(03-02-11) Monitoring of Individual Needs in Diabetes (MIND): Baseline Data From the Cross-National Diabetes Attitudes, Wishes, and Needs MIND

Monitoring of Individual Needs in Diabetes (MIND): Baseline Data From the Cross-National Diabetes Attitudes, Wishes, and Needs MIND Study.


Snoek FJ, Kersch NY, Eldrup E, Harman-Boehm I, Hermanns N, Kokoszka A,
Matthews DR, McGuire BE, Pibernik-Okanovic M, Singer J, de Wit M, Skovlund SE.

Vrije Universiteit Medical Center, Amsterdam, the Netherlands.
Abstract
OBJECTIVE To test the feasibility and impact of implementing the computer-
assisted Monitoring of Individual Needs in Diabetes (MIND) procedure, which is
aimed at improving recognition and management of the psychological needs of
diabetic patients in routine care. RESEARCH DESIGN AND METHODS The MIND study
was implemented in diabetes clinics across eight countries as part of the
annual review. The computerized assessment covered emotional well-being (World
Health Organization 5 Well-Being Index), diabetes-related distress (Problem
Areas in Diabetes), life events, and the patient's agenda. Medical data were
retrieved from the charts, and agreed-upon actions were recorded. RESULTS Of
1,567 patients monitored using the MIND, 24.9% had either likely depression or
high diabetes-related distress; 5.4% had both. Over 80% of these patients were
newly identified cases, and 41% of patients with depression were referred to a
mental health professional. CONCLUSIONS Monitoring of well-being and diabetes-
related distress as part of routine diabetes care is feasible and helps to
identify and discuss unmet psychosocial needs.

Source: Diabetes Care. 2011 Jan 25. [Epub ahead of print]

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