Medical adherence in the time of social distancing: a brief report on the impact of the COVID-19 pandemic on adherence to treatment in patients with diabetes

Franco, Débora Wilke; Alessi, Janine; Becker, Alice Scalzilli; Amaral, Bibiana; Oliveira, Giovana Berger de; Schaan, Beatriz D.; Teló, Gabriela Heiden

doi:10.20945/2359-3997000000362

Cited by 6 publications

(8 citation statements)

References 13 publications

(13 reference statements)

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“…For the articles that reported a time period of data collection, dates ranged from March 2020 to April 2021, though Rowlands et al (35) had baseline data dating back to 2017. One study in Brazil compared data from a sample of people with diabetes during COVID-19 to data from an age-matched sample of people with diabetes in 2016 (37). The remainder (n=15) of studies asked participants to report their current health behaviors and also to recall their pre-COVID-19 health behaviors.…”

Section: Resultsmentioning

confidence: 99%

“…Three studies examined global diabetes self-care scores. One study reported no change (37) and two studies (59,60) reported decreased total diabetes self-care scores. Silva-Tinoco et al (59) found that higher pre-pandemic self-care was related to fewer problems with self-care during the pandemic.…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Lifestyles Under Lockdown: A Scoping Review of International Studies on Type 2 Diabetes Self-Management Behaviors During COVID-19

Cummings¹,

Seng²,

Tweet³

et al. 2022

Front. Clin. Diabetes Healthc.

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BackgroundThe effect of the COVID-19 pandemic on diabetes self-management behaviors is unclear.ObjectivesThis paper is a scoping review of studies examining health behaviors among people with type 2 diabetes during the COVID-19 pandemic.Eligibility CriteriaWe searched articles available in English using the Search terms “COVID” and “diabetes”, and, separately, each of the following terms: “lifestyle”, “health behavior”, “self-care”, “self-management”, “adherence”, “compliance”, “eating”, “diet”, “physical activity”, “exercise”, “sleep”, “self-monitoring of blood glucose”, or “continuous glucose monitoring”.Sources of EvidenceWe searched PubMed, PsychInfo, and Google Scholar databases from December 2019 through August 2021.Charting MethodsData were extracted by 4 calibrated reviewers and study elements were charted.ResultsThe search identified 1,710 articles. After screening for relevance and eligibility, 24 articles were included in this review. Findings show the strongest evidence for reduced physical activity and stable glucose monitoring and substance use. There was equivocal evidence for deleterious changes in sleep, diet, and medication intake. With one minor exception, there was no evidence for favorable changes in health behaviors. Limitations of the literature include small samples, predominantly cross-sectional study designs, reliance on retrospective self-reports, sampling through social media, and few standardized measures.ConclusionsEarly studies of health behaviors among people with type 2 diabetes during the COVID-19 pandemic suggest a need for novel interventions to support diabetes self-management, especially targeting physical activity. Future studies should go beyond documenting changes in health behaviors and examine predictors of change over time.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Lifestyles Under Lockdown: A Scoping Review of International Studies on Type 2 Diabetes Self-Management Behaviors During COVID-19

Cummings¹,

Seng²,

Tweet³

et al. 2022

Front. Clin. Diabetes Healthc.

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“…Regarding diabetes care, we found an improvement in self-care scores and treatment adherence among participants with type 1 diabetes throughout the pandemic. Franco et al (2021) assessed treatment adherence in the first months of the pandemic and found a worsening in adherence scores among patients with type 1 diabetes compared to the pre-pandemic period. It is possible that the beginning of the pandemic and the consequences of social distancing have negatively affected these patients, and also that, over time, they have become more resilient and strengthened their support networks, improving self-care.…”

Section: Discussionmentioning

confidence: 99%

Adjusting to the “new normal”: How were mental health and self-care affected in patients with diabetes mellitus 1 year into the COVID-19 crisis? A longitudinal study

et al. 2023

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This study aimed to assess the long-term effect of the pandemic on mental health and self-care parameters in patients with diabetes during the COVID-19 pandemic in Brazil. After 18 months of pandemic, 118 participants remained in the study (mean age of 56.6 ± 13.4 years, 66.7% were women). We observed no change in the scores for mental health disorders screening. Regarding self-care, patients with type 1 diabetes showed an improvement in the adherence score compared to those found at the beginning of the pandemic (variation + 3.5 (−6.0 to +15.8) points, p = 0.02), and also compared to those with type 2 diabetes. Although the pandemic have negatively affected many people’s mental health, especially in those with chronic diseases, our results show that patients with diabetes may have developed good coping and adaptive strategies to maintain diabetes control and symptom pattern of mental health disorders over the course of the pandemic.

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“…In many countries, the COVID-19 pandemic poses a great public health threat. Social distancing restrictions can increase the lack of social connection, enhance sense of loneliness (Holmes et al, 2020;Lippke et al, 2021) and decrease medical adherence in patients with chronic illness (Franco et al, 2021). Patients with CHD, who are especially susceptible to loneliness, are likely to experience more severe loneliness during the COVID-19 pandemic.…”

Section: Discussionmentioning

confidence: 99%

Loneliness predicts physical and mental health‐related quality of life over 9 months among patients with coronary heart disease

Fan

Shen

2022

Applied Psych Health & Well

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This study investigated whether loneliness would predict physical and mental health‐related quality of life (HRQoL) over 9 months and examined whether medical adherence would mediate their associations in patients with coronary heart disease (CHD). The overall design is a three‐wave longitudinal study. A sample of 255 outpatients with CHD was recruited from a community‐based cardiac rehabilitation programme. Participants, with a mean age of 63 years, completed measures assessing loneliness, depression and physical and mental HRQoL at baseline. Medical adherence was assessed at 3 months, and physical and mental HRQoL were reassessed at 9 months. A total of 88% of participants reported moderate or high loneliness. Baseline loneliness predicted physical and mental HRQoL at 9 months after adjusting for baseline physical and mental HRQoL, respectively. The effects remained significant when depression was also adjusted. Medical adherence at 3 months partially mediated the associations of baseline loneliness with 9‐month physical and mental HRQoL. Findings underline the necessity of assessing loneliness for CHD patients to promote long‐term medical adherence and further improve physical and mental HRQoL.

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Medical adherence in the time of social distancing: a brief report on the impact of the COVID-19 pandemic on adherence to treatment in patients with diabetes

Cited by 6 publications

References 13 publications

Lifestyles Under Lockdown: A Scoping Review of International Studies on Type 2 Diabetes Self-Management Behaviors During COVID-19

Lifestyles Under Lockdown: A Scoping Review of International Studies on Type 2 Diabetes Self-Management Behaviors During COVID-19

Adjusting to the “new normal”: How were mental health and self-care affected in patients with diabetes mellitus 1 year into the COVID-19 crisis? A longitudinal study

Loneliness predicts physical and mental health‐related quality of life over 9 months among patients with coronary heart disease

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