Department of Psychiatry, University of Melbourne, Melbourne, Australia.
Integrated Care Academy, University of Suffolk, Ipswich, UK.
BMC Endocr Disord. 2021 May 8;21(1):96. doi: 10.1186/s12902-021-00760-3.
Mental health problems are highly prevalent in people with type 1 diabetes mellitus (T1DM), which adversely impact physical health and quality of life. This study aimed to explore the experiences of people with T1DM who had completed the Mental health IN DiabeteS Optimal Health Program (MINDS OHP), a novel intervention developed to bridge the gap between physical and mental health care.
Participants with T1DM were invited to take part in a focus group or semi-structured interviews. Participants were recruited from outpatient and community settings. The focus group and interviews were audio-recorded and transcribed verbatim. Thematic content analysis was used and identified themes were cross-validated by researchers and member-checked by participants.
Ten people with T1DM were included. Two key themes emerged: 'MINDS OHP experiences' and 'lived experiences of diabetes'. MINDS OHP experiences included five sub-themes: program benefits, follow-up and timing, suggested improvements, collaborative partners, and materials suitability. Lived experiences also included five sub-themes: bridging the gap between mental and physical health, support networks, stigma and shame, management intrusiveness, and adolescence and critical life points.
The MINDS OHP for people with T1DM was generally well received, though study findings suggest a number of improvements could be made to the program, such as including family members, and consideration being given to its routine early inclusion in diabetes management, ideally in primary care.
1 型糖尿病（T1DM）患者中精神健康问题高发，对身心健康和生活质量产生负面影响。本研究旨在探索完成新型干预项目——心理健康与糖尿病最佳健康计划（MINDS OHP）的 T1DM 患者的体验，该项目旨在弥合身心健康护理之间的差距。
邀请 T1DM 患者参加焦点小组或半结构化访谈。参与者来自门诊和社区环境。对焦点小组和访谈进行录音并逐字转录。使用主题内容分析，研究人员交叉验证并由参与者进行成员检查，以确定主题。
共纳入 10 名 T1DM 患者。出现了两个关键主题：“MINDS OHP 体验”和“糖尿病的生活体验”。MINDS OHP 体验包括五个子主题：项目收益、随访和时间安排、建议改进、合作伙伴和材料适宜性。生活体验也包括五个子主题：弥合心理健康和身体健康之间的差距、支持网络、耻辱和羞耻感、管理侵扰性以及青春期和关键生活点。
T1DM 患者对 MINDS OHP 的总体接受度较高，但研究结果表明该项目可以进行一些改进，例如纳入家庭成员，并考虑将其常规早期纳入糖尿病管理中，理想情况下是在初级保健中。
