Diabetes care: Addressing psychosocial well-being in young adults with a newly developed assessment tool

Caroline A.E. Bachmeier; Claire Waugh; Margaret Vitanza; Trish Bowden; Carolyn Uhlman; Cameron Hurst; Satomi Okano; Helen Barrett; Neisha D'Silva; Helen D'Emden; Trisha O'Moore-Sullivan

doi:10.1111/imj.14355

Diabetes care: Addressing psychosocial well-being in young adults with a newly developed assessment tool

Caroline A.E. Bachmeier, Claire Waugh, Margaret Vitanza, Trish Bowden, Carolyn Uhlman, Cameron Hurst, Satomi Okano, Helen Barrett, Neisha D'Silva, Helen D'Emden, Trisha O'Moore-Sullivan

Research output: Contribution to journal › Article › peer-review

Abstract

Background: Psychosocial assessment should be part of clinic visits for people with diabetes mellitus (DM).

Aims: To assess the usage and acceptance of a diabetes psychosocial assessment tool (DPAT) and to profile the clinical and psychosocial characteristics of young people with diabetes.

Methods: Over a 12-month period, young adults (18–25 years) attending diabetes clinic were offered DPAT. The tool embeds validated screening tools including the Problem Areas in Diabetes 20 (PAID-20) questionnaire, the Patient Health Questionnaire-4 (PHQ-4) and the World Health Organization Well-Being Index-5 (WHO-5). Baseline clinical data were collected and questions regarding social support, body image, eating concerns, hypoglycaemia and finances were included.

Results: Over the 12 month, the form was offered to 155 participants (64.6% of eligible attendees). The majority (96.1%) had type 1 DM with a mean duration of 10.5 (±5.3 SD) years. Average glycated haemoglobin (HbA1c) was 8.7% (±1.5 SD) (or 71.2 mmol/mol ±16.5 SD). Severe diabetes-related distress (PAID-20 ≥ 40) was found in 19.4%. Low WHO-5 scores (28–50 points) were seen in 14.8%. PHQ-4 identified 25.8% with anxiety and 16.1% with depression. Significant weight, shape and eating concerns were identified in 27.1, 26.6 and 28.4%, respectively. Serious hypoglycaemia concerns were raised by 4.5%.

Conclusion: DPAT revealed a high prevalence of psychosocial stress among young adults with DM. The tool was easy to use and accepted by patients and may aid streamlining referrals to relevant members of a multidisciplinary team.

Original language	English
Pages (from-to)	70-76
Number of pages	7
Journal	Internal Medicine Journal
Volume	50
Issue number	1
DOIs	https://doi.org/10.1111/imj.14355
Publication status	Published - 1 Jan 2020
Externally published	Yes

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Bachmeier, Caroline A.E. ; Waugh, Claire ; Vitanza, Margaret ; Bowden, Trish ; Uhlman, Carolyn ; Hurst, Cameron ; Okano, Satomi ; Barrett, Helen ; D'Silva, Neisha ; D'Emden, Helen ; O'Moore-Sullivan, Trisha. / Diabetes care : Addressing psychosocial well-being in young adults with a newly developed assessment tool. In: Internal Medicine Journal. 2020 ; Vol. 50, No. 1. pp. 70-76.

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title = "Diabetes care: Addressing psychosocial well-being in young adults with a newly developed assessment tool",

abstract = "Background: Psychosocial assessment should be part of clinic visits for people with diabetes mellitus (DM). Aims: To assess the usage and acceptance of a diabetes psychosocial assessment tool (DPAT) and to profile the clinical and psychosocial characteristics of young people with diabetes. Methods: Over a 12-month period, young adults (18–25 years) attending diabetes clinic were offered DPAT. The tool embeds validated screening tools including the Problem Areas in Diabetes 20 (PAID-20) questionnaire, the Patient Health Questionnaire-4 (PHQ-4) and the World Health Organization Well-Being Index-5 (WHO-5). Baseline clinical data were collected and questions regarding social support, body image, eating concerns, hypoglycaemia and finances were included. Results: Over the 12 month, the form was offered to 155 participants (64.6% of eligible attendees). The majority (96.1%) had type 1 DM with a mean duration of 10.5 (±5.3 SD) years. Average glycated haemoglobin (HbA1c) was 8.7% (±1.5 SD) (or 71.2 mmol/mol ±16.5 SD). Severe diabetes-related distress (PAID-20 ≥ 40) was found in 19.4%. Low WHO-5 scores (28–50 points) were seen in 14.8%. PHQ-4 identified 25.8% with anxiety and 16.1% with depression. Significant weight, shape and eating concerns were identified in 27.1, 26.6 and 28.4%, respectively. Serious hypoglycaemia concerns were raised by 4.5%. Conclusion: DPAT revealed a high prevalence of psychosocial stress among young adults with DM. The tool was easy to use and accepted by patients and may aid streamlining referrals to relevant members of a multidisciplinary team.",

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author = "Bachmeier, {Caroline A.E.} and Claire Waugh and Margaret Vitanza and Trish Bowden and Carolyn Uhlman and Cameron Hurst and Satomi Okano and Helen Barrett and Neisha D'Silva and Helen D'Emden and Trisha O'Moore-Sullivan",

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doi = "10.1111/imj.14355",

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Diabetes care : Addressing psychosocial well-being in young adults with a newly developed assessment tool. / Bachmeier, Caroline A.E.; Waugh, Claire; Vitanza, Margaret; Bowden, Trish; Uhlman, Carolyn; Hurst, Cameron; Okano, Satomi; Barrett, Helen; D'Silva, Neisha; D'Emden, Helen; O'Moore-Sullivan, Trisha.

In: Internal Medicine Journal, Vol. 50, No. 1, 01.01.2020, p. 70-76.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - Diabetes care

T2 - Addressing psychosocial well-being in young adults with a newly developed assessment tool

AU - Bachmeier, Caroline A.E.

AU - Waugh, Claire

AU - Vitanza, Margaret

AU - Bowden, Trish

AU - Uhlman, Carolyn

AU - Hurst, Cameron

AU - Okano, Satomi

AU - Barrett, Helen

AU - D'Silva, Neisha

AU - D'Emden, Helen

AU - O'Moore-Sullivan, Trisha

PY - 2020/1/1

Y1 - 2020/1/1

N2 - Background: Psychosocial assessment should be part of clinic visits for people with diabetes mellitus (DM). Aims: To assess the usage and acceptance of a diabetes psychosocial assessment tool (DPAT) and to profile the clinical and psychosocial characteristics of young people with diabetes. Methods: Over a 12-month period, young adults (18–25 years) attending diabetes clinic were offered DPAT. The tool embeds validated screening tools including the Problem Areas in Diabetes 20 (PAID-20) questionnaire, the Patient Health Questionnaire-4 (PHQ-4) and the World Health Organization Well-Being Index-5 (WHO-5). Baseline clinical data were collected and questions regarding social support, body image, eating concerns, hypoglycaemia and finances were included. Results: Over the 12 month, the form was offered to 155 participants (64.6% of eligible attendees). The majority (96.1%) had type 1 DM with a mean duration of 10.5 (±5.3 SD) years. Average glycated haemoglobin (HbA1c) was 8.7% (±1.5 SD) (or 71.2 mmol/mol ±16.5 SD). Severe diabetes-related distress (PAID-20 ≥ 40) was found in 19.4%. Low WHO-5 scores (28–50 points) were seen in 14.8%. PHQ-4 identified 25.8% with anxiety and 16.1% with depression. Significant weight, shape and eating concerns were identified in 27.1, 26.6 and 28.4%, respectively. Serious hypoglycaemia concerns were raised by 4.5%. Conclusion: DPAT revealed a high prevalence of psychosocial stress among young adults with DM. The tool was easy to use and accepted by patients and may aid streamlining referrals to relevant members of a multidisciplinary team.

AB - Background: Psychosocial assessment should be part of clinic visits for people with diabetes mellitus (DM). Aims: To assess the usage and acceptance of a diabetes psychosocial assessment tool (DPAT) and to profile the clinical and psychosocial characteristics of young people with diabetes. Methods: Over a 12-month period, young adults (18–25 years) attending diabetes clinic were offered DPAT. The tool embeds validated screening tools including the Problem Areas in Diabetes 20 (PAID-20) questionnaire, the Patient Health Questionnaire-4 (PHQ-4) and the World Health Organization Well-Being Index-5 (WHO-5). Baseline clinical data were collected and questions regarding social support, body image, eating concerns, hypoglycaemia and finances were included. Results: Over the 12 month, the form was offered to 155 participants (64.6% of eligible attendees). The majority (96.1%) had type 1 DM with a mean duration of 10.5 (±5.3 SD) years. Average glycated haemoglobin (HbA1c) was 8.7% (±1.5 SD) (or 71.2 mmol/mol ±16.5 SD). Severe diabetes-related distress (PAID-20 ≥ 40) was found in 19.4%. Low WHO-5 scores (28–50 points) were seen in 14.8%. PHQ-4 identified 25.8% with anxiety and 16.1% with depression. Significant weight, shape and eating concerns were identified in 27.1, 26.6 and 28.4%, respectively. Serious hypoglycaemia concerns were raised by 4.5%. Conclusion: DPAT revealed a high prevalence of psychosocial stress among young adults with DM. The tool was easy to use and accepted by patients and may aid streamlining referrals to relevant members of a multidisciplinary team.

KW - diabetes mellitus

KW - psychosocial screening

KW - young adult

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U2 - 10.1111/imj.14355

DO - 10.1111/imj.14355

M3 - Article

C2 - 31081194

VL - 50

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EP - 76

JO - Internal Medicine Journal

JF - Internal Medicine Journal

SN - 1444-0903

IS - 1

ER -

Diabetes care: Addressing psychosocial well-being in young adults with a newly developed assessment tool

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