Monitoring of Individual Needs in Diabetes (MIND): baseline data from the Cross-National Diabetes Attitudes, Wishes, and Needs (DAWN) MIND study.
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.


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.
Department of Medical Psychology, Vrije Universiteit Medical Center, Amsterdam, the Netherlands. fj.snoek@vumc.nl
Frank J
FJ
Snoek
Nancy Y A
NY
Kersch
Ebbe
E
Eldrup
Ilana
I
Harman-Boehm
Norbert
N
Hermanns
Andrzej
A
Kokoszka
David R
DR
Matthews
Brian E
BE
McGuire
Mirjana
M
Pibernik-Okanovic
Joelle
J
Singer
Maartje
M
de Wit
Søren E
SE
Skovlund
D000328:Adult; D000368:Aged; D003922:Diabetes Mellitus, Type 1 / Q000523:psychology*; D003924:Diabetes Mellitus, Type 2 / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged
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