TY - JOUR
AU - C. Whitmore
AU - J. Forsythe
AU - A. Benzaquen
AU - M. Domjancic
AU - O. C. Melamed
AU - P. Selby
AU - D. Sherifali
A1 - 
AB - AIM: This research aimed to explore the perspectives of primary and community care providers on the challenges that hinder the delivery and uptake of personalized type 2 diabetes (T2D) care, with a focus on the integration of mental health support and care. BACKGROUND: The day-to-day burden and demand of self-managing T2D can negatively impact quality of life and take a toll on mental health and psychological well-being. As a result, there is a need for personalized T2D self-management education and support that integrates mental health care. Despite the need for this personalized care, existing systems remain siloed, hindering access and uptake. In response, innovative, comprehensive, and collaborative models of care have been developed to address fragmentations in care. As individuals living with T2D often receive their care in primary care settings, linking mental health care to existing teams and networks in primary care settings is required. However, there is a need to understand how best to support access, adoption, and engagement with these models in these unique contexts. METHODS: A cross-sectional survey was distributed to primary and community providers of an Ontario-based smoking cessation network. Survey data were analyzed descriptively with free text responses thematically reported. FINDINGS: Survey respondents (n = 85) represented a broad mix of health professions across primary and community care settings. Addressing challenges to the delivery and uptake of personalized T2D care requires comprehensive strategies to address patient-, practice-, and system-level challenges. Findings from this survey identify the need to tailor these models of care to individual needs, clearly addressing mental health needs, and building strong partnership as means of enhancing accessibility and sustainability of integrated care delivery in primary care settings.
AD - School of Nursing, McMaster University, Hamilton, ON, Canada.; INTREPID Lab, Centre for Addiction and Mental Health, Toronto, ON, Canada.; Diabetes Action Canada, Toronto, ON, Canada.; Department of Family and Community Medicine, University of Toronto, Toronto, ON, Canada.; Population Health Research Institute, Hamilton Health Sciences, Hamilton, ON, Canada.
AN - 40676959
BT - Prim Health Care Res Dev
C5 - Education & Workforce
DA - Jul 18
DO - 10.1017/s1463423625100236
DP - NLM
ET - 20250718
JF - Prim Health Care Res Dev
LA - eng
N2 - AIM: This research aimed to explore the perspectives of primary and community care providers on the challenges that hinder the delivery and uptake of personalized type 2 diabetes (T2D) care, with a focus on the integration of mental health support and care. BACKGROUND: The day-to-day burden and demand of self-managing T2D can negatively impact quality of life and take a toll on mental health and psychological well-being. As a result, there is a need for personalized T2D self-management education and support that integrates mental health care. Despite the need for this personalized care, existing systems remain siloed, hindering access and uptake. In response, innovative, comprehensive, and collaborative models of care have been developed to address fragmentations in care. As individuals living with T2D often receive their care in primary care settings, linking mental health care to existing teams and networks in primary care settings is required. However, there is a need to understand how best to support access, adoption, and engagement with these models in these unique contexts. METHODS: A cross-sectional survey was distributed to primary and community providers of an Ontario-based smoking cessation network. Survey data were analyzed descriptively with free text responses thematically reported. FINDINGS: Survey respondents (n = 85) represented a broad mix of health professions across primary and community care settings. Addressing challenges to the delivery and uptake of personalized T2D care requires comprehensive strategies to address patient-, practice-, and system-level challenges. Findings from this survey identify the need to tailor these models of care to individual needs, clearly addressing mental health needs, and building strong partnership as means of enhancing accessibility and sustainability of integrated care delivery in primary care settings.
PY - 2025
SN - 1463-4236 (Print); 1463-4236
SP - e63
ST - Understanding primary care provider perspectives of the implementation of an integrated diabetes and mental health care solution
T1 - Understanding primary care provider perspectives of the implementation of an integrated diabetes and mental health care solution
T2 - Prim Health Care Res Dev
TI - Understanding primary care provider perspectives of the implementation of an integrated diabetes and mental health care solution
U1 - Education & Workforce
U3 - 10.1017/s1463423625100236
VL - 26
VO - 1463-4236 (Print); 1463-4236
Y1 - 2025
ER -