Introduction and Objective: The prevalence of diabetes distress in adults with type 2 diabetes (T2D) is high yet interventions aiming to prevent diabetes distress are lacking. Our study aimed to evaluate the feasibility and acceptability of an intervention to facilitate conversations about diabetes distress in group-based patient education.Methods: Four visual dialogue tools aiming to increase awareness of and encourage peer-conversations about psychosocial aspects of living with diabetes and diabetes distress were used in 13 group-based patient education sessions for adults with T2D. Participants (n=159) and health professionals (HPs) (n=30) evaluated the tools via a questionnaire with space for free text responses. Free text responses were analysed thematically, other data descriptively.Results: Most adults with T2D (87%) and HPs (85%) found that the dialogue tools were helpful or very helpful in exploring and expressing psychosocial aspects of diabetes. Adults with T2D highlighted their ability to support sharing among peers that normalized common experiences and challenges. HPs found that the tools provided invaluable support to the peer conversations by enabling participants to articulate their thoughts and experiences. Some HPs found it challenging to introduce the tools to participants and emphasized the need for training and support during implementation.Conclusion: Systematic integration of visual dialogue tools is feasible and acceptable and can support adults with T2D to have conversations about psychosocial aspects of living with diabetes and diabetes distress in group-based patient education provided by rehabilitation services. HPs need training and support in facilitating the tools. Further research is needed to assess the long-term effects of the tools in terms of their ability to prevent diabetes distress in a larger study.
M. Due-Christensen: Stock/Shareholder; Novo Nordisk. R. Pals: None. M. Madsen: None. M. Bejerholm: None. H.N. Grønbæk: Stock/Shareholder; Novo Nordisk. Speaker’s Bureau; Novo Nordisk. V. Stenov: None. B. Cleal: None. C. Glümer: None.
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