Diabetes distress in Veterans with type 2 diabetes mellitus: Qualitative descriptive study.
Allison A LewinskiAbigail ShapiroMatthew J CrowleyChelsea WhitfieldJoanne Roman JonesAmy S JeffreysCynthia J CoffmanTeresa HowardEleanor McConnellPaula TanabeSusan BarcinasHayden B BosworthPublished in: Journal of health psychology (2024)
Diabetes distress (DD) is a negative psychosocial response to living with type 2 diabetes mellitus (T2DM). We sought insight into Veterans' experiences with DD in the context of T2DM self-management. The four domains in the Diabetes Distress Scale (i.e. regimen, emotional, interpersonal, healthcare provider) informed the interview guide and analysis (structural coding using thematic analysis). The mean age of the cohort ( n = 36) was 59.1 years (SD 10.4); 8.3% of patients were female and 63.9% were Black or Mixed Race; mean A1C was 8.8% (SD 2.0); and mean DDS score was 2.4 (SD 1.1), indicating moderate distress. Veterans described DD and challenges to T2DM self-management across the four domains in the Diabetes Distress Scale. We found that (1) Veterans' challenges with their T2DM self-management routines influenced DD and (2) Veterans experienced DD across a wide range of domains, indicating that clinical interventions should take a "whole-person" approach. Trial Registration: NCT04587336.
Keyphrases
- glycemic control
- type diabetes
- cardiovascular disease
- healthcare
- end stage renal disease
- mental health
- newly diagnosed
- primary care
- systematic review
- clinical trial
- physical activity
- randomized controlled trial
- chronic kidney disease
- peritoneal dialysis
- prognostic factors
- study protocol
- weight loss
- insulin resistance
- metabolic syndrome
- skeletal muscle
- phase ii
- double blind