DAWN Dialogue Tools
Psychosocial well-being and diabetes control are interdependent. Assessing patient and healthcare professional attitudes, wishes and needs in diabetes is a vital and valuable part of patient-centred quality of care improvement.
Through DAWN, healthcare professionals have the possibility to use validated patient survey tools. Try out one of the tools available for assessing and addressing psychological needs.
To inquire about availability of a questionnaire in your language or to ask for advice regarding strategic use of the questionnaires in your setting, please contact your local Novo Nordisk contact person.
Tools for adults with diabetes
Many health professionals define good communication as speaking to patients in a way that ensures that the message is understood and perceived as relevant and helpful. But effective communication is also empathetic communication: it involves listening to patients in a way that ensures that they feel understood, respected, and cared for. To practice patient-centred communications skills, you may want to refer to “The DAWN experiment”.
Why measure emotional well-being?
Subjective well-being is an important dimension of overall perceived quality of life and in its own right an important outcome of diabetes care. In people with diabetes emotional well-being may be compromised by the burden of living with diabetes and/or life stresses. Depression is common among persons with diabetes, affecting 10-20% of the patient population. Unfortunately the diagnosis of depression is often missed by health care professionals. Using a short questionnaire as the WHO-5 can help to monitor emotional well-being in patients as part of clinical routine and enhance the likelihood of recognizing depression. International clinical guidelines recommend to systematically monitor emotional well-being in patients with diabetes.
Ways to identify patient emotional distress
Diabetes can be demanding and cause emotional distress. It is vital that clinicians are able to identify diabetes-related emotional distress in their patients. Validated practical strategies are available to promote an open dialogue and help to fl ag when serious emotional distress exists. One tool that has proven very helpful to healthcare professionals is the Problem Areas in Diabetes (PAID) scale, a simple, one page questionnaire.
DAWN Insulin Dialogue Toolkit
The insulin dialogue tool helps the patient and the care team to work together to identify and address the most common psychosocial barriers preventing timely initiation of insulin therapy. The tool aims to enable patients to make confident treatment choices by minimizing anxiety. It is a practical guide developed to help professionals identify, explore and address patient concerns about starting insulin treatment.
DAWN: Plans to change your life with diabetes
‘Your plans to change your way of living’ is one of 20 reflection sheets developed as a major part of a decision making method called Guided Self-Determination (GSD). GSD has been tested by nurses and people with type 1 diabetes and persistent poor glycaemic control both in one-to-one setting and in group training. Both qualitative evaluation and a randomized controlled trial confirmed the impact of GSD on people’s life skills and A1C.
DAWN: Room for Diabetes in Your Life tool
‘Room for diabetes in your life’ is one of 20 reflection sheets developed as a major part of a decision making method called Guided Self-Determination (GSD). GSD has been tested by nurses and people with type 1 diabetes and persistent poor glycaemic control both in one-to-one setting and in group training. Both qualitative evaluation and a randomized controlled trial confirmed the impact of GSD on people’s life skills and A1C.
Tools for young people with diabetes
DAWN Youth Quality of Life tool
The achievement of good metabolic control is difficult in children, and particularly in adolescents. Having diabetes requires a complex, intrusive and highly demanding daily programme for families, which may have a negative effect on Quality of Life (QOL). Good Quality of Life is associated with better metabolic control.
DAWN Youth Circle tool
The children’s circle tool is designed to stimulate dialogue between the diabetes support team, children and young people with diabetes and their families. It focuses on non-medical issues which impact upon quality of life and diabetes self-management. It is a simple tool which can be used in a flexible way to support both young people and their parents’ involvement in defining wishes and needs for a better life with diabetes. Some simple but powerful dialogue techniques are shared below.