Acceptability of LISTEN for adults with diabetes distress: A qualitative study using the theoretical framework of acceptability to explore a brief problem-solving therapy intervention guided by diabetes health professionals

IF 3.4 3区医学 Q2 ENDOCRINOLOGY & METABOLISM

Diabetic Medicine Pub Date : 2025-08-29 DOI:10.1111/dme.70128

Chelsea Chum, Aliaska McKeon, Laura Jenkins, Roslyn Le Gautier, Sarah Manallack, Jennifer Halliday, Shikha Gray, Virginia Hagger, Kim Henshaw, Timothy C. Skinner, Christel Hendrieckx, Jane Speight, Edith E. Holloway

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Abstract

Aims

To explore the acceptability to adults with diabetes of LISTEN (Low Intensity Mental Health Support via a Telehealth Enabled Network), a brief problem-solving intervention to reduce diabetes distress, facilitated by diabetes health professionals, and identify areas for refinement.

Methods

Semi-structured interviews were conducted with 24 adults with type 1 or type 2 diabetes experiencing diabetes distress (Problem Areas in Diabetes [PAID-20] score ≥ 25, or ≥2 on three or more items) who had participated in LISTEN. Data were analysed using deductive thematic analysis, applying the theoretical framework of acceptability.

Results

Participants reported that LISTEN was valuable, supporting them with the emotional side of their diabetes and equipping them with skills to address challenges experienced in managing their diabetes. They valued the diabetes-specific knowledge the health professional brought to the sessions. Key factors associated with their satisfaction with LISTEN were their positive rapport with the health professional and accountability. Telehealth delivery was acceptable due to its convenience and anonymity. They reported that participating in LISTEN required minimal effort. Most would be willing to pay a small fee to take part, though they believe that all people with diabetes should have equitable access to LISTEN. Minor areas for refinement include flexible delivery and clearly articulating the structured, stepwise nature of the programme in pre-program information.

Conclusions

These findings indicate that LISTEN, delivered by diabetes health professionals via telehealth, is acceptable to this sample of Australian adults experiencing elevated diabetes distress and provides evidence-based strategies to strengthen engagement, delivery and implementation of LISTEN.

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成人糖尿病患者的可接受性：一项使用可接受性理论框架的定性研究，探索由糖尿病健康专业人员指导的简短问题解决治疗干预。

目的：探讨成人糖尿病患者对LISTEN（通过远程健康支持网络的低强度心理健康支持）的接受程度，这是一种由糖尿病健康专业人员促进的减少糖尿病痛苦的简短问题解决干预，并确定需要改进的领域。方法：对24名参加LISTEN的1型或2型糖尿病患者进行半结构化访谈（糖尿病问题领域[PAID-20]得分≥25，或三项或多项得分≥2）。运用可接受性理论框架，运用演绎主位分析法对数据进行分析。结果：参与者报告说，LISTEN是有价值的，它在糖尿病的情感方面为他们提供支持，并使他们具备应对糖尿病管理挑战的技能。他们很重视医疗专业人员带来的糖尿病相关知识。与他们对LISTEN的满意度相关的关键因素是他们与卫生专业人员的积极关系和问责制。由于其便利性和匿名性，远程保健服务是可以接受的。他们报告说，参与LISTEN只需最少的努力。大多数人愿意支付少量费用参加，尽管他们认为所有糖尿病患者都应该有公平的机会参加LISTEN。需要改进的小方面包括灵活的交付和在课程前信息中清楚地阐明课程的结构和阶梯式性质。结论：这些研究结果表明，由糖尿病健康专业人员通过远程医疗提供的LISTEN对于经历糖尿病痛苦加剧的澳大利亚成年人样本是可以接受的，并且提供了基于证据的策略来加强LISTEN的参与、提供和实施。

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

Diabetic Medicine 医学-内分泌学与代谢

CiteScore

7.20

自引率

5.70%

发文量

229

审稿时长

3-6 weeks

期刊介绍： Diabetic Medicine, the official journal of Diabetes UK, is published monthly simultaneously, in print and online editions. The journal publishes a range of key information on all clinical aspects of diabetes mellitus, ranging from human genetic studies through clinical physiology and trials to diabetes epidemiology. We do not publish original animal or cell culture studies unless they are part of a study of clinical diabetes involving humans. Categories of publication include research articles, reviews, editorials, commentaries, and correspondence. All material is peer-reviewed. We aim to disseminate knowledge about diabetes research with the goal of improving the management of people with diabetes. The journal therefore seeks to provide a forum for the exchange of ideas between clinicians and researchers worldwide. Topics covered are of importance to all healthcare professionals working with people with diabetes, whether in primary care or specialist services. Surplus generated from the sale of Diabetic Medicine is used by Diabetes UK to know diabetes better and fight diabetes more effectively on behalf of all people affected by and at risk of diabetes as well as their families and carers.”