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Type 2 Diabetes Burden and Diabetes Distress: The Buffering Effect of Patient-Centred Communication Publisher Pubmed



Peimani M1 ; Garmaroudi G2 ; Stewart AL3 ; Yekaninejad M4 ; Shakibazadeh E2 ; Nasliesfahani E1
Authors
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Authors Affiliations
  1. 1. Diabetes Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Department of Health Education & Promotion, School of Public Health, Tehran University of Medical Sciences, Iran, Tehran, Iran
  3. 3. Center for Aging in Diverse Communities, Institute for Health & Aging, University of California San Francisco, San Francisco, CA, United States
  4. 4. Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran

Source: Canadian Journal of Diabetes Published:2022


Abstract

Objectives: Our aim in this study was to assess the moderating role of patient-centred communication as a source of social support in the relationship between burden of diabetes and diabetes distress. Methods: Individuals with type 2 diabetes (N=1,267) completed validated tools of diabetes distress and multiple aspects of patient-centred communication. A path approach was used to evaluate the moderating role of patient-centred communication in the relationship between diabetes burden, as indicated by prescription of insulin and presence of complications, and distress. Results: Lower Hurried Communication, higher Elicited Concerns/Responded, higher Explained Results/Medications, greater Patient-centred Decision-making and Compassionate/Respectful were significantly associated with lower distress after controlling for burden. Hurried Communication, Explained Results/Medications and Patient-centred Decision-making moderated the relation between insulin and diabetes distress. Conclusions: Our findings support the stress-buffering hypothesis of patient-centred communication and imply that aspects of patient-centred communication may protect against diabetes-related distress. © 2021 Canadian Diabetes Association
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