Whitmore Carly, Forsythe Janice, Benzaquen Alegria, Domjancic Michelle, Melamed Osnat C, Selby Peter, Sherifali Diana
School of Nursing, McMaster University, Hamilton, ON, Canada.
INTREPID Lab, Centre for Addiction and Mental Health, Toronto, ON, Canada.
Prim Health Care Res Dev. 2025 Jul 18;26:e63. doi: 10.1017/S1463423625100236.
This research aimed to explore the perspectives of primary and community care providers on the challenges that hinder the delivery and uptake of personalized type 2 diabetes (T2D) care, with a focus on the integration of mental health support and care.
The day-to-day burden and demand of self-managing T2D can negatively impact quality of life and take a toll on mental health and psychological well-being. As a result, there is a need for personalized T2D self-management education and support that integrates mental health care. Despite the need for this personalized care, existing systems remain siloed, hindering access and uptake. In response, innovative, comprehensive, and collaborative models of care have been developed to address fragmentations in care. As individuals living with T2D often receive their care in primary care settings, linking mental health care to existing teams and networks in primary care settings is required. However, there is a need to understand how best to support access, adoption, and engagement with these models in these unique contexts.
A cross-sectional survey was distributed to primary and community providers of an Ontario-based smoking cessation network. Survey data were analyzed descriptively with free text responses thematically reported.
Survey respondents (n = 85) represented a broad mix of health professions across primary and community care settings. Addressing challenges to the delivery and uptake of personalized T2D care requires comprehensive strategies to address patient-, practice-, and system-level challenges. Findings from this survey identify the need to tailor these models of care to individual needs, clearly addressing mental health needs, and building strong partnership as means of enhancing accessibility and sustainability of integrated care delivery in primary care settings.
本研究旨在探讨初级和社区护理提供者对阻碍个性化2型糖尿病（T2D）护理提供和接受的挑战的看法，重点关注心理健康支持与护理的整合。
自我管理T2D的日常负担和需求会对生活质量产生负面影响，并对心理健康和幸福感造成损害。因此，需要将心理健康护理整合在内的个性化T2D自我管理教育和支持。尽管需要这种个性化护理，但现有系统仍然相互孤立，阻碍了其获取和接受。作为回应，已开发出创新、全面且协作的护理模式来解决护理碎片化问题。由于T2D患者通常在初级护理环境中接受护理，因此需要将心理健康护理与初级护理环境中的现有团队和网络相联系。然而，有必要了解在这些独特背景下如何最好地支持对这些模式的获取、采用和参与。
向安大略省戒烟网络的初级和社区提供者发放了一份横断面调查问卷。对调查数据进行描述性分析，并对自由文本回复进行主题报告。
调查受访者（n = 85）代表了初级和社区护理环境中广泛的健康专业人员。应对个性化T2D护理提供和接受方面的挑战需要全面策略来应对患者、实践和系统层面的挑战。本次调查结果表明，需要根据个人需求调整这些护理模式，明确解决心理健康需求，并建立强有力的伙伴关系，以此作为提高初级护理环境中综合护理提供的可及性和可持续性的手段。
