Halliday Jennifer A, Speight Jane, Bennet Andrea, Beeney Linda J, Hendrieckx Christel
School of Psychology, Deakin University, Geelong, Australia.
The Australian Centre for Behavioural Research in Diabetes, Diabetes Victoria, Melbourne, Australia.
JMIR Form Res. 2020 Feb 21;4(2):e15007. doi: 10.2196/15007.
Health professionals have expressed unmet needs, including lacking the skills, confidence, training, and resources needed to properly attend to the psychological needs of people with diabetes.
Informed by needs assessments, this study aimed to develop practical, evidence-based resources to support health professionals to address the emotional needs of adults with type 1 or type 2 diabetes.
We developed a new handbook and toolkit informed by formative evaluation, including literature reviews, stakeholder consultation and review, and a qualitative study. In the qualitative study, health professionals participated in interviews after reading sections of the handbook and toolkit.
The literature review uncovered that psychological problems are common among adults with diabetes, but health professionals lack resources to provide related support. We planned and drafted resources to fill this unmet need, guided by stakeholder consultation and an Expert Reference Group (ERG). Before finalizing the resources, we implemented feedback received from stakeholders (ERG, health professionals, academics, and people with diabetes). The resulting resources were the practical, evidence-based Diabetes and Emotional Health handbook and toolkit. A total of 19 health professionals took part in the qualitative study about the handbook and toolkit. They viewed the resources favorably, felt empowered to support people with diabetes experiencing psychological problems, and felt motivated to share the resources with others. Some gave examples of how they had used the handbook in clinical practice. A perceived highlight was the inclusion of a process model outlining 7 steps for identifying and supporting people with emotional problems: the 7 A's model. With funding from the National Diabetes Services Scheme (NDSS), more than 2400 copies of Diabetes and Emotional Health have been distributed. It is freely available on the Web. The NDSS is an initiative of the Australian Government administered with the assistance of Diabetes Australia.
The new evidence-based resources are perceived by stakeholders as effective aids to assist health professionals in providing emotional support to adults with diabetes. The 7 A's model may have clinical utility for routine monitoring of other psychological and health-related problems, as part of person-centered clinical care.
卫生专业人员表示存在未得到满足的需求，包括缺乏妥善满足糖尿病患者心理需求所需的技能、信心、培训和资源。
基于需求评估，本研究旨在开发实用的、基于证据的资源，以支持卫生专业人员满足1型或2型糖尿病成年人的情感需求。
我们通过形成性评估开发了一本新手册和工具包，包括文献综述、利益相关者咨询与审查以及一项定性研究。在定性研究中，卫生专业人员在阅读手册和工具包的部分内容后参与了访谈。
文献综述发现，心理问题在糖尿病成年人中很常见，但卫生专业人员缺乏提供相关支持的资源。在利益相关者咨询和专家参考小组（ERG）的指导下，我们计划并起草了资源以满足这一未得到满足的需求。在最终确定这些资源之前，我们采纳了从利益相关者（ERG、卫生专业人员、学者和糖尿病患者）那里收到的反馈。最终形成的资源是实用的、基于证据的《糖尿病与情绪健康》手册和工具包。共有19名卫生专业人员参与了关于手册和工具包的定性研究。他们对这些资源评价很高，感到有能力支持有心理问题的糖尿病患者，并有动力与他人分享这些资源。一些人给出了他们在临床实践中使用手册的例子。一个被认为的亮点是纳入了一个过程模型，概述了识别和支持有情绪问题的人的7个步骤：7A模型。在国家糖尿病服务计划（NDSS）的资助下，已分发了2400多份《糖尿病与情绪健康》。该手册可在网上免费获取。NDSS是澳大利亚政府在澳大利亚糖尿病协会协助下实施的一项倡议。
利益相关者认为这些新的基于证据的资源是有效的辅助工具，可帮助卫生专业人员为糖尿病成年人提供情感支持。作为以患者为中心的临床护理的一部分，7A模型可能对常规监测其他心理和健康相关问题具有临床实用性。
