Type 1 diabetes and the challenges of emotional support in crisis situations: results from a feasibility study of a multidisciplinary teleintervention
Abstract The association between type 1 diabetes and mental health disorders could be exacerbated in a stressful environment. This study aimed to evaluate the feasibility of a teleguided intervention on emotional disorders in patients with type 1 diabetes during the COVID-19 outbreak. This study was...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Nature Portfolio
2022-05-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-022-12227-z |
| _version_ | 1811250981230346240 |
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| author | Janine Alessi Alice Scalzilli Becker Bibiana Amaral Giovana Berger de Oliveira Débora Wilke Franco Carolina Padilla Knijnik Gabriel Luiz Kobe Ariane de Brito Taíse Rosa de Carvalho Guilherme Heiden Telo Beatriz D. Schaan Gabriela Heiden Telo |
| author_facet | Janine Alessi Alice Scalzilli Becker Bibiana Amaral Giovana Berger de Oliveira Débora Wilke Franco Carolina Padilla Knijnik Gabriel Luiz Kobe Ariane de Brito Taíse Rosa de Carvalho Guilherme Heiden Telo Beatriz D. Schaan Gabriela Heiden Telo |
| author_sort | Janine Alessi |
| collection | DOAJ |
| description | Abstract The association between type 1 diabetes and mental health disorders could be exacerbated in a stressful environment. This study aimed to evaluate the feasibility of a teleguided intervention on emotional disorders in patients with type 1 diabetes during the COVID-19 outbreak. This study was performed during the social distancing period in the COVID-19 outbreak in Brazil. Individuals with type 1 diabetes aged ≥ 18 years were selected to receive a teleguided multidisciplinary intervention or the usual care plus an educational website access. The proposed intervention aimed addressing aspects of mental health, diabetes care and lifestyle habits during the pandemic. The feasibility outcome included the assessment of recruitment capability and adherence to the proposed intervention. Moreover, we evaluated the presence of positive screening for emotional disorders (Self Report Questionnaire 20) after a 16-week intervention, patients’ perceptions of pandemic-related changes, diabetes-related emotional distress, eating disorders, and sleep disorders. Data were analyzed with the intent‐to‐treat principle. Fifty-eight individuals (mean age, 43.8 ± 13.6 years) were included (intervention group, n = 29; control group, n = 29). At the end of the study, a total of 5 participants withdrew from the study in the intervention group compared to only 1 in the control group. Participants who dropout from the study had similar mean age, sex and income to those who remained in the study. The analysis of mental health disorders was not different between the groups at the follow up: a positive screening result was found in 48.3% and 34.5% of participants in the intervention and control groups, respectively (P = 0.29). The intervention group felt more supported in their diabetes care during the social distancing period (82.8% vs. 48.3% in the control group, P < 0.01). Our study identified a disproportionate higher number of withdrawals in the intervention group when compared to the control group. This difference may have compromised the power of the study for the proposed assessments and should be reevaluated in future studies. Trial registration: ClinicalTrials.gov (NCT04344210). Date of registration: 14/04/2020. |
| first_indexed | 2024-04-12T16:12:51Z |
| format | Article |
| id | doaj.art-9570c33ce7bd4d4c83ad7af624289fb5 |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-04-12T16:12:51Z |
| publishDate | 2022-05-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-9570c33ce7bd4d4c83ad7af624289fb52022-12-22T03:25:51ZengNature PortfolioScientific Reports2045-23222022-05-0112111010.1038/s41598-022-12227-zType 1 diabetes and the challenges of emotional support in crisis situations: results from a feasibility study of a multidisciplinary teleinterventionJanine Alessi0Alice Scalzilli Becker1Bibiana Amaral2Giovana Berger de Oliveira3Débora Wilke Franco4Carolina Padilla Knijnik5Gabriel Luiz Kobe6Ariane de Brito7Taíse Rosa de Carvalho8Guilherme Heiden Telo9Beatriz D. Schaan10Gabriela Heiden Telo11Medical Science Program: Endocrinology, Universidade Federal do Rio Grande do SulSchool of Medicine, Pontifícia Universidade Católica do Rio Grande do SulSchool of Medicine, Pontifícia Universidade Católica do Rio Grande do SulSchool of Medicine, Pontifícia Universidade Católica do Rio Grande do SulSchool of Medicine, Pontifícia Universidade Católica do Rio Grande do SulSchool of Medicine, Pontifícia Universidade Católica do Rio Grande do SulSchool of Medicine, Pontifícia Universidade Católica do Rio Grande do SulMedical Science Program: Endocrinology, Universidade Federal do Rio Grande do SulMedical and Health Sciences Program, Pontifícia Universidade Católica do Rio Grande do SulMedical and Health Sciences Program, Pontifícia Universidade Católica do Rio Grande do SulMedical Science Program: Endocrinology, Universidade Federal do Rio Grande do SulInternal Medicine Department, Hospital São Lucas-Pontifícia Universidade Católica do Rio Grande do SulAbstract The association between type 1 diabetes and mental health disorders could be exacerbated in a stressful environment. This study aimed to evaluate the feasibility of a teleguided intervention on emotional disorders in patients with type 1 diabetes during the COVID-19 outbreak. This study was performed during the social distancing period in the COVID-19 outbreak in Brazil. Individuals with type 1 diabetes aged ≥ 18 years were selected to receive a teleguided multidisciplinary intervention or the usual care plus an educational website access. The proposed intervention aimed addressing aspects of mental health, diabetes care and lifestyle habits during the pandemic. The feasibility outcome included the assessment of recruitment capability and adherence to the proposed intervention. Moreover, we evaluated the presence of positive screening for emotional disorders (Self Report Questionnaire 20) after a 16-week intervention, patients’ perceptions of pandemic-related changes, diabetes-related emotional distress, eating disorders, and sleep disorders. Data were analyzed with the intent‐to‐treat principle. Fifty-eight individuals (mean age, 43.8 ± 13.6 years) were included (intervention group, n = 29; control group, n = 29). At the end of the study, a total of 5 participants withdrew from the study in the intervention group compared to only 1 in the control group. Participants who dropout from the study had similar mean age, sex and income to those who remained in the study. The analysis of mental health disorders was not different between the groups at the follow up: a positive screening result was found in 48.3% and 34.5% of participants in the intervention and control groups, respectively (P = 0.29). The intervention group felt more supported in their diabetes care during the social distancing period (82.8% vs. 48.3% in the control group, P < 0.01). Our study identified a disproportionate higher number of withdrawals in the intervention group when compared to the control group. This difference may have compromised the power of the study for the proposed assessments and should be reevaluated in future studies. Trial registration: ClinicalTrials.gov (NCT04344210). Date of registration: 14/04/2020.https://doi.org/10.1038/s41598-022-12227-z |
| spellingShingle | Janine Alessi Alice Scalzilli Becker Bibiana Amaral Giovana Berger de Oliveira Débora Wilke Franco Carolina Padilla Knijnik Gabriel Luiz Kobe Ariane de Brito Taíse Rosa de Carvalho Guilherme Heiden Telo Beatriz D. Schaan Gabriela Heiden Telo Type 1 diabetes and the challenges of emotional support in crisis situations: results from a feasibility study of a multidisciplinary teleintervention Scientific Reports |
| title | Type 1 diabetes and the challenges of emotional support in crisis situations: results from a feasibility study of a multidisciplinary teleintervention |
| title_full | Type 1 diabetes and the challenges of emotional support in crisis situations: results from a feasibility study of a multidisciplinary teleintervention |
| title_fullStr | Type 1 diabetes and the challenges of emotional support in crisis situations: results from a feasibility study of a multidisciplinary teleintervention |
| title_full_unstemmed | Type 1 diabetes and the challenges of emotional support in crisis situations: results from a feasibility study of a multidisciplinary teleintervention |
| title_short | Type 1 diabetes and the challenges of emotional support in crisis situations: results from a feasibility study of a multidisciplinary teleintervention |
| title_sort | type 1 diabetes and the challenges of emotional support in crisis situations results from a feasibility study of a multidisciplinary teleintervention |
| url | https://doi.org/10.1038/s41598-022-12227-z |
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