Protocol for the diabetes, distress and disparities (3D) study: an explanatory sequential mixed-methods design

Area of Science:

• Endocrinology
• Psychology
• Public Health

Background:

• Psychosocial factors significantly impact diabetes management and outcomes.
• Current healthcare systems often lack adequate resources to address the psychosocial needs of people with diabetes (PWD).
• Understanding PWD experiences is crucial for developing effective programs, policies, and partnerships for psychosocial care.

Purpose of the Study:

• To quantify the prevalence and correlates of psychosocial needs among PWD in a large academic medical center.
• To gain insights into how psychosocial factors influence diabetes outcomes.
• To identify modifiable determinants of psychosocial care for PWD.

Main Methods:

• The Diabetes, Distress, and Disparities (3D) study employed a mixed-methods design.
• Phase I involved an online survey (n=573) assessing psychosocial factors like distress, depression, and stigma.
• Phase II included semi-structured interviews (n=65 targeted) to explore factors such as communication and social support.

Main Results:

• Quantitative analysis will examine correlates of psychosocial outcomes using regression.
• Qualitative analysis will identify potential intervention points from interview data.
• The study aims to provide a comprehensive understanding of psychosocial care needs in diabetes.

Conclusions:

• This research will inform the development of targeted interventions to improve psychosocial care for PWD.
• Findings will guide healthcare systems in better addressing the complex needs of individuals with diabetes.
• The study emphasizes the importance of integrating psychosocial support into diabetes management.