| Study A: HCPs’ perspective |
The original DAWN study found that diabetes is often associated with multiple psychosocial problems that are barriers to self-management behaviors and that current health care resources are sometimes poorly equipped or used to provide needed support. In DAWN2, HCPs continue to recognize the importance of improving health care organization, as well as addressing emotional issues and improving self-management for people with diabetes. In addition, access to quality care is perceived to be poor and more training in many aspects of diabetes is needed. |
| Study B: PWDs’ perspective |
Diabetes affects the physical, emotional, social, and financial aspects of PWDs’ lives and presents significant psycho-social challenges. The majority of PWDs are not engaged by HCPs, but this a high priority for most. There are gaps in the availability of psychosocial support, self-management education, and person-centered diabetes care. Diabetes-specific discrimination is prevalent. |
| Study C: FMs’ perspective |
Diabetes affects the lives of FMs, causing significant burden and distress. Psychosocial problems of FMs are barriers to their involvement, but they are also an underused resource for support. Health care systems are limited in the provision of psychosocial support and education to families. |
| Study D: U.S. perspective |
Psychosocial outcomes, risks, and protective factors differ across and between the ethnic groups studied. The majority of PWDs want to improve self-management behaviors (diet and exercise). There is a substantial amount of diabetes-related distress among PWDs and their FMs, and those in ethnic minority groups experience more distress than non-Hispanic whites. Having a large social support network is related to better outcomes. |
