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The Diabetes Attitudes, Wishes, and Needs (DAWN) Study

The first 20% of the full text of this article appears below.

	STUDY

 
The Diabetes Attitudes, Wishes, and Needs (DAWN) Study . Results reported in multiple published articles in 2005 and 2006.

	SUMMARY AND COMMENTARY

 
Although data about the benefits of near-normal glucose control are widely accepted, and therapies for diabetes care are more efficacious and accessible than ever before, outcomes remain less than optimal. Data from a recent update of the National Health and Nutrition Examination Survey¹ indicate that only 42% of adults have hemoglobin A_1c (A1C) values < 7%, and one in five still have A1C levels 9%. Clearly, factors other than knowledge and effective therapies affect the behaviors of patients and health professionals and influence their ability to make optimal use of available treatments.

The DAWN study was a cross-sectional international survey initiated in 2001 by Novo Nordisk in collaboration with the International Diabetes Federation. The purpose of the survey was to identify a broad set of attitudes, wishes, and needs among both people with diabetes and care providers to lay a foundation for efforts to improve diabetes care nationally and internationally.²

To conduct the study, researchers carried out structured interviews in person or by telephone in 11 regions representing 13 countries, including the United States Survey participants included 250 randomly selected generalist and specialist physicians per region (n = 2,705), 100 randomly selected generalist and specialist nurses per region (n = 1,122), and 250 randomly selected patients with self-reported type 1 diabetes per country and 250 . . . [Full Text of this Article]

Findings
Self-management behaviors
Diabetes-related distress
Quality of relationships between providers and patients
Provider collaboration
Barriers to the effective use of medication therapy
Implications

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