the proportions of those identified as eligible, consenting, and completing either or both phases, and acceptability.

Results: The study population comprised 146 adults with T1D. 72% (n = 105) had correct contact details, were eligible and invited. 52% (n = 55) completed phase 1, of which 45% (n = 25) completed phase 2. Some measures had high rates of missing values and three mental disorders had concordant phase 1-2 pairs, namely schizophrenia spectrum and other psychotic disorders, depressive disorders, and substance-related and addictive disorders.

Conclusions: Conducting a two-phase survey of mental disorders in people with T1D is feasible and acceptable and can be improved using methods to update current contact details; adding secondary care diabetes services (hospitals) as recruitment sites; reducing the screening measures; and omitting diagnostic interviews for those mental disorders already listed in routine medical records.

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估算成人1型糖尿病患者精神障碍患病率的两阶段调查的可行性和可接受性

背景：我们评估了进行流行病学调查以估计成人1型糖尿病（T1D）患者精神障碍分布的可行性和可接受性。方法：符合条件的参与者是从英格兰东南部四家全科医院招募的T1D成年人。第一阶段包括DSM-5中的精神障碍筛查措施。第一阶段的参与者被邀请参加第二阶段DSM-5的结构化临床访谈。可行性参数包括确定为符合条件、同意并完成其中一个阶段或两个阶段以及可接受性的比例。结果：研究人群包括146名成年T1D患者。72% （n = 105）有正确的联系方式，符合条件并被邀请。52% （n = 55）完成了第一阶段，其中45% （n = 25）完成了第二阶段。一些测量值缺失率很高，三种精神障碍具有一致的1-2期对，即精神分裂症谱系和其他精神障碍、抑郁症、物质相关和成瘾障碍。结论：对T1D患者进行两阶段精神障碍调查是可行和可接受的，并且可以通过更新现有联系方式进行改进；增加糖尿病二级保健服务（医院）作为招聘地点；减少筛选措施；并且省略了常规医疗记录中已经列出的精神障碍的诊断访谈。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pilot and Feasibility Studies Medicine-Medicine (miscellaneous)

CiteScore

2.70

自引率

5.90%

发文量

241

审稿时长

9 weeks

期刊介绍： Pilot and Feasibility Studies encompasses all aspects of the design, conduct and reporting of pilot and feasibility studies in biomedicine. The journal publishes research articles that are intended to directly influence future clinical trials or large scale observational studies, as well as protocols, commentaries and methodology articles. The journal also ensures that the results of all well-conducted, peer-reviewed, pilot and feasibility studies are published, regardless of outcome or significance of findings. Pilot and feasibility studies are increasingly conducted prior to a full randomized controlled trial. However, these studies often lack clear objectives, many remain unpublished, and there is confusion over the meanings of the words “pilot” and “feasibility”. Pilot and Feasibility Studies provides a forum for discussion around this key aspect of the scientific process, and seeks to ensure that these studies are published, so as to complete the publication thread for clinical research.