{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T16:08:58Z","timestamp":1791389338225,"version":"4.3.3"},"reference-count":51,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,2,8]],"date-time":"2025-02-08T00:00:00Z","timestamp":1738972800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100004191","name":"Novo Nordisk","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004191","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Science of Diabetes Self-Management and Care"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The purpose of this study was to assess the psychosocial status of people with diabetes and their perceived quality of received health care services in a local outpatient center in Santo Domingo, Dominican Republic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Cross-sectional study that included 385 Dominican adults with diabetes. Demographic and clinical information was collected. Key psychometric indicators were collected by using the WHO-5 Well-Being Index, EuroQol-5D Visual Analogue Scale (EQ-VAS), Problem Areas in Diabetes Scale, Summary of Diabetes Self-Care Activities, and Patient Assessment of Chronic Illness Care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The mean EQ-VAS score was 77.6 (SD 18). Of all the participants, 18.7% exhibited symptoms of depression, with higher rates among women and younger age groups. Diabetes-related distress was present in 22.6% of participants, particularly among younger individuals and those employed. Physical activity was the self-care activity with the lowest reported adherence. Perceptions of received health care services aligned moderately with the chronic care model (CCM), with a higher perceived alignment in patients that were enrolled in a chronic disease management program.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Patients with diabetes report having a reduced quality of life and significant psychological burdens, with a high rate of depressive symptoms and diabetes-related distress and a low adherence to self-care behaviors. The enrollment in chronic disease management programs improved patients\u2019 perception of received health care services, reporting a more coordinated care and experiencing more patient activation, which could improve health outcomes. These findings underline the need for psychological screening, patient-centered care, and broader implementation of the CCM to improve health outcomes in this population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/26350106251315695","type":"journal-article","created":{"date-parts":[[2025,2,8]],"date-time":"2025-02-08T04:32:06Z","timestamp":1738989126000},"page":"168-179","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Diabetes Attitudes, Wishes and Needs in the Dominican Republic (DR-DAWN2)"],"prefix":"10.1177","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2026-7119","authenticated-orcid":false,"given":"Manuel","family":"Soto","sequence":"first","affiliation":[{"name":"Research Unit, Centro M\u00e9dico de Diabetes, Obesidad y Especialidades (CEMDOE), Santo Domingo, Distrito Nacional, Dominican Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1806-8989","authenticated-orcid":false,"given":"Nadja","family":"Garc\u00eda","sequence":"additional","affiliation":[{"name":"Research Unit, Centro M\u00e9dico de Diabetes, Obesidad y Especialidades (CEMDOE), Santo Domingo, Distrito Nacional, Dominican Republic"},{"name":"School of Medicine, Instituto Tecnol\u00f3gico de Santo Domingo (INTEC), Santo Domingo, Dominican Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-9185-4673","authenticated-orcid":false,"given":"Jessica","family":"Ortiz","sequence":"additional","affiliation":[{"name":"Research Unit, Centro M\u00e9dico de Diabetes, Obesidad y Especialidades (CEMDOE), Santo Domingo, Distrito Nacional, Dominican Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6607-1237","authenticated-orcid":false,"given":"Berniza","family":"Calder\u00f3n","sequence":"additional","affiliation":[{"name":"Research Unit, Centro M\u00e9dico de Diabetes, Obesidad y Especialidades (CEMDOE), Santo Domingo, Distrito Nacional, Dominican Republic"},{"name":"School of Medicine, Instituto Tecnol\u00f3gico de Santo Domingo (INTEC), Santo Domingo, Dominican Republic"},{"name":"Research Committee, Sociedad Dominicana de Endocrinolog\u00eda y Nutrici\u00f3n (SODENN)"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,2,8]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfq576"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/2047487319881021"},{"key":"e_1_3_3_4_2","unstructured":"Magliano DJ Boyko EJ; IDF Diabetes Atlas 10th Edition Scientific Committee. 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