Changes in Self-management During the COVID-19 Pandemic Among Adults with Type 2 Diabetes at a Federally Qualified Health Center

Zupa, Margaret; Perez, Stéphanie; Palmisano, Gloria; Kieffer, Edith C.; Piatt, Gretchen; Valbuena, Felix; Deverts, Denise J.; Yabes, Jonathan G.; Heisler, Michele; Rosland, Ann‐Marie

doi:10.1007/s10903-022-01351-7

Cited by 4 publications

(6 citation statements)

References 9 publications

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“…In the current study, three additional items on overall COVID-19 impact upon diabetes control, diet, and exercise were asked, to end up with a total of 19 questions. The scale includes five subscales: glucose management (1,4,6,10,12), diet control (2,5,9,13), physical activity (8,11,15), use of health services (3,7,14), and overall COVID-19 impact (17,18,19). Item 16 was not included in any subscales.…”

Section: Data Collection and Instrumentsmentioning

confidence: 99%

“…The restriction on the various lifestyle routines and daily activities such as diet and physical activity, as well as self-monitoring, timely access to medications and supplies, and healthcare utilization-seeking behaviors, were directly affected by the pandemic [ 7 ]. In addition, stress, anxiety, and depression were highly prevalent during the pandemic and may have indirectly influenced the mental well-being of individuals and coping patterns [ 7 , 8 , 9 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

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The Impact of the COVID-19 Pandemic on Diabetes Self-Management in Saudi Arabia

Sales,

Bawazeer,

Shahba

et al. 2024

Healthcare

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The COVID-19 pandemic disrupted healthcare worldwide, potentially impacting disease management. The objective of this study was to assess the self-management behaviors of Saudi patients with diabetes during and after the COVID pandemic period using the Arabic version of the Diabetes Self-Management Questionnaire (DSMQ). A cross-sectional study was conducted in patients aged ≥18 years diagnosed with type 2 diabetes mellitus who had at least one ambulatory clinic visit in each of the specified time frames (Pre-COVID-19: 1 January 2019–21 March 2020; COVID-19 Time frame: 22 March 2020 to 30 April 2021) utilizing the DSMQ questionnaire, with an additional three questions specifically related to their diabetes care during the COVID pandemic. A total of 341 patients participated in the study. The study results revealed that the surveyed patients showed moderately high self-care activities post-COVID-19. Total DSMQ scores were significantly higher in patients aged >60 years versus younger groups (p < 0.05). Scores were significantly lower in patients diagnosed for 1–5 years versus longer durations (p < 0.05). Patients on insulin had higher glucose management sub-scores than oral medication users (p < 0.05). Overall, DSMQ scores were higher than the pre-pandemic Saudi population and Turkish post-pandemic findings. DSMQ results suggest that, while COVID-19 negatively impacted some self-management domains, the Saudi patients surveyed in this study upheld relatively good diabetes control during the pandemic. Further research is warranted on specific barriers to optimize diabetes care during public health crises.

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Section: Data Collection and Instrumentsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Impact of the COVID-19 Pandemic on Diabetes Self-Management in Saudi Arabia

Sales,

Bawazeer,

Shahba

et al. 2024

Healthcare

View full text Add to dashboard Cite

show abstract

“…Item 16 is not included in any subscales. The scale includes five sub-scales: glucose management (1,4,6,10,12), diet control (2,5,9,13), physical activity (8,11,15), and use of health services (3,7,14) and Overall COVID-19 Impact (17,18,19). The scale was of 4-items Likert type, and each item on the scale was scored from 0 to 3 (0 does not apply to me, 1 applies to me a little, 2 apples considerably to me, 3 very much applies to me).…”

Section: Diabetes Self-management Questionnaire (Dsmq)mentioning

confidence: 99%

“…The restriction on the various lifestyle routines and daily activities such as dietary and physical activity as well as self-monitoring, timely access to medications and supplies and healthcare utilization-seeking behaviors were directly affected by the pandemic [6]. In addition, stress, anxiety, and depression were highly prevalent during the pandemic and may have indirectly influenced the mental well-being of individuals and coping patterns [6][7][8][9].…”

Section: Introductionmentioning

confidence: 99%

The Impact of the COVID-19 Pandemic on Diabetes Self-Management in Saudi Arabia

Sales,

Bawazeer,

Abdul-Wahhab Shahba

et al. 2023

Preprint

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The COVID-19 pandemic has disrupted healthcare worldwide, potentially impacting disease management. This cross-sectional study assessed the influence of COVID-19 on diabetes self-management in 341 Saudis with type 2 diabetes using the Diabetes Self-Management Questionnaire (DSMQ). The DSMQ contains 16 items across 4 domains assessing glucose management, dietary control, physical activity, and healthcare use. Three additional items measured the perceived overall impact of COVID-19. Total DSMQ scores were significantly higher in patients aged &gt;60 years versus younger groups. Scores were significantly lower in patients diagnosed for 1-5 years versus longer durations. Patients on insulin had higher glucose management subscores than oral medication users. Overall, DSMQ scores were higher than the pre-pandemic Saudi population and Turkish post-pandemic findings. DSMQ results suggest that while COVID-19 negatively impacted some self-management domains, Saudi patients upheld relatively good diabetes control during the pandemic. Further research is warranted on specific barriers to optimize diabetes care during public health crises.

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“…Literature published during the COVID-19 pandemic postulates that existing racial disparities will be magnified, leading to more chronic disease complications through pathways that include increased food insecurity prevalence and severity [15][16][17]. Although studies cite reduced access to healthy food during the COVID-19 pandemic as a barrier to diabetes self-management, less is known about longer-term glycemic impacts resulting from changes in food security [18,19].…”

Section: Disparities In Food Security and Glycemic Control Among Peop...mentioning

confidence: 99%

Disparities in Food Security and Glycemic Control Among People with Type 2 Diabetes During the COVID-19 Pandemic

Tran,

Cristello Sarteau,

Fogleman

et al. 2023

North Carolina Medical Journal

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Background Little is known about the differing impacts of food insecurity on HbA1c by race in type 2 diabetes (T2D). Predictions around increased food insecurity from COVID-19 exacerbating racial disparities led us to estimate its prevalence and associations with HbA1c by race during the COVID-19 pandemic. Methods Data came from medical records and surveys among a clinic-based sample of T2D patients. Linear regression models estimated associations between food insecurity and HbA1c and between change in food insecurity and change in HbA1c. Likelihood ratio tests and examination of stratum-specific estimates assessed effect modification by race. Results Our sample was 59% White, 59% female, and mean age was 60.8 ± 12.6. During the pandemic, food insecurity prevalence and HbA1c were significantly (p < .05) higher among non-Whites (39%, 8.4% ± 2.1) compared to Whites (15%, 7.8% ±1.6). HbA1c among those who were very food insecure was 1.00% (95% CI: 0.222, 1.762, p = .01) higher than those who were food secure. Those with increased food insecurity had a 0.58% (95% CI: 0.024, 1.128, p = .04) higher HbA1c increase than among those experiencing no change. No effect modification was detected. Limitations Convenience sampling in an endocrinology clinic, recall bias, and inadequate power may underlie null effect modification results. Conclusion Although effect modification was not detected, racial disparities in HbA1c and food insecurity warrant further investigation. These disparities, combined with the significant impact of food insecurity on HbA1c, suggest that prioritization of resources to high-risk populations should be considered early during public emergencies to minimize short- and long-term health consequences.

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Changes in Self-management During the COVID-19 Pandemic Among Adults with Type 2 Diabetes at a Federally Qualified Health Center

Cited by 4 publications

References 9 publications

The Impact of the COVID-19 Pandemic on Diabetes Self-Management in Saudi Arabia

The Impact of the COVID-19 Pandemic on Diabetes Self-Management in Saudi Arabia

The Impact of the COVID-19 Pandemic on Diabetes Self-Management in Saudi Arabia

Disparities in Food Security and Glycemic Control Among People with Type 2 Diabetes During the COVID-19 Pandemic

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