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Assessing and addressing diabetes distress among adults with type 2 diabetes: An online survey of Australian general practitioners
journal contributionposted on 2023-02-10, 02:11 authored by R McMorrow, B Hunter, Christel Hendrieckx, Jane SpeightJane Speight, J Emery, JA Manski-Nankervis
Aim: Diabetes distress is experienced by up to 36% of adults with type 2 diabetes. Australian type 2 diabetes guidelines recommend annual assessment of diabetes distress in general practice. This study explores general practitioners' knowledge, current practice, and factors influencing implementation of guidelines, including Person Reported Outcome Measure (PROM) use. Methods: A cross-sectional online survey was disseminated via e-mail to 4776 Australian general practitioners listed on the Australasian Medical Publishing Company database. Results: 264 (5%) surveys were returned. 75% indicated that general practitioners were the most appropriate professionals to assess diabetes distress. Sixteen percent reported asking about diabetes distress during type 2 diabetes consultations more than half the time, with 13% using a PROM more than half the time: 64% use the Kessler-10, and 1.9% use the Problem Areas in Diabetes (PAID) scale. While general practitioners had positive beliefs about the consequences of assessing and addressing diabetes distress, they also reported barriers in motivation, environment, and knowledge of guidelines. Conclusion: Most respondents endorsed general practitioners’ role in assessing diabetes distress, but few ask about or assess diabetes distress in routine consultations. To support uptake of guideline recommendations for diabetes-specific PROM use, environmental factors, specifically time, need to be addressed.
JournalPrimary Care Diabetes
Publication classificationC1 Refereed article in a scholarly journal
PublisherELSEVIER SCI LTD
Science & TechnologyLife Sciences & BiomedicineEndocrinology & MetabolismPrimary Health CareGeneral & Internal MedicineType 2 diabetesGeneral practicePsychological distressSurveyEMOTIONAL DISTRESSDEPRESSIONATTITUDESWISHESNEEDSPROFESSIONALSOUTCOMESPEOPLEAdultAustraliaCross-Sectional StudiesDiabetes Mellitus, Type 2General PractitionersHumansSurveys and QuestionnairesDiabetes7.1 Individual care needs7 Management of diseases and conditionsMetabolic and endocrineClinical Sciences not elsewhere classified