Diabetes distress in Veterans with type 2 diabetes mellitus: Qualitative descriptive study-Reference-Cited by-同舟云学术

Diabetes distress in Veterans with type 2 diabetes mellitus: Qualitative descriptive study

Published:2024-02-21 Issue: Volume: Page:
ISSN:1359-1053
Container-title:Journal of Health Psychology
language:en
Short-container-title:J Health Psychol

Author:

Lewinski Allison A¹²^ORCID,Shapiro Abigail¹^ORCID,Crowley Matthew J¹³,Whitfield Chelsea¹,Jones Joanne Roman¹⁴,Jeffreys Amy S¹,Coffman Cynthia J¹⁵,Howard Teresa¹,McConnell Eleanor¹⁶,Tanabe Paula²⁷,Barcinas Susan⁸,Bosworth Hayden B¹²⁹¹⁰¹¹

Affiliation:

1. Durham Center of Innovation to Accelerate Discovery and Practice Transformation Durham Veterans Health Care System, Durham, NC, USA

2. Duke University School of Nursing, Durham, NC, USA

3. Division of Endocrinology, Diabetes and Metabolism, Department of Medicine, Duke University School of Medicine, Durham, NC, USA

4. Department of Nursing, Manning College of Nursing and Health Sciences, University of Massachusetts Boston, Boston, MA, USA

5. Department of Biostatistics and Bioinformatics, Duke University School of Medicine, Durham, NC, USA

6. Geriatric Research, Education and Clinical Center (GRECC), Durham Veterans Affairs Health Care System, Durham, NC, USA

7. Division of Hematology, Department of Medicine, Duke University School of Medicine, Durham, NC, USA

8. College of Education, North Carolina State University, Raleigh, NC, USA

9. Department of Population Health Sciences, Duke University School of Medicine, Durham, NC USA

10. Division of General Internal Medicine, Department of Medicine, Duke University School of Medicine, Durham, NC, USA

11. Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA

Abstract

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

Funder

Durham VA Quality Scholars Program OAA

Durham Center of Innovation to Accelerate Discovery and Practice Transformation

Health Services Research and Development

Publisher

SAGE Publications

Link

http://journals.sagepub.com/doi/pdf/10.1177/13591053241233387

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