Addressing a Care Gap in Type 1 Diabetes Management: Using the Diabetes Distress Scale in a Community Care Setting to Address Diabetes-Related Treatment Challenges

Can J Diabetes. 2020 Aug;44(6):514-520. doi: 10.1016/j.jcjd.2020.06.011. Epub 2020 Jun 20.

Abstract

Objectives: To bridge the gap between existing clinical evidence and recommendations around screening for diabetes-related distress (DD) and the observation of a low level of adoption of these suggestions in everyday clinical practice. We focused on the use of the Diabetes Distress Scale (DDS) by adult diabetes care specialists.

Methods: We conducted a survey of endocrinologists and diabetes educators in our clinics, examining the use of DD screening and assessment tools, including DDS-2, DDS-17 and T1-DDS-28.

Results: Our results indicated that very few practitioners surveyed are currently using the DD questionnaires, and highlighted their perceptions of the primary barriers to doing so.

Conclusions: We discuss the results of our survey of colleagues' use of the DDS and provide suggestions about how to incorporate this tool, and tips about how to address the various facets of DD. We argue that integrating the assessment of DD in clinical practice, with the use of standardized and validated self-report questionnaires, is a necessary and very feasible step towards achieving further improvements in the health and quality of life of people living with type 1 diabetes.

Keywords: depression; diabetes distress; diabetes mellitus type 1; diabète sucré de type 1; dépistage; dépression; détresse liée au diabète; psychologie; psychology; screening.

MeSH terms

  • Canada / epidemiology
  • Community Networks
  • Depression / epidemiology*
  • Depression / psychology
  • Diabetes Mellitus, Type 1 / psychology*
  • Diabetes Mellitus, Type 1 / therapy
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Prognosis
  • Psychiatric Status Rating Scales
  • Quality of Life*
  • Self Care / standards*
  • Self-Management / trends*
  • Stress, Psychological / epidemiology*
  • Stress, Psychological / psychology
  • Surveys and Questionnaires