Holloway Edith E, Gray Shikha, Halliday Jennifer, Harrap Benjamin, Hines Carolyn, Skinner Timothy C, Speight Jane, Hendrieckx Christel
School of Psychology, Deakin University, Geelong, VIC, Australia.
The Australian Centre for Behavioural Research in Diabetes, Diabetes Victoria, ACBRD, 570 Elizabeth Street, Melbourne, VIC, 3000, Australia.
Pilot Feasibility Stud. 2023 Jul 27;9(1):133. doi: 10.1186/s40814-023-01367-2.
This study examined the feasibility and acceptability of the low-intensity mental health support via telehealth-enabled network (LISTEN) intervention, for adults with diabetes, facilitated by diabetes health professionals (HPs).
LISTEN training. Three HPs participated in three half-day online workshops and applied their learnings during training cases (maximum four). Competency was assessed with a validated tool and achieved 'satisfactory' ratings for three consecutive sessions. LISTEN pilot. A single-group, pre-post study (up to four LISTEN sessions) with online assessments at baseline, post-intervention, and 4-week follow-up. Eligible participants were adults with type 1 or type 2 diabetes, with diabetes distress, but excluded if they had moderate/severe depressive and/or anxiety symptoms. Feasibility was assessed via recruitment and session completion rates. Acceptability was assessed with post-intervention self-report data. Changes in diabetes distress and general emotional well-being from baseline (T1) were explored at post-intervention (T2) and at 4-week follow-up (T3).
Two HPs achieved competency (median training case sessions required: 7) and progressed to deliver LISTEN in the pilot study. In the pilot, N = 16 adults (Med [IQR] age: 60 [37-73] years; 13 women) with diabetes participated (median sessions per participant: 2). Twelve participants (75%) completed the post-intervention assessment (T2): 92% endorsed the number of sessions offered as 'just right', 75% felt comfortable talking with the HP, and 67% were satisfied with LISTEN. Perceived limitations were the structured format and narrow scope of problems addressed. Diabetes distress scores were lower post-intervention.
This pilot demonstrates the feasibility of training HPs to deliver LISTEN, and the acceptability and potential benefits of LISTEN for adults with diabetes. The findings highlight adaptations that may enhance the delivery of, and satisfaction with, LISTEN that will be tested in a hybrid type 1 effectiveness-implementation trial.
本研究探讨了由糖尿病健康专业人员（HP）推动的、通过远程医疗网络提供的低强度心理健康支持干预措施（LISTEN）对成年糖尿病患者的可行性和可接受性。
LISTEN培训。三名HP参加了为期半天的三次在线研讨会，并在培训案例（最多四个）中应用所学知识。使用经过验证的工具评估能力，并连续三个阶段获得“满意”评分。LISTEN试点研究。一项单组前后对照研究（最多四个LISTEN疗程），在基线、干预后和4周随访时进行在线评估。符合条件的参与者为患有1型或2型糖尿病且有糖尿病困扰的成年人，但如果有中度/重度抑郁和/或焦虑症状则被排除。通过招募率和疗程完成率评估可行性。通过干预后的自我报告数据评估可接受性。在干预后（T2）和4周随访时（T3）探讨糖尿病困扰和总体情绪健康状况相对于基线（T1）的变化。
两名HP达到了能力要求（所需培训案例疗程中位数：7），并在试点研究中开始提供LISTEN。在试点研究中，N = 16名患有糖尿病的成年人（年龄中位数[四分位间距]：60 [37 - 73]岁；13名女性）参与（每位参与者疗程中位数：2）。12名参与者（75%）完成了干预后评估（T2）：92%认可提供的疗程数量“恰到好处”，75%与HP交谈时感到自在，67%对LISTEN感到满意。感知到的局限性是结构化形式和所解决问题的范围狭窄。干预后糖尿病困扰评分较低。
该试点研究证明了培训HP提供LISTEN的可行性，以及LISTEN对成年糖尿病患者的可接受性和潜在益处。研究结果突出了可能增强LISTEN的提供和满意度的调整措施，这些措施将在1型混合有效性 - 实施试验中进行测试。
