Acceptability of LISTEN for adults with diabetes distress: A qualitative study using the theoretical framework of acceptability to explore a brief problem‐solving therapy intervention guided by diabetes health professionals

Diabet MedPublished Qualitative study

Authors' conclusion

These findings indicate that LISTEN, delivered by diabetes health professionals via telehealth, is acceptable to this sample of Australian adults experiencing elevated diabetes distress and provides evidence-based strategies to strengthen engagement, delivery and implementation of LISTEN.

Study context

Population
Adults with T1D or T2D experiencing diabetes distress (PAID-20 score ≥ 25, or ≥2 on three or more items) who had participated in LISTEN
Participants
24 adults
Outcome
Acceptability of LISTEN
Methodological detailssemi-structured interviews, deductive thematic analysis, theoretical framework of acceptability
  • Semi-structured interviews
  • Deductive thematic analysis
  • Theoretical framework of acceptability

Main finding

As reported in the abstract

  • LISTEN valued: support with the emotional side of diabetes and skills to address diabetes management challenges
  • Health professional's diabetes-specific knowledge valued
  • Satisfaction associated with positive rapport with the health professional and accountability
  • Telehealth delivery acceptable due to convenience and anonymity
  • Participation required minimal effort
  • Most willing to pay a small fee, though all people with diabetes should have equitable access
  • Minor refinements: flexible delivery; clearly articulate the structured, stepwise nature in pre-program information

Original publication

Acceptability of LISTEN for adults with diabetes distress: A qualitative study using the theoretical framework of acceptability to explore a brief problem‐solving therapy intervention guided by diabetes health professionals. Diabet Med. Published 29 August 2025. doi:10.1111/dme.70128

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