At a glance
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Tailored Approaches to Reduce Distress and Improve Self-Management for Veterans With Diabetes (TARDIS) - Survey & Qualitative Interview
In Brief
An observational study evaluating Cognitive Interview, Baseline Survey, and 1 other intervention for Diabetes and 3 related conditions. Completed, enrolled 225 participants across 1 site.
Detailed Summary
Veterans with diabetes may become overwhelmed with the self-management behaviors needed to maintain optimal health. Veterans may experience diabetes distress (DD), a concept distinct from depression, due the amount and frequency of these behaviors. DD negatively influences the Veteran's engagement in self-management and subsequent HbA1c levels. Previous interventions do not tailor T2D self-management information to a Veteran's DD, which may be one reason interventions are ineffective at reducing DD. This proposal examines the impact of correlating factors (e.g., sociodemographic, psychosocial, and environmental) on DD using surveys and semi-structured interviews. This proposal will prepare Allison Lewinski, PhD, MPH, RN for a career as a scientist at VHA focused on developing methods to improve health outcomes among Veterans.
Study Details
Timeline
Interventions
Examine the understanding and interpretation of diabetes distress and the Diabetes Distress Scale in Veterans with T2D.
Examine the association of psychosocial factors (depression, PTSD), environmental factors (finances, support), self-management behaviors, and HbA1c with DD.
Describe self-management challenges and preferred learning strategies to inform intervention components and delivery approach for Veterans with T2D.