BACKGROUND Diabetes increases the risk of psychosocial health problems. Person-centred psychosocial care is therefore advocated. However, several barriers to implementation exist, including uncertainty about how to approach psychosocial problems in consultations. OBJECTIVE We aimed to explore which psychosocial outcomes patients and healthcare professionals consider important and whether certain characteristics are associated with this. We propose strategies for facilitating psychosocial diabetes care on this basis. METHODS The results of an international Delphi study aimed at achieving multi-stakeholder consensus on a diabetes outcome set were analysed. We compared the importance ratings of the two stakeholder groups for each psychosocial outcome. A multivariable linear regression analysis tested whether certain characteristics would predict the importance attributed to outcomes that were not generally considered important. FINDINGS Patients and healthcare professionals agreed on the importance of regularly assessing psychological well-being, diabetes distress and diabetes-specific quality of life, while they regarded it as less important to monitor depression, anxiety, eating problems, social support and sexual health. Being a woman, younger and living with type 1 diabetes were associated with considering it important to assess eating problems. CONCLUSIONS We propose two psychosocial care pathways that reflect the outcome preferences of patients and healthcare providers. They follow a stepped approach, starting with the assessment of psychological well-being and quality of life and proceeding from there. CLINICAL IMPLICATIONS Adopting this approach can facilitate the implementation of person-centred psychosocial diabetes care by reducing the burden and making psychosocial issues more accessible. This approach should be tested for feasibility, safety and effectiveness.

中文翻译：

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将以人为本的心理社会糖尿病护理付诸实践：基于糖尿病患者和医疗保健专业人员的结果偏好的两种心理社会护理途径。


背景技术糖尿病增加社会心理健康问题的风险。因此，提倡以人为本的社会心理护理。然而，实施过程中存在一些障碍，包括在咨询中如何处理心理社会问题的不确定性。目的 我们旨在探讨患者和医疗保健专业人员认为哪些心理社会结果很重要，以及某些特征是否与之相关。在此基础上，我们提出了促进心理社会糖尿病护理的策略。方法 分析了一项国际德尔菲研究的结果，该研究旨在就糖尿病结局集达成多方利益相关者共识。我们比较了两个利益相关者群体对每个心理社会结果的重要性评级。多变量线性回归分析测试了某些特征是否可以预测通常不重要的结果的重要性。研究结果 患者和医疗保健专业人员一致认为定期评估心理健康、糖尿病困扰和糖尿病特有的生活质量的重要性，但他们认为监测抑郁、焦虑、饮食问题、社会支持和性健康不太重要。作为一名年轻女性且患有 1 型糖尿病，人们认为评估饮食问题很重要。结论 我们提出了两种心理社会护理途径，反映了患者和医疗保健提供者的结果偏好。他们遵循阶梯式方法，从评估心理健康和生活质量开始，然后再继续。 临床意义 采用这种方法可以通过减轻负担并使心理社会问题更容易获得来促进以人为本的心理社会糖尿病护理的实施。应测试该方法的可行性、安全性和有效性。