Discovering the hidden emotional burden: Systematic screening for diabetes distress in adults with type 1 diabetes in nurse‐led routine diabetes care
Authors' conclusion
Systematically assessing and addressing DD in clinical consultations was both useful and acceptable. Participants reported high levels of satisfaction with the screening method, noting that DSNs used open-ended questions and active listening skills to support managing DD, reflecting good fidelity with the dialogue model. Future research should explore methods for implementing the screening tools to ensure consistent detection of DD in adults with T1D during consultations as well as timely referral to effective interventions.
Study context
- Population
- Adults with T1D who participated in systematic diabetes distress screening (T1-DDS-7 and a dialogue model) in nurse-led routine diabetes care; mean age 47 years, mean diabetes duration 26 years
- Participants
- 30 adults
- Outcome
- Experience of systematic DD screening
Methodological detailssemi-structured interviews, thematic text condensation
- Semi-structured interviews
- Thematic text condensation
Main finding
As reported in the abstract
- Participants described positive experiences discussing diabetes distress (DD) with diabetes specialist nurses (DSNs) during annual consultations
- Theme 1: an eye-opener that enhanced emotional support in adults with T1D
- Theme 2: meaningful conversations and personalised diabetes care
- Theme 3: increased satisfaction and engagement with diabetes care in adults with T1D
Further findings
Moderate to high DD (total T1-DDS-7 score ≥14)
- Participants with moderate to high DD
- 16
Original publication
Discovering the hidden emotional burden: Systematic screening for diabetes distress in adults with type 1 diabetes in nurse‐led routine diabetes care. Diabet Med. Published 15 May 2025. doi:10.
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