title: Diabetes Attitudes, Wishes and Needs Second Study (DAWN2): Understanding Diabetes-Related Psychosocial Outcomes for Canadians with Diabetes.
abstract: OBJECTIVE
  DAWN2 assessed the psychosocial impact of diabetes on persons with diabetes (PWDs), family members and healthcare professionals (HCPs) across 17 countries. This article reports on the Canadian cohort of PWDs.
  
  
  METHODS
  PWDs completed online, validated self-report scales assessing quality of life (QOL), self-management, beliefs, social support and priorities for improving diabetes care. Analyses used unweighted data.
  
  
  RESULTS
  Of 500 participants (80 type 1, 420 type 2) positive self-reported QOL was common (64.6%) and likely depression less common (12.8%). Diabetes distress, however, was identified by almost half of PWDs with type 1 diabetes, and one-quarter of PWDs with type 2 (47.5% vs. 25.7% type 2; p<0.001). Numerous life areas were negatively impacted, particularly finances, work and emotional well-being for those with type 1 diabetes (p<0.001 vs. type 2). Most PWDs reported support from family, friends and HCPs, but few reported being asked by HCPs how diabetes affected their lives. Most PWDs participated in (type 1, 90.0%; type 2, 85.7%) and valued (type 1, 84.7%; type 2, 78.1%) diabetes education. Few PWDs relied on community supports (type 1, 17.5%; type 2, 26.9%), and discrimination was not uncommon for those with type 1 (33.8% vs. 12.4% for type 2; p<0.001).
  
  
  CONCLUSIONS
  PWDs experience psychological challenges that should be addressed within diabetes management services.
authors.affiliation: Capital Health and Dalhousie University, Halifax, Nova Scotia, Canada. Electronic address: tvallis@dal.ca.
authors.forename: Michael
authors.initials: M
authors.lastname: Vallis
authors.affiliation: University of Alberta, Edmonton, Alberta, Canada.
authors.forename: K Kovacs
authors.initials: KK
authors.lastname: Burns
authors.affiliation: Langs Community Health Centre, Cambridge, Ontario, Canada.
authors.forename: Debbie
authors.initials: D
authors.lastname: Hollahan
authors.affiliation: University of Calgary, Calgary, Alberta, Canada.
authors.forename: Stuart
authors.initials: S
authors.lastname: Ross
authors.affiliation: Novo Nordisk, Mississauga, Ontario, Canada.
authors.forename: Jina
authors.initials: J
authors.lastname: Hahn
mesh_terms: D001294:Attitude to Health; D002170:Canada; D017281:Cost of Illness; D003920:Diabetes Mellitus / Q000523:psychology*; D006801:Humans; D011788:Quality of Life; D012648:Self Care / Q000523:psychology; D012944:Social Support
keywords: DAWN; depression; diabetes; diabète; dépression; psychosocial; quality of life; qualité de vie; soutien; support