PATIENT PSYCHOLOGICAL AND INFORMATION NEEDS WHEN THE DIAGNOSIS IS DIABETES

People receiving a diabetes diagnosis must absorb information, change habits and adopt new behaviours almost immediately. Guidelines thoroug hly cover the medical aspects of initial management however the inform ation and psychological needs of patients are not addressed, This stud y aimed to identify diabetes patient needs for information and emotion al support at the time of diagnosis. A sample of 1159 patients complet ed a questionnaire which assessed their concerns and information prefe rences at the time of diagnosis (response rate 64.4%). A sample of 100 general practitioners (GPs) were interviewed about their perceptions of these issues using a subset of items from the patient questionnaire . The diagnosis of diabetes was distressing for 60% of responders and 23% wanted more emotional support. Immediate issues such as injections were major concerns for patients and GPs correctly identified these. However GPs significantly overestimated complications as a concern for patients at diagnosis. Patients preferred diabetes educators and cour ses as sources of information. Satisfaction with information at diagno sis was high (80%), however younger patients were dissatisfied with th eir discussions concerning diabetes therapy. The findings suggest that clinicians giving a diagnosis of diabetes should: (1) be aware of pat ient variability in needs for emotional support and information prefer ences, (2) ask patients for their preferences and offer choices if ava ilable and (3) provide more information about treatment and increase p atient involvement in discussions about therapy.