Faculty of Health & Social Science, Bournemouth University, Bournemouth, UK.
BHR Limited, Portsmouth, UK.
J Diabetes Sci Technol. 2022 Jul;16(4):939-944. doi: 10.1177/1932296821994088. Epub 2021 Mar 12.
Burnout in people with diabetes and healthcare professionals (HCPs) is at an all-time high. Spotlight AQ, a novel "smart" adaptive patient questionnaire, is designed to improve consultations by rapidly identifying patient priorities and presenting these in the context of best-practice care pathways to aid consultations. We aimed to determine Spotlight AQ's feasibility in routine care.
The Spotlight prototype tool was trialed at three centers: two UK primary care centers and one US specialist center (June-September 2020). Participants with type 1 (T1D) or type 2 diabetes (T2D) completed the questionnaire prior to their routine consultations. Results were immediately available and formed the basis of the clinical discussion and decision-making within the clinic visit.
A convenience sample of 49 adults took part, =31 T1D, (=18 female); and =18 T2D (=10 male, =4 female, =4 gender unreported). Each identified two priority concerns. "Psychological burden of diabetes" was the most common priority concern (T1D 27, 87.1%) followed by "gaining more skills about particular aspects of diabetes" (T1D =19, 61.3%), "improving support around me" (=8, 25.8%) and "diabetes-related treatment issues" (=8, 25.8%). Burden of diabetes was widespread as was lack of confidence around self-management. Similarly, psychological burden of diabetes was the primary concern for participants with T2D (=18,100%) followed by "gaining more skills about aspects of diabetes" (=7, 38.9%), "improving support around me" (=7, 38.9%) and "diabetes-related treatment issues" (=4; 22.2%).
Spotlight AQ is acceptable and feasible for use in routine care. Gaining more skills and addressing the psychological burden of diabetes are high-priority areas that must be addressed to reduce high levels of distress.
糖尿病患者和医疗保健专业人员（HCP）的倦怠感达到了历史最高水平。Spotlight AQ 是一种新型的“智能”自适应患者问卷，旨在通过快速确定患者的优先事项并将其呈现于最佳实践护理路径的上下文中，来改善咨询服务。我们旨在确定 Spotlight AQ 在常规护理中的可行性。
Spotlight 原型工具在三个中心进行了试用：两个英国初级保健中心和一个美国专科中心（2020 年 6 月至 9 月）。1 型（T1D）或 2 型糖尿病（T2D）患者在常规就诊前完成问卷。结果立即可用，并构成了诊所就诊期间临床讨论和决策的基础。
共 49 名成年人参加了此次便利抽样研究，其中 31 名为 T1D（=18 名女性），18 名为 T2D（=10 名男性，=4 名女性，=4 名性别未报告）。每位患者都确定了两个优先事项。“糖尿病带来的心理负担”是最常见的优先事项（T1D 占 27 例，87.1%），其次是“了解更多有关糖尿病特定方面的技能”（T1D 占 19 例，61.3%），“改善我周围的支持”（=8，25.8%）和“与糖尿病相关的治疗问题”（=8，25.8%）。糖尿病的负担普遍存在，而且自我管理方面的信心也普遍不足。同样，T2D 患者的主要关注点也是糖尿病带来的心理负担（=18，100%），其次是“了解更多有关糖尿病方面的技能”（=7，38.9%），“改善我周围的支持”（=7，38.9%）和“与糖尿病相关的治疗问题”（=4；22.2%）。
Spotlight AQ 在常规护理中是可接受和可行的。获得更多技能和解决糖尿病带来的心理负担是必须解决的高优先级问题，以降低高负担水平。
