Changes in diabetes distress among people with type 2 diabetes during a risk screening programme for diabetic kidney disease – Longitudinal observations of the PRIORITY study |
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| Institution: | 1. Steno Diabetes Center Copenhagen, Niels Steensens Vej 2, 2820 Gentofte, Denmark;2. Department of Clinical Medicine, University of Copenhagen, Blegdamsvej 3B, 2200 Copenhagen N, Denmark;1. Department of Medicine, University of Melbourne, Austin Health, Heidelberg, Victoria, Australia;2. Department of Endocrinology, Austin Health, Melbourne, Victoria, Australia;3. Department of Administrative Informatics, Austin Health, Heidelberg, Victoria, Australia;4. School of Engineering, RMIT University, Melbourne, Victoria, Australia;5. Department of General Medicine, Austin Health, Melbourne, Victoria, Australia;6. Department of Intensive Care, Austin Health, Heidelberg, Victoria, Australia;7. Department of Medicine, The University of Melbourne, Parkville, Australia;8. Clinical Informatics Unit, Austin Health, Heidelberg, Victoria, Australia;9. Department of Pathology, Austin Health, Heidelberg, Victoria, Australia;10. Centre for Digital Transformation of Health, University of Melbourne;11. Department of Nephrology, Austin Health, Heidelberg, Victoria, Australia;12. Department of Endocrinology and Diabetes, St. Vincent''s Hospital Melbourne, Fitzroy, Victoria, Australia;1. Department of Endocrinology and Metabolism, Peking University People''s Hospital, Beijing, PR China;2. Department of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing, PR China;3. Centre for Epidemiological Studies and Clinical Trials, Shanghai Key Laboratory of Hypertension, The Shanghai Institute of Hypertension, Department of Hypertension, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, PR China;4. Department of Endocrinology, Peking University First Hospital, Beijing, PR China |
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| Abstract: | AimsTo investigate levels and changes in diabetes distress over the course of the PRIORITY (Proteomic prediction and Renin angiotensin aldosterone system Inhibition prevention Of early diabetic nephRopathy In people with TYpe 2 diabetes and normoalbuminuria) randomised controlled trial of screening for diabetic kidney disease (DKD) risk among people with type 2 diabetes (T2D) at a specialist diabetes clinic in Denmark.MethodsOf 436 trial participants with T2D, 216 were invited to complete the 17-item diabetes distress scale at the time of screening (T1, n = 180), immediately after receiving the screening results at 6–8 weeks (T2, n = 169), and at 12 months follow up (T3, n = 107). Linear mixed models were used to explore changes in diabetes distress.ResultsNo significant changes in diabetes distress were observed between the time of screening, receiving results, and at 12 months. Changes in diabetes distress were not influenced by diabetes empowerment, sense of coherence, or perceived support for diabetes self-management.ConclusionsIn contrast to previous studies demonstrating that screening programmes can have negative psychological consequences, our findings indicate that participating in this screening programme for DKD does not influence emotional burden or physician-related distress among people with T2D. |
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