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Health-related quality of life of children and adolescents with type 1 diabetes during the COVID-19 pandemic in Kuwait

BACKGROUND: With the rapid transmission of COVID-19 globally, countries have implemented strict governmental measures and social distancing rules that aimed to minimize the spread of the virus. School closures, quarantine orders, and social isolation, coupled with a surge in family stress and lack o...

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Autores principales: Al-Abdulrazzaq, Dalia, Khalifa, Doaa, Alqaisi, Taiba, Al-Juailla, Fatima, Othman, Fouzeyah, Qabazard, Sarah, Al-Kandari, Hessa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9816431/
https://www.ncbi.nlm.nih.gov/pubmed/36620301
http://dx.doi.org/10.3389/fpubh.2022.1056967
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author Al-Abdulrazzaq, Dalia
Khalifa, Doaa
Alqaisi, Taiba
Al-Juailla, Fatima
Othman, Fouzeyah
Qabazard, Sarah
Al-Kandari, Hessa
author_facet Al-Abdulrazzaq, Dalia
Khalifa, Doaa
Alqaisi, Taiba
Al-Juailla, Fatima
Othman, Fouzeyah
Qabazard, Sarah
Al-Kandari, Hessa
author_sort Al-Abdulrazzaq, Dalia
collection PubMed
description BACKGROUND: With the rapid transmission of COVID-19 globally, countries have implemented strict governmental measures and social distancing rules that aimed to minimize the spread of the virus. School closures, quarantine orders, and social isolation, coupled with a surge in family stress and lack of peer interactions, are probable causes of mental health complications and psychological symptoms faced by children. This study aims at comparing the HRQoL of children and adolescents with type 1 diabetes (T1D) and affected by COVID-19 infection (personal or familial) and those who were not affected by COVID-19. MATERIALS AND METHODS: A random sample was selected from children and adolescents diagnosed with T1D at the six major governmental diabetes centers in Kuwait. To measure HRQoL, parent-proxy and self-reports from the Pediatric Quality of Life Inventory (PedsQL(TM)) 3.0 Diabetes Module were used. RESULTS: A sample of 455 children and adolescents with T1D diabetes (44.6% male participants and 41.98% affected by COVID-19 infection) was studied. The total score of the HRQoL self-reports was significantly higher compared with parent-proxy reports (79.06 ± 15.19 vs. 73.79 ± 15.17, p < 0.01). Children reported significantly higher HRQoL scores in the “treatment I” domain and “worry” domain and lower scores in the “diabetes” symptoms domain, compared with their parents' reports (p < 0.01). In the COVID-19-affected group, a major difference was noticed between the total scores of children and parent-proxy reports (77.04 ± 15.81 vs. 72.80±14.90, p = 0.047). The affected children reported significantly lower scores in “diabetes” symptoms (59.50) (p < 0.01) and higher scores in the “treatment I” domain (81.43) than their parent-proxy reports (72.05) (p < 0.01). CONCLUSION: This is the first report on the health-related quality of life of children with T1D in Kuwait during the COVID-19 era. Parents' or caregivers' experience of caring for their children was negative, as they worried, and reported poorer HRQoL compared with their children's perceptions. There is a need to empower healthcare professionals to support parents and caregivers of children with chronic diseases such as T1D in promoting self-management, enhancing physical and psychological wellbeing, treatment adherence, and continuous health education during pandemics of any kind.
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spelling pubmed-98164312023-01-07 Health-related quality of life of children and adolescents with type 1 diabetes during the COVID-19 pandemic in Kuwait Al-Abdulrazzaq, Dalia Khalifa, Doaa Alqaisi, Taiba Al-Juailla, Fatima Othman, Fouzeyah Qabazard, Sarah Al-Kandari, Hessa Front Public Health Public Health BACKGROUND: With the rapid transmission of COVID-19 globally, countries have implemented strict governmental measures and social distancing rules that aimed to minimize the spread of the virus. School closures, quarantine orders, and social isolation, coupled with a surge in family stress and lack of peer interactions, are probable causes of mental health complications and psychological symptoms faced by children. This study aims at comparing the HRQoL of children and adolescents with type 1 diabetes (T1D) and affected by COVID-19 infection (personal or familial) and those who were not affected by COVID-19. MATERIALS AND METHODS: A random sample was selected from children and adolescents diagnosed with T1D at the six major governmental diabetes centers in Kuwait. To measure HRQoL, parent-proxy and self-reports from the Pediatric Quality of Life Inventory (PedsQL(TM)) 3.0 Diabetes Module were used. RESULTS: A sample of 455 children and adolescents with T1D diabetes (44.6% male participants and 41.98% affected by COVID-19 infection) was studied. The total score of the HRQoL self-reports was significantly higher compared with parent-proxy reports (79.06 ± 15.19 vs. 73.79 ± 15.17, p < 0.01). Children reported significantly higher HRQoL scores in the “treatment I” domain and “worry” domain and lower scores in the “diabetes” symptoms domain, compared with their parents' reports (p < 0.01). In the COVID-19-affected group, a major difference was noticed between the total scores of children and parent-proxy reports (77.04 ± 15.81 vs. 72.80±14.90, p = 0.047). The affected children reported significantly lower scores in “diabetes” symptoms (59.50) (p < 0.01) and higher scores in the “treatment I” domain (81.43) than their parent-proxy reports (72.05) (p < 0.01). CONCLUSION: This is the first report on the health-related quality of life of children with T1D in Kuwait during the COVID-19 era. Parents' or caregivers' experience of caring for their children was negative, as they worried, and reported poorer HRQoL compared with their children's perceptions. There is a need to empower healthcare professionals to support parents and caregivers of children with chronic diseases such as T1D in promoting self-management, enhancing physical and psychological wellbeing, treatment adherence, and continuous health education during pandemics of any kind. Frontiers Media S.A. 2022-12-23 /pmc/articles/PMC9816431/ /pubmed/36620301 http://dx.doi.org/10.3389/fpubh.2022.1056967 Text en Copyright © 2022 Al-Abdulrazzaq, Khalifa, Alqaisi, Al-Juailla, Othman, Qabazard and Al-Kandari. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Al-Abdulrazzaq, Dalia
Khalifa, Doaa
Alqaisi, Taiba
Al-Juailla, Fatima
Othman, Fouzeyah
Qabazard, Sarah
Al-Kandari, Hessa
Health-related quality of life of children and adolescents with type 1 diabetes during the COVID-19 pandemic in Kuwait
title Health-related quality of life of children and adolescents with type 1 diabetes during the COVID-19 pandemic in Kuwait
title_full Health-related quality of life of children and adolescents with type 1 diabetes during the COVID-19 pandemic in Kuwait
title_fullStr Health-related quality of life of children and adolescents with type 1 diabetes during the COVID-19 pandemic in Kuwait
title_full_unstemmed Health-related quality of life of children and adolescents with type 1 diabetes during the COVID-19 pandemic in Kuwait
title_short Health-related quality of life of children and adolescents with type 1 diabetes during the COVID-19 pandemic in Kuwait
title_sort health-related quality of life of children and adolescents with type 1 diabetes during the covid-19 pandemic in kuwait
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9816431/
https://www.ncbi.nlm.nih.gov/pubmed/36620301
http://dx.doi.org/10.3389/fpubh.2022.1056967
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