Monitoring of Individual Needs in Diabetes (MIND)-2: Follow-up Data from the Cross-national Diabetes Attitudes, Wishes, and Needs (DAWN) MIND Study

Overview

Journal Diabetes Care

Specialty Endocrinology

Date 2012 Jul 28

PMID 22837364

Citations 27

Authors

Frank J Snoek

Nancy Y A Kersch

Ebbe Eldrup

Ilana Harman-Boehm

Norbert Hermanns

Andrzej Kokoszka

David R Matthews

Brian E McGuire

Mirjana Pibernik-Okanovic

Joelle Singer

Maartje de Wit

Soren E Skovlund

Affiliations

Soon will be listed here.

Abstract

Objective: To test the effects of implementing computer-assisted Monitoring of Individual Needs in Diabetes (MIND) in routine diabetes care on psychological status and glycemic control, identify predictors of poor psychological outcomes, and evaluate care providers' experiences.

Research Design And Methods: The MIND procedure was implemented as part of the annual review in diabetes clinics across eight countries in a prospective observational study with a 1-year follow-up. MIND encompasses well-being (World Health Organization Five Well-Being Index [WHO-5]), diabetes-related distress (Problem Areas in Diabetes [PAID]), a Life Event Inventory, and the patient's agenda for their consultation. Medical data and agreed case-management actions were retrieved from the charts.

Results: Of the total 1,567 patients, 891 patients (57%) were monitored at a 1-year follow-up. Twenty-eight percent of the patients screened positive for depression and/or diabetes distress at baseline and considered cases, 17% of whom were receiving psychological care. Cases were significantly more often female and had type 2 diabetes and worse glycemic control compared with noncases. Clinically relevant improvements in WHO-5 and PAID were observed over time in cases, irrespective of referral (effects sizes 0.59 and 0.48, respectively; P < 0.0001). Glycemic control did not change. Female sex, life events, and concomitant chronic diseases were predictors of poor psychological outcomes. MIND was well received by patients and staff.

Conclusions: MIND appears suitable for screening and discussion of emotional distress as part of the annual review. Broader dissemination in diabetes care is recommendable, but sustainability will depend on reimbursement and availability of support services.

Citing Articles

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Mental health in diabetes care. Time to step up.

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Prevalence and predictors of diabetes-related distress in adults with type 1 diabetes.

Grulovic N, Rojnic Kuzman M, Baretic M Sci Rep. 2022; 12(1):15758.

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The role of mental disorders in precision medicine for diabetes: a narrative review.

Kremers S, Wild S, Elders P, Beulens J, Campbell D, Pouwer F Diabetologia. 2022; 65(11):1895-1906.

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Effect of routinely assessing and addressing depression and diabetes distress on clinical outcomes among adults with type 2 diabetes: a systematic review.

McMorrow R, Hunter B, Hendrieckx C, Kwasnicka D, Speight J, Cussen L BMJ Open. 2022; 12(5):e054650.

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References

Holmes T, RAHE R . The Social Readjustment Rating Scale. J Psychosom Res. 1967; 11(2):213-8. DOI: 10.1016/0022-3999(67)90010-4. View

Snoek F, Kersch N, Eldrup E, Harman-Boehm I, Hermanns N, Kokoszka A . Monitoring of Individual Needs in Diabetes (MIND): baseline data from the Cross-National Diabetes Attitudes, Wishes, and Needs (DAWN) MIND study. Diabetes Care. 2011; 34(3):601-3. PMC: 3041189. DOI: 10.2337/dc10-1552. View

. Standards of medical care in diabetes--2006. Diabetes Care. 2005; 29 Suppl 1:S4-42. View

Nefs G, Pouwer F, Denollet J, Pop V . The course of depressive symptoms in primary care patients with type 2 diabetes: results from the Diabetes, Depression, Type D Personality Zuidoost-Brabant (DiaDDZoB) Study. Diabetologia. 2011; 55(3):608-16. PMC: 3268983. DOI: 10.1007/s00125-011-2411-2. View

Gilbody S, Sheldon T, Wessely S . Should we screen for depression?. BMJ. 2006; 332(7548):1027-30. PMC: 1450055. DOI: 10.1136/bmj.332.7548.1027. View

Snoek F, Pouwer F, Welch G, Polonsky W . Diabetes-related emotional distress in Dutch and U.S. diabetic patients: cross-cultural validity of the problem areas in diabetes scale. Diabetes Care. 2000; 23(9):1305-9. DOI: 10.2337/diacare.23.9.1305. View

Pouwer F, Tack C, Geelhoed-Duijvestijn P, Bazelmans E, Beekman A, Heine R . Limited effect of screening for depression with written feedback in outpatients with diabetes mellitus: a randomised controlled trial. Diabetologia. 2011; 54(4):741-8. PMC: 3052512. DOI: 10.1007/s00125-010-2033-0. View

van Bastelaar K, Pouwer F, Cuijpers P, Riper H, Snoek F . Web-based depression treatment for type 1 and type 2 diabetic patients: a randomized, controlled trial. Diabetes Care. 2011; 34(2):320-5. PMC: 3024341. DOI: 10.2337/dc10-1248. View

Ali S, Stone M, Peters J, Davies M, Khunti K . The prevalence of co-morbid depression in adults with Type 2 diabetes: a systematic review and meta-analysis. Diabet Med. 2006; 23(11):1165-73. DOI: 10.1111/j.1464-5491.2006.01943.x. View

10.

Awata S, Bech P, Yoshida S, Hirai M, Suzuki S, Yamashita M . Reliability and validity of the Japanese version of the World Health Organization-Five Well-Being Index in the context of detecting depression in diabetic patients. Psychiatry Clin Neurosci. 2007; 61(1):112-9. DOI: 10.1111/j.1440-1819.2007.01619.x. View

11.

Li C, Ford E, Zhao G, Balluz L, Berry J, Mokdad A . Undertreatment of mental health problems in adults with diagnosed diabetes and serious psychological distress: the behavioral risk factor surveillance system, 2007. Diabetes Care. 2010; 33(5):1061-4. PMC: 2858175. DOI: 10.2337/dc09-1515. View

12.

. Global Guideline for Type 2 Diabetes: recommendations for standard, comprehensive, and minimal care. Diabet Med. 2006; 23(6):579-93. DOI: 10.1111/j.1464-5491.2006.01918.x. View

13.

Peyrot M, Rubin R, Lauritzen T, Snoek F, Matthews D, Skovlund S . Psychosocial problems and barriers to improved diabetes management: results of the Cross-National Diabetes Attitudes, Wishes and Needs (DAWN) Study. Diabet Med. 2005; 22(10):1379-85. DOI: 10.1111/j.1464-5491.2005.01644.x. View

14.

Pouwer F, Snoek F, VAN DER Ploeg H, Ader H, Heine R . Monitoring of psychological well-being in outpatients with diabetes: effects on mood, HbA(1c), and the patient's evaluation of the quality of diabetes care: a randomized controlled trial. Diabetes Care. 2001; 24(11):1929-35. DOI: 10.2337/diacare.24.11.1929. View

15.

Katon W, Lin E, Von Korff M, Ciechanowski P, Ludman E, Young B . Collaborative care for patients with depression and chronic illnesses. N Engl J Med. 2010; 363(27):2611-20. PMC: 3312811. DOI: 10.1056/NEJMoa1003955. View

16.

Bower P, Gilbody S . Stepped care in psychological therapies: access, effectiveness and efficiency. Narrative literature review. Br J Psychiatry. 2005; 186:11-7. DOI: 10.1192/bjp.186.1.11. View

17.

de Wit M, Delemarre-van de Waal H, Bokma J, Haasnoot K, Houdijk M, Gemke R . Monitoring and discussing health-related quality of life in adolescents with type 1 diabetes improve psychosocial well-being: a randomized controlled trial. Diabetes Care. 2008; 31(8):1521-6. PMC: 2494630. DOI: 10.2337/dc08-0394. View

18.

de Wit M, Delemarre-van de Waal H, Bokma J, Haasnoot K, Houdijk M, Gemke R . Follow-up results on monitoring and discussing health-related quality of life in adolescent diabetes care: benefits do not sustain in routine practice. Pediatr Diabetes. 2009; 11(3):175-81. DOI: 10.1111/j.1399-5448.2009.00543.x. View

19.

Lowe B, Spitzer R, Grafe K, Kroenke K, Quenter A, Zipfel S . Comparative validity of three screening questionnaires for DSM-IV depressive disorders and physicians' diagnoses. J Affect Disord. 2004; 78(2):131-40. DOI: 10.1016/s0165-0327(02)00237-9. View

20.

Winkley K, Ismail K, Landau S, Eisler I . Psychological interventions to improve glycaemic control in patients with type 1 diabetes: systematic review and meta-analysis of randomised controlled trials. BMJ. 2006; 333(7558):65. PMC: 1489251. DOI: 10.1136/bmj.38874.652569.55. View