Veterans' Interpretation of Diabetes Distress in Diabetes Self-Management: Findings From Cognitive Interviews.
| dc.contributor.author | Lewinski, Allison A | |
| dc.contributor.author | Shapiro, Abigail | |
| dc.contributor.author | Bosworth, Hayden B | |
| dc.contributor.author | Crowley, Matthew J | |
| dc.contributor.author | McCant, Felicia | |
| dc.contributor.author | Howard, Teresa | |
| dc.contributor.author | Jeffreys, Amy S | |
| dc.contributor.author | McConnell, Eleanor | |
| dc.contributor.author | Tanabe, Paula | |
| dc.contributor.author | Barcinas, Susan | |
| dc.contributor.author | Coffman, Cynthia J | |
| dc.contributor.author | King, Heather A | |
| dc.date.accessioned | 2024-01-02T20:19:46Z | |
| dc.date.available | 2024-01-02T20:19:46Z | |
| dc.date.issued | 2021-10 | |
| dc.description.abstract | PurposeThe purpose of this project was to identify additional facets of diabetes distress (DD) in veterans that may be present due to the veteran's military-related experience.MethodsThe study team completed cognitive interviews with veterans with type 2 diabetes mellitus (T2DM) to examine how they answered the Diabetes Distress Scale (DD Scale), a tool that assesses DD. The DD Scale was used because of its strong associations with self-management challenges, physician-related distress, and clinical outcomes.ResultsThe veterans sample (n= 15) was 73% male, mean age of 61 (SD = 8.6), 53% Black, 53% with glycosylated hemoglobin level <9%, and 67% with prescribed insulin. The DD Scale is readily understood by veterans and interpreted. Thematic analysis indicated additional domains affecting DD and T2DM self-management, including access to care, comorbidities, disruptions in routine, fluctuations in emotions and behaviors, interactions with providers, lifelong nature of diabetes, mental health concerns, military as culture, personal characteristics, physical limitations, physical pain, sources of information and support, spirituality, and stigma.ConclusionsThis study describes how a veteran's military experience may contribute to DD in the context of T2DM self-management. Findings indicate clinicians and researchers should account for additional domains when developing self-management interventions and discussing self-management behaviors with individuals with T2DM. | |
| dc.identifier.issn | 2635-0106 | |
| dc.identifier.issn | 2635-0114 | |
| dc.identifier.uri | ||
| dc.language | eng | |
| dc.publisher | SAGE Publications | |
| dc.relation.ispartof | The science of diabetes self-management and care | |
| dc.relation.isversionof | 10.1177/26350106211043487 | |
| dc.rights.uri | ||
| dc.subject | Humans | |
| dc.subject | Diabetes Mellitus, Type 2 | |
| dc.subject | Insulin | |
| dc.subject | Cognition | |
| dc.subject | Middle Aged | |
| dc.subject | Veterans | |
| dc.subject | Female | |
| dc.subject | Male | |
| dc.subject | Self-Management | |
| dc.title | Veterans' Interpretation of Diabetes Distress in Diabetes Self-Management: Findings From Cognitive Interviews. | |
| dc.type | Journal article | |
| duke.contributor.orcid | Lewinski, Allison A|0000-0002-1356-1857 | |
| duke.contributor.orcid | Bosworth, Hayden B|0000-0001-6188-9825 | |
| duke.contributor.orcid | Crowley, Matthew J|0000-0002-6205-4536 | |
| duke.contributor.orcid | McConnell, Eleanor|0000-0002-2896-8596 | |
| duke.contributor.orcid | Coffman, Cynthia J|0000-0002-4554-1463 | |
| pubs.begin-page | 391 | |
| pubs.end-page | 403 | |
| pubs.issue | 5 | |
| pubs.organisational-group | Duke | |
| pubs.organisational-group | School of Medicine | |
| pubs.organisational-group | School of Nursing | |
| pubs.organisational-group | Basic Science Departments | |
| pubs.organisational-group | Clinical Science Departments | |
| pubs.organisational-group | Institutes and Centers | |
| pubs.organisational-group | Biostatistics & Bioinformatics | |
| pubs.organisational-group | Medicine | |
| pubs.organisational-group | Psychiatry & Behavioral Sciences | |
| pubs.organisational-group | Medicine, Endocrinology, Metabolism, and Nutrition | |
| pubs.organisational-group | Medicine, General Internal Medicine | |
| pubs.organisational-group | Medicine, Hematology | |
| pubs.organisational-group | Duke Cancer Institute | |
| pubs.organisational-group | Duke Clinical Research Institute | |
| pubs.organisational-group | Institutes and Provost's Academic Units | |
| pubs.organisational-group | Center for the Study of Aging and Human Development | |
| pubs.organisational-group | Initiatives | |
| pubs.organisational-group | Duke Science & Society | |
| pubs.organisational-group | Population Health Sciences | |
| pubs.organisational-group | Duke Innovation & Entrepreneurship | |
| pubs.organisational-group | Psychiatry & Behavioral Sciences, Behavioral Medicine & Neurosciences | |
| pubs.organisational-group | Emergency Medicine | |
| pubs.organisational-group | Duke - Margolis Center For Health Policy | |
| pubs.organisational-group | Biostatistics & Bioinformatics, Division of Biostatistics | |
| pubs.publication-status | Published | |
| pubs.volume | 47 |
Files
Original bundle
- Name:
- Veterans Interpretation of Diabetes Distress in Diabetes Self-Management Findings From Cognitive Interviews.pdf
- Size:
- 423.26 KB
- Format:
- Adobe Portable Document Format