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1
PROM introduction
Introductory information is provided to the patient about the PROM they are about to receive and ask to fill out
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2
PROM submission
The PROM is presented to the patient along with a message requesting they complete the form and a thank you acknowledgement when they have.
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3
PROM results
Follow up information is provided to the patient about the results of the PROM with an option for the care team to request a follow up appointment to review the results.
- Code: DDS017
- Name: Diabetes Distress Scale (DDS-17)
- Author: PEP Health
- Version: 1.00
- Reviewed: 07/2023
This pathway is designed to enable clinicians and researchers to
- deliver the DDS survey to their patients quickly and easily,
- provide patients with contextual information about the DDS survey,
- automatically remind patients to submit the survey,
- collect the results of the submitted survey,
- calculate the total and sub-scale scores for the survey,
- allocate survey Cut Points based on the score calculations,
- display survey results, Score and Cut Points, and
- provide an export of deidentified survey data for research purposes.
This pathway is intended to be used for the assessment of diabetes-related emotional distress for patients with Type 2 diabetes.
Typically the pathway is given to patients for diagnostic or baselining purposes, as part of the ongoing provision of care or to help measure treatment outcomes.
- Diabetes Distress Scale (DDS-17)
The Diabetes Distress Scale is an instrument for the assessment of diabetes-related emotional distress. The DDS17 yields a total diabetes distress scale score plus 4 sub-scale scores, each addressing a different kind of distress
- Emotional burden score
- Regimen-related Distress score
- Physician-related Distress score
- Interpersonal distress score
↓ Green down arrow = Lower values than the previous submission
↑ Red up arrow = Higher values than the previous submission
DDS scores are calculated in the following way
- Total DDS score = sum 17 questions / 17
- Emotional burden score = sum 5 questions (1,3,8,11,14) / 5
- Regimen-related Distress score = sum 5 questions (5,6,10,12,16) / 5
- Physician-related Distress score= sum 4 questions (2,4,9,15) / 4
- Interpersonal distress score = sum 3 questions (7/13/17) / 3
There are three cutpoints associated with the DDS tool
- An average score of < 2.0 = reflects little or no distress
- An average score between 2.0 and 2.9 = reflects moderate distress
- An average score > 3.0 = reflects high distress
This Diabetes Distress Scale (DDS) is available free of charge to non-profit institutions for use in clinical care and research. However, payment of a per-use licensing fee is required for all for-profit companies and other for-profit institutions.
To find out more about licensing procedures and fees in regard to for-profit organizations, please contact us at info@behavioraldiabetes.org.
Behavioral Diabetes Institute, 5230 Carroll Canyon Rd, Suite #208, San Diego, CA 92121, info@behavioraldiabetes.org
- Polonsky WH, Fisher L, Earles J, et al. Assessing psychosocial distress in diabetes: development of the diabetes distress scale. Diabetes Care. 2005;28(3):626-631. doi:10.2337/diacare.28.3.626
- Fisher L, Glasgow RE, Mullan JT, Skaff MM, Polonsky WH. Development of a brief diabetes distress screening instrument. Ann Fam Med. 2008;6(3):246-252. doi:10.1370/afm.842
- Fisher L, Hessler DM, Polonsky WH, Mullan J. When is diabetes distress clinically meaningful?: establishing cut points for the Diabetes Distress Scale. Diabetes Care. 2012;35(2):259-264. doi:10.2337/dc11-1572
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