Diabetes Spectrum最新文献

{"title":"Utilizing Crowdsourcing to Incorporate the Voice of the Family When Developing a Diabetes Distress Intervention.","authors":"Nicole A Kahhan, Susana R Patton, Amy I Milkes, Mark A Clements, Jessica S Pierce","doi":"10.2337/ds24-0024","DOIUrl":"10.2337/ds24-0024","url":null,"abstract":"<p><strong>Objective: </strong>Diabetes distress (DD) is the negative emotional toll of living with or caring for type 1 diabetes, encompassing the pervasiveness of its daily demands. We recently developed Remedy to Diabetes Distress (R2D2), a screen-to-treat intervention for families of school-aged children with type 1 diabetes. This article reports on the use of crowdsourcing methods to design the intervention and capture the voice of parent stakeholders.</p><p><strong>Research design and methods: </strong>We recruited 41 parents of 8- to 12-year-olds with type 1 diabetes. In a secure online social network, we posted study questions to participants, who could respond to our questions and view and comment on other participants' responses (i.e., participants could interact as a \"crowd\"). An iterative approach allowed our questions to move from broad to specific, enabling parent input on treatment content.</p><p><strong>Results: </strong>Using a conceptual model of DD, we examined responses and applied codes to distill qualitative categories. We established substantial agreement on identified categories, with fidelity at κ = 0.615. In addition to providing broad feedback (e.g., on preferred language for common phrases used in type 1 diabetes interventions), parents also provided feedback on specific treatment components and the overall tone of the intervention. Parents highlighted benefit-finding and positive talk/self-talk as pertinent for incorporation into treatment.</p><p><strong>Conclusion: </strong>This study illustrates the use of crowdsourcing methods to capture the voices of parents of school-aged children with type 1 diabetes when designing a DD intervention. The next phase of R2D2 will be a small pre-trial to evaluate the feasibility and acceptability of the intervention, followed by a proof-of-concept randomized controlled trial (RCT), during which family voices will continue to be incorporated.</p>","PeriodicalId":39737,"journal":{"name":"Diabetes Spectrum","volume":"38 2","pages":"180-189"},"PeriodicalIF":0.0,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12078989/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Two-Way Text Messaging Intervention to Narrow Disparities in Patients With Type 2 Diabetes and Poor Glycemic Control.","authors":"Philip Wilson, Katherine Tighe, Hannah Walley, Naing Aung, Jonathan Li, Leonor Fernandez, Maëlys Amat","doi":"10.2337/ds24-0034","DOIUrl":"10.2337/ds24-0034","url":null,"abstract":"","PeriodicalId":39737,"journal":{"name":"Diabetes Spectrum","volume":"38 2","pages":"190-193"},"PeriodicalIF":0.0,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12078991/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Meeting People Where They Are: Improving Diabetes Care and Outcomes Through Education and Collaboration.","authors":"Joshua J Neumiller","doi":"10.2337/ds24-0079","DOIUrl":"10.2337/ds24-0079","url":null,"abstract":"<p><p>This article is adapted from the address Dr. Neumiller delivered as the recipient of the American Diabetes Association's Outstanding Educator in Diabetes Award for 2024. He delivered the address in June 2024 during the Association's 84th Scientific Sessions.</p>","PeriodicalId":39737,"journal":{"name":"Diabetes Spectrum","volume":"38 1","pages":"115-120"},"PeriodicalIF":0.0,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11825400/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Measuring Outcomes for Community Partner Engagement: The Case of the High-Fidelity Wraparound Program for Pediatric Type 1 Diabetes.","authors":"Amy G Nevin, Christine A March, Lauren Jones, Kenneth Nash, Radhika Muzumdar, Justin Schreiber, Ingrid M Libman","doi":"10.2337/ds24-0036","DOIUrl":"10.2337/ds24-0036","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this article is to describe the processes for convening and engaging an advisory board to guide the conduct of a research study of the Type 1 Diabetes Wraparound Program (T1DWP) and associated outcomes.</p><p><strong>Research design and methods: </strong>We recruited a diverse advisory board (<i>n</i> = 21) consisting of youth with type 1 diabetes, parents/advocates, and health system partners. The board met monthly over 2 years to discuss all phases of the T1DWP study. We evaluated aspects of engagement and satisfaction among advisory board members using a monthly experience survey on a five-point Likert scale (ranging from strongly disagree to strongly agree) and outcomes, including modifications to the research materials, the study protocol, and implementation.</p><p><strong>Results: </strong>We received 10 ± 3 survey responses per meeting, with representation from every role at each meeting. The overall stakeholder satisfaction score increased from 4.5 at baseline to 5.0 at month 6 and was maintained at 5.0 at month 24 as the research team responded to feedback. Average scores for specific processes of engagement were high: expectation setting (4.6 ± 0.3), co-learning (4.6 ± 0.3), transparency (4.6 ± 0.3), and decision-making (4.7 ± 0.2). Changes to the T1DWP study resulting from advisory board input included adding nine additional patient-reported measures and specific diabetes resources and programming. Furthermore, the board contributed to hiring of T1DWP study staff, fundraising activities, and clinical integration of the T1DWP, demonstrating stakeholder empowerment and knowledge translation to the clinical setting.</p><p><strong>Conclusion: </strong>Our processes led to several meaningful contributions to the research study. This experience illustrates the willingness and importance of partnering with stakeholders to help shape resources and programs in pediatric diabetes intervention research.</p>","PeriodicalId":39737,"journal":{"name":"Diabetes Spectrum","volume":"38 2","pages":"161-170"},"PeriodicalIF":0.0,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12078993/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and Correlates of Diabetes Distress in Pregnant Individuals With Preexisting Diabetes: A Cross-Sectional Study.","authors":"Holly Tschirhart, Muhammad Usman Ali, Jennifer Yost, Kara A Nerenberg, Janet Landeen, Diana Sherifali","doi":"10.2337/ds24-0014","DOIUrl":"10.2337/ds24-0014","url":null,"abstract":"<p><strong>Objective: </strong>Managing preexisting diabetes during pregnancy requires considerable self-management skills to achieve recommended glycemic targets and reduce fetal and obstetrical risks. Given the demands during this time, many individuals may experience diabetes distress. This study aimed to determine the prevalence of diabetes distress and associated clinical factors of diabetes distress during pregnancy.</p><p><strong>Research design and methods: </strong>A cross-sectional study was conducted involving 36 pregnant participants with type 1 diabetes and 40 pregnant participants with type 2 diabetes. Assessments of diabetes distress, the primary outcome, were performed, along with assessments of depressive symptoms, self-efficacy, self-management, and patient care satisfaction. Linear and logistic regression analyses were conducted to determine predictors of diabetes distress scores and positive diabetes distress.</p><p><strong>Results: </strong>The prevalence of diabetes distress was 22.4%. Age ≥35 years of age and higher education levels were significantly associated with scores on the Problem Areas in Diabetes (PAID) scale, which measures diabetes-related emotional distress (decreases of 10.18 and 11.77 points, respectively, <i>P</i> = 0.04). Living with others was associated with a reduction in PAID score by 21.56 points (<i>P</i> = 0.05) and the Patient Assessment of Chronic Illness (PACIC) total score as well as PACIC Goal-Setting, and Problem-Solving/Contextual Counseling subscale scores were each associated with a decrease of ∼4 points in PAID score (<i>P</i> <0.05). Having a common-law partner or spouse, comorbid depression, depressive symptoms, and depression scores were all significantly associated with increased PAID scores (<i>P</i> <0.05).</p><p><strong>Conclusion: </strong>The prevalence of diabetes distress in pregnancy is similar to estimates for nonpregnant adults with type 1 or type 2 diabetes, based on limited pregnancy literature. Further research is needed to establish diabetes distress rates using a validated tool for pregnancy to understand whether diabetes distress affects obstetrical and fetal outcomes and how diabetes distress levels can be alleviated in this population.</p>","PeriodicalId":39737,"journal":{"name":"Diabetes Spectrum","volume":"38 2","pages":"133-144"},"PeriodicalIF":0.0,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12079000/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Future Medications for Obesity and Clinical Implications.","authors":"W Timothy Garvey","doi":"10.2337/dsi24-0004","DOIUrl":"10.2337/dsi24-0004","url":null,"abstract":"<p><p>Semaglutide and tirzepatide have recently been approved for obesity and found to achieve ≥15% weight loss in clinical trials. These drugs have been referred to as second-generation medications because the unprecedented degree of weight loss they afford is sufficient to treat or prevent a broad array of obesity complications and related diseases. Many other medications are in development based on the actions of nutrient-regulated hormones (NRHs), including mono-, dual-, and triple-receptor agonists/antagonists for glucagon-like peptide 1, glucose-dependent insulinotropic polypeptide, amylin, peptide tyrosine-tyrosine, and glucagon. Clinical trial evidence is accumulating that these medications ameliorate multiple biomechanical, metabolic, and vascular complications of obesity. These tools enable a comprehensive complications-centric approach to care within the contextual framework of the diagnostic term adiposity-based chronic disease (ABCD). The potential to reduce patient suffering and the huge social burden of ABCD is profound. The current era of drug development based on NRHs could represent a landmark in the history of medicine provided that societies ensure access to these medications for the patients who need them.</p>","PeriodicalId":39737,"journal":{"name":"Diabetes Spectrum","volume":"37 4","pages":"325-334"},"PeriodicalIF":0.0,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11623045/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"About W. Timothy Garvey: Guest Editor.","authors":"","doi":"10.2337/ds24-ge04","DOIUrl":"10.2337/ds24-ge04","url":null,"abstract":"","PeriodicalId":39737,"journal":{"name":"Diabetes Spectrum","volume":"37 4","pages":"280"},"PeriodicalIF":0.0,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11623032/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Focus on the Pharmacotherapy of Obesity.","authors":"W Timothy Garvey","doi":"10.2337/dsi24-0006","DOIUrl":"10.2337/dsi24-0006","url":null,"abstract":"","PeriodicalId":39737,"journal":{"name":"Diabetes Spectrum","volume":"37 4","pages":"275-279"},"PeriodicalIF":0.0,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11623036/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"First-Generation Anti-Obesity Medications.","authors":"Sarah R Barenbaum, Mohini Aras","doi":"10.2337/dsi24-0003","DOIUrl":"10.2337/dsi24-0003","url":null,"abstract":"<p><p>The development of second-generation anti-obesity medications (AOMs) has transformed the treatment of obesity. However, the first-generation AOMs are still essential tools in the treatment of obesity. The decision of which AOM to initiate must be individualized taking into account patient preference, safety, tolerability, cost, and supply.</p>","PeriodicalId":39737,"journal":{"name":"Diabetes Spectrum","volume":"37 4","pages":"296-302"},"PeriodicalIF":0.0,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11623038/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pediatric Obesity Treatment: Considerations for Diabetes Educators and Clinicians.","authors":"Helena H Laroche, Cristina Fernandez, Brooke R Sweeney, Meredith L Dreyer Gillette, Sarah E Hampl","doi":"10.2337/dsi24-0005","DOIUrl":"10.2337/dsi24-0005","url":null,"abstract":"<p><p>Prevalence rates of pediatric obesity and diabetes are rising, and pediatric health care professionals are ideally situated to address these chronic diseases using a patient- and family-centered approach. This article reviews key elements of evaluation that can inform treatment and emphasizes a comprehensive, team-based strategy. Treatment begins with motivational interviewing and building a foundation of intensive health behavior and lifestyle treatment, followed by pharmacotherapy and metabolic and bariatric surgery, when indicated.</p>","PeriodicalId":39737,"journal":{"name":"Diabetes Spectrum","volume":"37 4","pages":"313-324"},"PeriodicalIF":0.0,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11623046/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}