Assessing the impact of the COVID-19 pandemic on pragmatic clinical trial participants

Coleman, Brian; Purcell, Natalie; Geda, Mary; Luther, Stephen L.; Peduzzi, Peter; Kerns, Robert D.; Seal, Karen H.; Burgess, Diana J.; Rosen, Marc I.; Sellinger, John; Salsbury, Stacie A.; Gelman, Hannah; Brandt, Cynthia; Edwards, Robert R.

doi:10.1016/j.cct.2021.106619

Cited by 11 publications

(5 citation statements)

References 18 publications

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“…The present study evaluated the level of concern about COVID-19, negative impacts on quality of life due to COVID-19, and specific worries related to the pandemic. A subscale score was created using a modified version of the Pain Management Collaboratory Coronavirus Pandemic 5-Item Measure [PMC-5; ( 31 )], which measured the negative impact of COVID-19 on quality of life on a Likert scale of 1 (Improved) to 4 (A Lot Worse). Total scores reflect the average rating across all five items, with higher scores indicating a greater negative impact.…”

Section: Methodsmentioning

confidence: 99%

A quantitative and qualitative examination of the impacts of the COVID-19 pandemic on U.S. veterans with self-reported anxiety and alcohol use disorder

et al. 2023

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IntroductionThe COVID-19 pandemic generated concerns about rising stress and alcohol use, especially in U.S. veterans who experience high rates of anxiety disorders (ADs), alcohol use disorder (AUD), and dual AD+AUD diagnoses. This study investigated differences among these diagnostic groups in a veteran population related to their concern about COVID-19, impacts of COVID-19 on quality of life, and self-reported changes to urge to drink and drinking frequency.MethodsA nationally administered online survey was given to a sample of U.S. veterans reporting substance use issues during the pandemic. Differences in the level of concern about COVID-19, impacts of COVID-19 on quality of life, and drinking behaviors were examined in those self-reporting AD (n = 98), AUD (n = 46), or AD+AUD (n = 67). Consensual qualitative research was used to analyze an open-ended question about COVID-19’s impact on substance use, health, and quality of life.ResultsVeterans with AD+AUD experienced significant increases in urge to drink and alcohol consumption compared to veterans with AD only. Greater urge and frequency of drinking were associated with greater negative impacts of COVID-19 on quality of life. There were no differences among groups in global negative impact on quality of life or level of COVID-19 concern. However, respondents described specific COVID-19 worries, with qualitative findings revealing that those with AD+AUD reported a disproportionate psychosocial burden due to the pandemic.DiscussionSpecial attention in screening and treatment should be given to those with a dual AD+AUD diagnosis who may be experiencing both an increase in alcohol use and psychosocial burden as stress increases due to the pandemic.

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Section: Methodsmentioning

confidence: 99%

A quantitative and qualitative examination of the impacts of the COVID-19 pandemic on U.S. veterans with self-reported anxiety and alcohol use disorder

et al. 2023

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“…Prior to their interviews, participants took the Pain Management Collaboratory’s (PMC) Coronavirus Pandemic Measure survey. 19 We use the PMC and demographic data from the parent study to describe the sample (see Tables 1 and 2 ). We include diabetes-related distress measured by the 17-item Diabetes Distress Scale, depression measured by the Patient Health Questionnaire-8, and anxiety measured by the Generalized Anxiety Disorder-7 scale.…”

Section: Methodsmentioning

confidence: 99%

Unmet Needs and Coping Strategies of Older Underserved Veterans During the COVID-19 Pandemic

Haltom

Tiong

Evans

et al. 2023

J Prim Care Community Health

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Introduction: The COVID-19 pandemic has had profound impacts on people with diabetes, a group with high morbidity and mortality. Factors like race, age, income, Veteran-status, and limited or interrupted resources early in the COVID-19 pandemic compounded risks for negative health outcomes. Our objective was to characterize the experiences and needs of under-resourced Veterans with type 2 diabetes during the COVID-19 pandemic. Methods: We conducted semi-structured qualitative interviews (March through September 2021) with U.S. military Veterans with diabetes. Transcripts were analyzed using a team-based, iterative process of summarizing and coding to identify key themes. Participants included Veterans (n = 25) who were mostly men (84%), Black or African American (76%), older (mean age = 62.6), and low-income (<$20 000/year; 56%). Most participants self-reported moderate (36%) or severe (56%) diabetes-related distress. Results: Shutdowns and social distancing negatively impacted Veterans’ social, mental, and physical health. Veterans reported feeling increased isolation, depression, stress, and unmet mental health needs. Their physical health was also negatively affected. Despite pandemic-related challenges, Veterans adapted with new technological skills, appreciating their families, staying active, and relying on their religious faith. Conclusions: Veterans’ experiences during the pandemic revealed the importance of social support and access to technology. For those without social support, peer support could protect against negative health outcomes. Emergency-preparedness efforts for vulnerable patients with type 2 diabetes should include raising awareness about and increasing access to technological resources (eg, Zoom or telehealth platforms). Findings from this study will help tailor support programs for specific populations’ needs in future health crises.

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“…The Pain Management Collaboratory Coronavirus Pandemic COVID-19 5-Item Measure (PMC-5; Coleman et al, 2021 ) was created early in the pandemic to assess the potential negative impact of COVID-19 on quality of life. The developers of this measure suggest individualized adaptation as appropriate of this scale by clinical research teams to survey the effects of the COVID-19 pandemic on study participants, leading to the inclusion of three of the original items five domains of pandemic impact in the current study: finances, ability to meet basic needs, and emotional health.…”

Section: Methodsmentioning

confidence: 99%

Chronic pain and problematic substance use for veterans during COVID-19: the moderating role of psychological flexibility

et al. 2023

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BackgroundChronic pain and problematic substance use are commonly co-occurring and highly detrimental issues that are especially prevalent in U.S. veteran populations. Although COVID-19 made clinical management of these conditions potentially difficult, some research suggests that certain veterans with these conditions did not experience this period as negatively as others. It is thus important to consider whether resilience factors, such as the increasingly-studied process of psychological flexibility, might have led to better outcomes for veterans managing pain and problematic substance use during this time of global crisis.MethodsThis planned sub-analysis of a larger cross-sectional, anonymous, and nationally-distributed survey (N = 409) was collected during the first year of the COVID-19 pandemic. Veteran participants completed a short screener and battery of online surveys assessing pain severity and interference, substance use, psychological flexibility, mental health functioning, and pandemic-related quality of life.ResultsFor veterans with chronic pain and problematic substance use, the pandemic resulted in a significant lowering of their quality of life related to meeting basic needs, emotional health, and physical health compared to veterans with problematic substance use but no chronic pain diagnosis. However, moderation analyses revealed that veterans with these comorbid conditions experienced less negative impacts from the pandemic on quality of life and mental health when they reported greater psychological flexibility. For veterans with problematic substance use only, psychological flexibility was also related to better mental health functioning, but did not significantly correlate with their quality of life.ConclusionResults highlight how COVID-19 differentially impacted veterans with both problematic substance use and chronic pain, such that this group reported particularly negative impacts of the pandemic on multiple areas of quality of life. However, our findings further emphasize that psychological flexibility, a modifiable resiliency process, also buffered against some of the negative impacts of the pandemic on mental health and quality of life. Given this, future research into the impact of natural crises and healthcare management should investigate how psychological flexibility can be targeted to help increase resiliency for veterans with chronic pain and problematic substance use.

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Assessing the impact of the COVID-19 pandemic on pragmatic clinical trial participants

Cited by 11 publications

References 18 publications

A quantitative and qualitative examination of the impacts of the COVID-19 pandemic on U.S. veterans with self-reported anxiety and alcohol use disorder

A quantitative and qualitative examination of the impacts of the COVID-19 pandemic on U.S. veterans with self-reported anxiety and alcohol use disorder

Unmet Needs and Coping Strategies of Older Underserved Veterans During the COVID-19 Pandemic

Chronic pain and problematic substance use for veterans during COVID-19: the moderating role of psychological flexibility

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