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Halliday JA, Speight J, Bennet A, et al. The Diabetes and Emotional Health Handbook and Toolkit for Health Professionals Supporting Adults With Type 1 and Type 2 Diabetes: Formative Evaluation. JMIR Form Res. 2020;4(2):e15007doi: 10.2196/15007.
Halliday, J. A., Speight, J., Bennet, A., Beeney, L. J., & Hendrieckx, C. (2020). The Diabetes and Emotional Health Handbook and Toolkit for Health Professionals Supporting Adults With Type 1 and Type 2 Diabetes: Formative Evaluation. JMIR formative research, 4(2), e15007. https://doi.org/10.2196/15007
Halliday, Jennifer A, et al. "The Diabetes and Emotional Health Handbook and Toolkit for Health Professionals Supporting Adults With Type 1 and Type 2 Diabetes: Formative Evaluation." JMIR formative research vol. 4,2 (2020): e15007. doi: https://doi.org/10.2196/15007
Halliday JA, Speight J, Bennet A, Beeney LJ, Hendrieckx C. The Diabetes and Emotional Health Handbook and Toolkit for Health Professionals Supporting Adults With Type 1 and Type 2 Diabetes: Formative Evaluation. JMIR Form Res. 2020 Feb 21;4(2):e15007. doi: 10.2196/15007. PMID: 32130112; PMCID: PMC7060499.
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JMIR Form Res. 2020 Feb 21;4(2):e15007. doi: 10.2196/15007.

The Diabetes and Emotional Health Handbook and Toolkit for Health Professionals Supporting Adults With Type 1 and Type 2 Diabetes: Formative Evaluation.

JMIR formative research

Jennifer A Halliday, Jane Speight, Andrea Bennet, Linda J Beeney, Christel Hendrieckx

Affiliations

  1. School of Psychology, Deakin University, Geelong, Australia.
  2. The Australian Centre for Behavioural Research in Diabetes, Diabetes Victoria, Melbourne, Australia.
  3. Applied Health Psychology Research, Hornchurch, Essex, United Kingdom.
  4. Sydney Medical School, The University of Sydney, Sydney, Australia.
  5. Diabetes & Medical Psychology Services, Normanhurst, Australia.

PMID: 32130112 PMCID: PMC7060499 DOI: 10.2196/15007

Abstract

BACKGROUND: Health professionals have expressed unmet needs, including lacking the skills, confidence, training, and resources needed to properly attend to the psychological needs of people with diabetes.

OBJECTIVE: Informed by needs assessments, this study aimed to develop practical, evidence-based resources to support health professionals to address the emotional needs of adults with type 1 or type 2 diabetes.

METHODS: We developed a new handbook and toolkit informed by formative evaluation, including literature reviews, stakeholder consultation and review, and a qualitative study. In the qualitative study, health professionals participated in interviews after reading sections of the handbook and toolkit.

RESULTS: The literature review uncovered that psychological problems are common among adults with diabetes, but health professionals lack resources to provide related support. We planned and drafted resources to fill this unmet need, guided by stakeholder consultation and an Expert Reference Group (ERG). Before finalizing the resources, we implemented feedback received from stakeholders (ERG, health professionals, academics, and people with diabetes). The resulting resources were the practical, evidence-based Diabetes and Emotional Health handbook and toolkit. A total of 19 health professionals took part in the qualitative study about the handbook and toolkit. They viewed the resources favorably, felt empowered to support people with diabetes experiencing psychological problems, and felt motivated to share the resources with others. Some gave examples of how they had used the handbook in clinical practice. A perceived highlight was the inclusion of a process model outlining 7 steps for identifying and supporting people with emotional problems: the 7 A's model. With funding from the National Diabetes Services Scheme (NDSS), more than 2400 copies of Diabetes and Emotional Health have been distributed. It is freely available on the Web. The NDSS is an initiative of the Australian Government administered with the assistance of Diabetes Australia.

CONCLUSIONS: The new evidence-based resources are perceived by stakeholders as effective aids to assist health professionals in providing emotional support to adults with diabetes. The 7 A's model may have clinical utility for routine monitoring of other psychological and health-related problems, as part of person-centered clinical care.

©Jennifer A Halliday, Jane Speight, Andrea Bennet, Linda J Beeney, Christel Hendrieckx. Originally published in JMIR Formative Research (http://formative.jmir.org), 21.02.2020.

Keywords: diabetes mellitus; evaluation studies; medical reference books; mental health; needs assessment; qualitative research

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