What is the PAID Scale? The PAID Scale is a validated 20-item questionnaire that helps assess emotional distress related to diabetes management. It also has shorter versions, PAID-5 and PAID-1, for quicker screening. Patients rate how much each item troubles them on a scale of 0 (not a problem) to 4 (a serious problem). Download here Why use the PAID Scale? Provides a structured way to evaluate diabetes-related distress Helps health professionals understand an individual’s specific challenges and provide appropriate support Facilitates open communication about emotional health and diabetes management. When to use the PAID Scale When people show or demonstrate emotional distress related to diabetes management or difficulty coping with diabetes self-management tasks. How to use the PAID Scale The person with diabetes rates each item based on how much the issue is currently a problem for them (0–4 scale). How to interpret the scores There are two main approaches to interpret scores: High-scoring items: items with scores of 3 or 4 indicate ‘problem areas’ or concerns. Use these concerns as starting points for discussion. Total score: calculate the total score (0–80) and multiply by 1.25 to get a score out of 100. This score reflects overall diabetes distress severity. Total scores of 40 or above indicate severe diabetes distress. Referral considerations Severe diabetes distress: People with a total score of 40 or above may require referral to a mental health professional for further assessment and support. Moderate to severe diabetes distress: People scoring individual items as 3 or 4 may benefit from referral to a mental health professional who specialises in working with people who live with diabetes. Also consider Collaborative care with mental health professionals experienced in diabetes care to provide comprehensive and tailored support for the person experiencing mental health challenges. Clear communication between primary care providers and mental health professionals.
