What Is a Clinically Meaningful Change in Diabetes Distress? Findings for Diabetes Care and Research From the SFDT1 Cohort - PubMed
2 hours ago
- #Diabetes Distress
- #Minimal Clinically Important Difference (MCID)
- #Type 1 Diabetes
- Minimal clinically important differences (MCID) for the Problem Areas in Diabetes (PAID) scale total score is 5.0 points, with sub-scale MCIDs ranging from 8.5 (emotional distress) to 14.3 points (management distress).
- Over one year, 42% of adults with type 1 diabetes experienced clinically meaningful worsening in total diabetes distress, 30% improved, and 28% remained stable, based on MCID thresholds.
- Worsening of total PAID score was associated with social vulnerability, increases in HbA1c, and treatment burden.
- Emotional distress and burnout were the most frequently worsening sub-dimensions (34% each), and initiation of automated insulin delivery was linked to lower odds of worsening specifically in burnout.
- The findings underscore the high temporal variability in diabetes distress, highlighting the need for regular monitoring and clinically informed assessments in people with type 1 diabetes.