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Type 1 diabetes and the challenges of emotional support in crisis situations: results from a randomized clinical trial of a multidisciplinary teleintervention

The association between type 1 diabetes and mental health disorders could be exacerbated in a stressful environment. This study aimed to evaluate the effectiveness of a teleguided intervention on emotional disorders in patients with type 1 diabetes during the COVID-19 outbreak. An open-label clinica...

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Autores principales: Alessi, Janine, Becker, Alice Scalzilli, Amaral, Bibiana, de Oliveira, Giovana Berger, Franco, Debora Wilke, Knijnik, Carolina Padilla, Kobe, Gabriel Luiz, de Brito, Ariane, de Carvalho, Taíse Rosa, Telo, Guilherme Heiden, Schaan, Beatriz D., Telo, Gabriela Heiden
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8866541/
https://www.ncbi.nlm.nih.gov/pubmed/35197493
http://dx.doi.org/10.1038/s41598-022-07005-w
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author Alessi, Janine
Becker, Alice Scalzilli
Amaral, Bibiana
de Oliveira, Giovana Berger
Franco, Debora Wilke
Knijnik, Carolina Padilla
Kobe, Gabriel Luiz
de Brito, Ariane
de Carvalho, Taíse Rosa
Telo, Guilherme Heiden
Schaan, Beatriz D.
Telo, Gabriela Heiden
author_facet Alessi, Janine
Becker, Alice Scalzilli
Amaral, Bibiana
de Oliveira, Giovana Berger
Franco, Debora Wilke
Knijnik, Carolina Padilla
Kobe, Gabriel Luiz
de Brito, Ariane
de Carvalho, Taíse Rosa
Telo, Guilherme Heiden
Schaan, Beatriz D.
Telo, Gabriela Heiden
author_sort Alessi, Janine
collection PubMed
description The association between type 1 diabetes and mental health disorders could be exacerbated in a stressful environment. This study aimed to evaluate the effectiveness of a teleguided intervention on emotional disorders in patients with type 1 diabetes during the COVID-19 outbreak. An open-label clinical trial was performed during the social distancing period in the COVID-19 outbreak in Brazil. Individuals with type 1 diabetes aged ≥ 18 years were randomized to receive a teleguided multidisciplinary intervention or the usual care plus an educational website access. The primary outcome was a positive screening for emotional disorders (Self Report Questionnaire 20) after a 16-week intervention. Secondary outcomes included evaluation of 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). The primary outcome was not different between the groups. 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). Both groups reported a similar self-perceived worsening of physical activity habits and mental health during the outbreak. There was no benefit to using the telehealth strategy proposed for emotional disorders in patients with type 1 diabetes during the COVID-19 outbreak. Further studies are needed to determine the impact on metabolic parameters and to understand why it is so difficult to emotionally support these patients. Trail Registration: ClinicalTrials.gov (NCT04344210), 14/04/2020.
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spelling pubmed-88665412022-02-25 Type 1 diabetes and the challenges of emotional support in crisis situations: results from a randomized clinical trial of a multidisciplinary teleintervention Alessi, Janine Becker, Alice Scalzilli Amaral, Bibiana de Oliveira, Giovana Berger Franco, Debora Wilke Knijnik, Carolina Padilla Kobe, Gabriel Luiz de Brito, Ariane de Carvalho, Taíse Rosa Telo, Guilherme Heiden Schaan, Beatriz D. Telo, Gabriela Heiden Sci Rep Article The association between type 1 diabetes and mental health disorders could be exacerbated in a stressful environment. This study aimed to evaluate the effectiveness of a teleguided intervention on emotional disorders in patients with type 1 diabetes during the COVID-19 outbreak. An open-label clinical trial was performed during the social distancing period in the COVID-19 outbreak in Brazil. Individuals with type 1 diabetes aged ≥ 18 years were randomized to receive a teleguided multidisciplinary intervention or the usual care plus an educational website access. The primary outcome was a positive screening for emotional disorders (Self Report Questionnaire 20) after a 16-week intervention. Secondary outcomes included evaluation of 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). The primary outcome was not different between the groups. 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). Both groups reported a similar self-perceived worsening of physical activity habits and mental health during the outbreak. There was no benefit to using the telehealth strategy proposed for emotional disorders in patients with type 1 diabetes during the COVID-19 outbreak. Further studies are needed to determine the impact on metabolic parameters and to understand why it is so difficult to emotionally support these patients. Trail Registration: ClinicalTrials.gov (NCT04344210), 14/04/2020. Nature Publishing Group UK 2022-02-23 /pmc/articles/PMC8866541/ /pubmed/35197493 http://dx.doi.org/10.1038/s41598-022-07005-w Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Article
Alessi, Janine
Becker, Alice Scalzilli
Amaral, Bibiana
de Oliveira, Giovana Berger
Franco, Debora Wilke
Knijnik, Carolina Padilla
Kobe, Gabriel Luiz
de Brito, Ariane
de Carvalho, Taíse Rosa
Telo, Guilherme Heiden
Schaan, Beatriz D.
Telo, Gabriela Heiden
Type 1 diabetes and the challenges of emotional support in crisis situations: results from a randomized clinical trial of a multidisciplinary teleintervention
title Type 1 diabetes and the challenges of emotional support in crisis situations: results from a randomized clinical trial of a multidisciplinary teleintervention
title_full Type 1 diabetes and the challenges of emotional support in crisis situations: results from a randomized clinical trial of a multidisciplinary teleintervention
title_fullStr Type 1 diabetes and the challenges of emotional support in crisis situations: results from a randomized clinical trial of a multidisciplinary teleintervention
title_full_unstemmed Type 1 diabetes and the challenges of emotional support in crisis situations: results from a randomized clinical trial of a multidisciplinary teleintervention
title_short Type 1 diabetes and the challenges of emotional support in crisis situations: results from a randomized clinical trial of a multidisciplinary teleintervention
title_sort type 1 diabetes and the challenges of emotional support in crisis situations: results from a randomized clinical trial of a multidisciplinary teleintervention
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8866541/
https://www.ncbi.nlm.nih.gov/pubmed/35197493
http://dx.doi.org/10.1038/s41598-022-07005-w
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