The science of diabetes self-management and care最新文献_第9页

Impacts of Diabetes Stigma on Acute Health Care Utilization Among Adults With Type 2 Diabetes. 糖尿病污名对成人2型糖尿病患者急性医疗保健利用的影响

The science of diabetes self-management and care Pub Date : 2025-06-01 Epub Date: 2025-03-21 DOI: 10.1177/26350106251326509

Colter K Clayton, Katherine A Nesbitt, Kate L Camillo, Joseph D Wellman, Aaron A Lee

{"title":"Impacts of Diabetes Stigma on Acute Health Care Utilization Among Adults With Type 2 Diabetes.","authors":"Colter K Clayton, Katherine A Nesbitt, Kate L Camillo, Joseph D Wellman, Aaron A Lee","doi":"10.1177/26350106251326509","DOIUrl":"10.1177/26350106251326509","url":null,"abstract":"PurposeThe purpose of this study was to examine the relationships between diabetes stigma, patient activation, and acute health care use. It was predicted that greater diabetes stigma would be associated with lower patient activation and greater likelihood of acute health care utilization.MethodsPrimary data were collected cross-sectionally using a web-based panel of US adults with type 2 diabetes (N = 371). Participants were screened for eligibility by providing informed consent, reporting a type 2 diabetes diagnosis from a health care provider, and passing an end-of-survey check to corroborate participants' initial self-reported diagnosis of type 2 diabetes. The Diabetes Stigma Assessment Scale, with its 3 subscales, assessed blame and judgment, perceived discrimination, and self-stigma associated with having diabetes. Patient activation was measured using the Patient Activation Measure. The frequency of diabetes-related emergency department visits and hospitalizations during the prior 12 months measured acute health care use.ResultsSelf-stigma was significantly associated with lower levels of patient activation, and blame and judgment and perceived discrimination were not. Perceived discrimination was also significantly associated with greater risk of emergency department visits and hospitalizations, and self-stigma and blame and judgment were not associated with either indicator of acute health care use.ConclusionsResults suggest self-stigma is associated with lower levels of patient activation and that perceived discrimination is related to increased use of acute health care. Future research may examine avenues to reduce diabetes stigma and its effect on patient activation and acute health care utilization.","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"262-271"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Role of the Diabetes Care and Education Specialist in Screening and Monitoring for Type 1 Diabetes. 糖尿病护理和教育专家在1型糖尿病筛查和监测中的作用。

The science of diabetes self-management and care Pub Date : 2025-06-01 Epub Date: 2025-05-24 DOI: 10.1177/26350106251337489

{"title":"The Role of the Diabetes Care and Education Specialist in Screening and Monitoring for Type 1 Diabetes.","authors":"","doi":"10.1177/26350106251337489","DOIUrl":"10.1177/26350106251337489","url":null,"abstract":"Purpose: Diabetes care and education specialists (DCESs) play a crucial role in the early detection and monitoring of type 1 diabetes (T1D) by using their expertise to educate, support, and provide guidance. Because US Food and Drug Administration approved therapies, such as Tzield (teplizumab), provide the opportunity for earlier intervention, DCESs can contribute to better outcomes for those at risk of developing T1D by facilitating participation in clinical trials aimed at prevention and delay of the disease and reducing complications such as diabetes-related ketoacidosis (DKA) at diagnosis.Scope: DCESs are uniquely positioned to identify individuals at the highest risk of developing T1D, educate them on the benefits of early detection, and provide guidance on monitoring for disease progression. The role of the DCES extends beyond clinical care, involving community outreach, emotional support, and referrals to specialists and clinical trials.Conclusion: By working within the ADCES7 Self-Care Behaviors Framework®, DCESs can help individuals and their families understand and navigate the complexities of early-stage T1D to ensure timely care and reduce the risk of DKA. This article emphasizes the critical role the DCES plays in improving access to care, enhancing health outcomes, and supporting the quality of life for individuals with early-stage T1D.","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"345-351"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144136423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Framing a Message About Risk: Use and Perceptions of the Term "Prediabetes". 构建关于风险的信息：“前驱糖尿病”一词的使用和认知。

The science of diabetes self-management and care Pub Date : 2025-06-01 Epub Date: 2025-03-17 DOI: 10.1177/26350106251326500

Jenifer J Thomas, Samantha Reed, Sarah Clinkenbeard, Jenna Kindt, Bailey McCoy, Bailee Smith, Avery White, Tessa Woods

{"title":"Framing a Message About Risk: Use and Perceptions of the Term \"Prediabetes\".","authors":"Jenifer J Thomas, Samantha Reed, Sarah Clinkenbeard, Jenna Kindt, Bailey McCoy, Bailee Smith, Avery White, Tessa Woods","doi":"10.1177/26350106251326500","DOIUrl":"10.1177/26350106251326500","url":null,"abstract":"PurposeThe purpose of this study was to test a survey that investigates individuals' use and perceptions of the term \"prediabetes.\"MethodsA cross-sectional research design and survey method was used, and a 17-item survey was developed by the research team. Individuals in the health field with an interest in diabetes prevention were recruited and completed an online survey.ResultsOf the 97 individuals who completed the survey, 68 reported use of the term. Use of the term very often, fairly often, and sometimes was related to varying beliefs about seriousness, use in clinical practice, influence of communication style, adherence to risk-reducing recommendations, and global definition and diagnosis.ConclusionsIndividuals acknowledged the general impact of their communication and the impact of the term \"prediabetes\"; however, the variation in perceived impact indicates the need for standardized guidelines for use of the term. Moving forward, it is necessary for individuals who communicate risk with the word \"prediabetes\" to consider the purpose of using the term and a process for feedback from at-risk individuals about impact or understanding of the term.","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"272-280"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143652424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Caregiver Burden in Parents of Children With Type 1 Diabetes in Bahrain: A Qualitative Study. 巴林1型糖尿病儿童父母的照顾者负担：一项定性研究

The science of diabetes self-management and care Pub Date : 2025-06-01 Epub Date: 2025-03-24 DOI: 10.1177/26350106251326519

Aseel AlSaleh, Jamil Ahmed, Intisar Alsenani, Wijdaan Alhousni, Riham AalAbdulsalam

{"title":"Caregiver Burden in Parents of Children With Type 1 Diabetes in Bahrain: A Qualitative Study.","authors":"Aseel AlSaleh, Jamil Ahmed, Intisar Alsenani, Wijdaan Alhousni, Riham AalAbdulsalam","doi":"10.1177/26350106251326519","DOIUrl":"10.1177/26350106251326519","url":null,"abstract":"PurposeThe purpose of the study was to explore caregiver burden among parents of children with type 1 diabetes (T1D) in Bahrain, focusing on emotional, physical, and social demands.MethodsA qualitative research design using phenomenological approach was used to conduct in-depth interviews with 14 parents of children and adolescents with T1D, selected using purposive sampling. Data were collected through in-depth interviews based on Chou's framework of caregiver burden, covering financial, physical, social, spiritual, and emotional stressors. Interviews were conducted in Arabic, audio-recorded, and transcribed. Thematic analysis was performed using Taguette, with themes validated through peer debriefing and member checking.ResultsFour key themes emerged: managing daily health needs, adapting to a new reality, balancing work and personal life, and the need for caregiver support. Parents reported significant emotional-, physical-, social-, and cost-related demands. Managing daily health needs was accompanied by constant monitoring and insulin administration. Adapting to a new reality required lifestyle adjustments. Balancing work and personal life were challenging due to caregiving duties.ConclusionThe findings highlight the substantial burden faced by parents of children and adolescents with T1D in Bahrain. Parents expressed a need for appropriate support systems addressing both their children's medical needs and their own well-being, which can improve the quality of life for both caregivers and their children.","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"309-322"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Examining Medical and Demographic Associations With the Diabetes Management Questionnaire Among Racially Minoritized Youth With Type 1 Diabetes. 用1型糖尿病少数民族青年患者糖尿病管理问卷调查医学和人口统计学关联

IF 2.2

The science of diabetes self-management and care Pub Date : 2025-06-01 Epub Date: 2025-05-24 DOI: 10.1177/26350106251336310

Emma Straton, Madhu Vemulakonda, Maria Naveed, Giselle Maya, Markella Lanara, Christine Wang, John Barber, Letitia Gallant, Amanda Perkins, Shideh Majidi, Randi Streisand

{"title":"Examining Medical and Demographic Associations With the Diabetes Management Questionnaire Among Racially Minoritized Youth With Type 1 Diabetes.","authors":"Emma Straton, Madhu Vemulakonda, Maria Naveed, Giselle Maya, Markella Lanara, Christine Wang, John Barber, Letitia Gallant, Amanda Perkins, Shideh Majidi, Randi Streisand","doi":"10.1177/26350106251336310","DOIUrl":"10.1177/26350106251336310","url":null,"abstract":"PurposeThe purpose of this study was to examine demographic and diabetes-related factors with the Diabetes Management Questionnaire (DMQ) among racially minoritized youth with type 1 diabetes.MethodsA descriptive correlational study was employed. Youth and their caregivers were enrolled in a behavioral intervention to promote optimal continuous glucose monitoring (CGM) use along with completing the DMQ at baseline.ResultsParticipants included 60 youth ages 10 to 15 years (53% Black, 27% Hispanic/Latino/a/x, 12% another minoritized identity, 8% White; mean A1C = 10.6% ± 2.0%). Only child age was significantly associated with caregiver DMQ scores. No other demographic or medical variables, including A1C, were significantly related to DMQ scores. Mean youth DMQ scores significantly differed between samples, with the current sample reporting stronger adherence to diabetes management regimens despite higher overall A1C.ConclusionsThe lack of associations between the DMQ and demographic or medical variables in this sample compared to that of the validation sample suggest that the DMQ may have weaker psychometric properties among racially minoritized families. It is crucial that existing questionnaires like the DMQ be reexamined in a larger, more racially diverse population, where structural factors, beyond individual management behaviors, also influence A1C.","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"301-308"},"PeriodicalIF":2.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144136385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Navigating Type 2 Diabetes Care: Asian American Perspectives on Self-Management Education and Support. 导航2型糖尿病护理：亚裔美国人自我管理教育和支持的观点。

The science of diabetes self-management and care Pub Date : 2025-06-01 Epub Date: 2025-05-15 DOI: 10.1177/26350106251337487

Dante Anthony Tolentino, Paul Boy, Sorina Neang Long, Rey Paolo Ernesto Roca, Matthew Peña, Gillkaitlyn Mary Gaw Palao, Gilkevyn Joseph Gaw Palao, Marjorie Rose Uy De Ong Luzuriaga, Sarah E Choi

{"title":"Navigating Type 2 Diabetes Care: Asian American Perspectives on Self-Management Education and Support.","authors":"Dante Anthony Tolentino, Paul Boy, Sorina Neang Long, Rey Paolo Ernesto Roca, Matthew Peña, Gillkaitlyn Mary Gaw Palao, Gilkevyn Joseph Gaw Palao, Marjorie Rose Uy De Ong Luzuriaga, Sarah E Choi","doi":"10.1177/26350106251337487","DOIUrl":"10.1177/26350106251337487","url":null,"abstract":"PurposeThe purpose of this study was to explore the determinants of diabetes self-management education and support (DSMES) program engagement among Asian Americans with type 2 diabetes living in California.MethodsA qualitative descriptive study was conducted to explore DSMES experiences. Semistructured interviews with Filipino, Korean South Asian, Cambodian, Taiwanese, and Vietnamese Americans were conducted. Participants were recruited through outreach, referrals, and social media. All 12 interviews were audio-recorded and transcribed verbatim. The data analysis used a rigorous, iterative approach, beginning with open coding to generate initial codes, developing a codebook, and proceeding to a second coding level and thematic analysis to interpret key patterns.ResultsAnalysis revealed 4 major themes and 10 subthemes organized using the ecological model. The major themes are (1) individual-level barriers and facilitators (microsystem), (2) cultural and social influences (mesosystem), (3) structural barriers (exosystem), and (4) optimizing DSMES for inclusive diabetes care (macrosystem).ConclusionStudy findings highlight the need for culturally responsive DSMES programs, emphasizing family-centered approaches and prioritization of cultural beliefs. Improving DSMES engagement among Asian Americans requires multilevel interventions addressing systemic and individual barriers, highlighting the complex interplay of cultural, social, and structural factors in diabetes management.","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"225-240"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12127602/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082744","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}

引用次数: 0

Development and Psychometric Testing of the Caregiver Contribution to Self-Care of Diabetes Inventory: An Observational Study Among Informal Caregivers of Patients With Type 2 Diabetes. 2型糖尿病患者非正式照护者对糖尿病自我照护贡献的发展及心理测量测试

The science of diabetes self-management and care Pub Date : 2025-06-01 Epub Date: 2025-05-24 DOI: 10.1177/26350106251336309

Diletta Fabrizi, Maddalena De Maria, Claudio Barbaranelli, Marta Aber Rizzo, Stefania Di Mauro, Annalisa Giancaterini, Paola Rebora, Davide Ausili, Michela Luciani

{"title":"Development and Psychometric Testing of the Caregiver Contribution to Self-Care of Diabetes Inventory: An Observational Study Among Informal Caregivers of Patients With Type 2 Diabetes.","authors":"Diletta Fabrizi, Maddalena De Maria, Claudio Barbaranelli, Marta Aber Rizzo, Stefania Di Mauro, Annalisa Giancaterini, Paola Rebora, Davide Ausili, Michela Luciani","doi":"10.1177/26350106251336309","DOIUrl":"10.1177/26350106251336309","url":null,"abstract":"PurposeThe purpose of the study was to develop and psychometrically test the Caregiver Contribution to Self-Care of Diabetes Inventory (CC-SCODI), a new tool for assessing caregiver contribution to self-care in diabetes, among informal caregivers of patients with type 2 diabetes mellitus (T2DM).MethodsA multicenter cross-sectional observational study was conducted. A total of 251 patients with T2DM and their informal caregivers were included. The CC-SCODI measures the caregiver contribution to patients' self-care maintenance, self-care monitoring, and self-care management. It also assesses the caregiver self-efficacy in contributing to patient self-care. To evaluate dimensionality, a confirmative factor analysis was conducted. To evaluate reliability, the multidimensional model-based reliability index was estimated. To assess construct validity, associations between caregiver contribution to self-care maintenance, monitoring, and management and caregiver self-efficacy, caregiver burden, and dyadic care type were tested.ResultsA multidimensional structure emerged for caregiver contribution to self-care maintenance and monitoring scales, and a unidimensional structure emerged for caregiver contribution to self-care management and caregiver self-efficacy scales. All the reliability indices were higher than 0.70. Significant associations were found between caregiver contribution to self-care maintenance, monitoring, and management and caregiver self-efficacy, caregiver burden, and dyadic care type.ConclusionsThe CC-SCODI is suggested to be valid and reliable for assessing caregiver contribution to self-care in caregivers of patients with T2DM.","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"281-300"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144136408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

AGP Reports for Glucose and Insulin Devices Qualitative Study: What Patients and Clinicians Want. 葡萄糖和胰岛素装置定性研究的AGP报告：患者和临床医生想要的。

The science of diabetes self-management and care Pub Date : 2025-06-01 Epub Date: 2025-06-02 DOI: 10.1177/26350106251337486

Deborah M Mullen, Richard M Bergenstal, Mary Johnson, Eda Cengiz, Amy Criego, Larry Deeb, Robin Goland, Justin Rudolph, Kathleen C Arnold, Davida Kruger, Sara Richter

{"title":"AGP Reports for Glucose and Insulin Devices Qualitative Study: What Patients and Clinicians Want.","authors":"Deborah M Mullen, Richard M Bergenstal, Mary Johnson, Eda Cengiz, Amy Criego, Larry Deeb, Robin Goland, Justin Rudolph, Kathleen C Arnold, Davida Kruger, Sara Richter","doi":"10.1177/26350106251337486","DOIUrl":"10.1177/26350106251337486","url":null,"abstract":"PurposeThe purpose of the 2-phase study was to determine patient/family and clinician design preference, usability, and comprehension of ambulatory glucose profile (AGP) reportsMethodsA cross-sectional research design employing 2 phases was conducted. Patients and parents (n = 139) reviewed an educational guide and AGP report during a clinician consultation. They were directed to identify glucose trends before answering a design preferences and usability survey. Clinicians (n = 17) completed questionnaires about patients and personal experiences, design preferences, and expected future usability. Further study of the AGP (n = 21) evaluated a draft display AGP continuous glucose monitoring (CGM) + pump report, enhanced after the aforementioned blood glucose monitoring (BGM) and CGM survey through interviews using both scripted and unscripted questions.ResultsPatients identified glucose trends/patterns in all AGP reports (100% BGM; 98% CGM; 95% CGM + pump). Patients and clinicians felt that the single-page report added value both in and outside of the clinic, preferred this standardized data view compared to traditional device-specific reports, and saw value in the AGP combination of statistics and graphs. Insulin data were seen as useful but increased the difficulty of report interpretation; only 38% were able to accurately interpret the data and make self-treatment recommendations.ConclusionsPatients feel that the AGP report (BGM, CGM, CGM + pump) is useful for identifying new glucose patterns/trends. Patients report more confidence in making self-care adjustments (behavioral, lifestyle, and treatments) using the AGP report. For shared decision-making, the AGP report serves both patients' and clinicians' needs.","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":"51 3","pages":"333-344"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144201034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Diabetes Knowledge and Self-Care Practices Among Patients With Type 2 Diabetes Mellitus in Uvira, Kiliba, Sange, and Luvungi, South Kivu Province of the Democratic Republic of Congo. 刚果民主共和国南基伍省乌维拉、基利巴、桑吉和卢冯吉2型糖尿病患者的糖尿病知识和自我保健行为

The science of diabetes self-management and care Pub Date : 2025-04-01 Epub Date: 2025-03-24 DOI: 10.1177/26350106251323611

Désiré M Kindarara, Juslin Bamu Murondere

{"title":"Diabetes Knowledge and Self-Care Practices Among Patients With Type 2 Diabetes Mellitus in Uvira, Kiliba, Sange, and Luvungi, South Kivu Province of the Democratic Republic of Congo.","authors":"Désiré M Kindarara, Juslin Bamu Murondere","doi":"10.1177/26350106251323611","DOIUrl":"10.1177/26350106251323611","url":null,"abstract":"PurposeThe purpose of this study was to assess baseline knowledge and self-care practices about diabetes mellitus (DM) among patients with type 2 diabetes mellitus (T2DM) in Uvira, Kiliba, Sange, and Luvungi (U-KI-SA-LU), South Kivu Province of the Democratic Republic of Congo (DRC).MethodsA community-based cross-sectional study was conducted among 328 T2DM patients (179 men and 149 women) in U-KI-SA-LU, South Kivu Province of DRC from February 1 to April 30, 2024. Data were collected using pretested questionnaires and were analyzed using descriptive statistics and F statistic for the analysis of variance test with value of P < .05 as the level of statistical significance.ResultsOf the 328 participants, 188 (57.4%) had good general knowledge about DM; only 149 (45.4%) had good self-care practices about DM. Being married, having higher education, and being on insulin injection were associated with good knowledge; only being married was associated with good self-care practices toward DM. Surprisingly, 167 (50.9%) of the participants never had an eye examination, only 51 (15.5%) ate fruits for 3 or more days over the past 7 days, and 77 (23.5%) had access to a personal glucometer.ConclusionsStructured educational programs are needed to improve DM knowledge and self-care practices in order to slow down the progression of DM and prevent complications. These results also suggest raising awareness about health care professionals' role in DM management through not only continuing education programs but also traditional media, including print advertising, television, radio, and newspapers.","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"141-155"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143702266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Diabetes Attitudes, Wishes and Needs in the Dominican Republic (DR-DAWN2). 多米尼加共和国糖尿病态度、愿望和需求（DR-DAWN2）。

The science of diabetes self-management and care Pub Date : 2025-04-01 Epub Date: 2025-02-08 DOI: 10.1177/26350106251315695

Manuel Soto, Nadja García, Jessica Ortiz, Berniza Calderón

{"title":"Diabetes Attitudes, Wishes and Needs in the Dominican Republic (DR-DAWN2).","authors":"Manuel Soto, Nadja García, Jessica Ortiz, Berniza Calderón","doi":"10.1177/26350106251315695","DOIUrl":"10.1177/26350106251315695","url":null,"abstract":"PurposeThe purpose of this study was to assess the psychosocial status of people with diabetes and their perceived quality of received health care services in a local outpatient center in Santo Domingo, Dominican Republic.MethodsCross-sectional study that included 385 Dominican adults with diabetes. Demographic and clinical information was collected. Key psychometric indicators were collected by using the WHO-5 Well-Being Index, EuroQol-5D Visual Analogue Scale (EQ-VAS), Problem Areas in Diabetes Scale, Summary of Diabetes Self-Care Activities, and Patient Assessment of Chronic Illness Care.ResultsThe mean EQ-VAS score was 77.6 (SD 18). Of all the participants, 18.7% exhibited symptoms of depression, with higher rates among women and younger age groups. Diabetes-related distress was present in 22.6% of participants, particularly among younger individuals and those employed. Physical activity was the self-care activity with the lowest reported adherence. Perceptions of received health care services aligned moderately with the chronic care model (CCM), with a higher perceived alignment in patients that were enrolled in a chronic disease management program.ConclusionsPatients with diabetes report having a reduced quality of life and significant psychological burdens, with a high rate of depressive symptoms and diabetes-related distress and a low adherence to self-care behaviors. The enrollment in chronic disease management programs improved patients' perception of received health care services, reporting a more coordinated care and experiencing more patient activation, which could improve health outcomes. These findings underline the need for psychological screening, patient-centered care, and broader implementation of the CCM to improve health outcomes in this population.","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"168-179"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143375100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0