Impacts of the COVID-19 pandemic on unmet social needs, self-care, and outcomes among people with diabetes and poor glycemic control

Patel, Minal R.; Zhang, Guanghao; Leung, Cindy W.; Song, Peter X.‐K.; Heisler, Michele; Choe, Hae Mi; Mehdipanah, Roshanak; Shi, Xu; Resnicow, Ken; Rajaee, Geila; Piette, John D.

doi:10.1016/j.pcd.2021.10.004

Cited by 14 publications

(9 citation statements)

References 19 publications

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“…First, our results on increasing exercise among people with diabetes in a higher proportion than healthy individuals are consistent with previous findings [23] , [41] . A possible explanation is that individuals with diabetes, aware of their vulnerability, likely try to protect themselves [42] .…”

Section: Discussionsupporting

confidence: 93%

COVID-19 pandemic impact on people with diabetes: results from a large representative sample of Italian older adults

Vigezzi¹,

Bossi²,

Derosa³

et al. 2022

Primary Care Diabetes

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Section: Discussionsupporting

confidence: 93%

COVID-19 pandemic impact on people with diabetes: results from a large representative sample of Italian older adults

Vigezzi¹,

Bossi²,

Derosa³

et al. 2022

Primary Care Diabetes

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“…The sample was restricted to adults with Medicaid receiving care in a single health system in Massachusetts, which limits generalizability. Participants were recruited during the early months of the COVID-19 pandemic, which may have impacted health-related social needs, health behaviors, and healthcare utilization [ 18 , 19 ]. Finally, A1c was collected at various frequencies and time points, and BMI calculations relied on self-reported weight.…”

Section: Discussionmentioning

confidence: 99%

Association of food insecurity with changes in diet quality, weight, and glycemia over two years in adults with prediabetes and type 2 diabetes on medicaid

Gu,

Cheng,

Fung

et al. 2024

Nutr. Diabetes

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Little is known about longitudinal associations between food insecurity (FI) and diet, weight, and glycemia in people with prediabetes and type 2 diabetes (T2D). In a secondary analysis of Medicaid-enrolled health center patients with prediabetes or T2D in Boston, Massachusetts (N = 188), we examined associations between food security (FS) and measures of diet quality, weight, and hyperglycemia. FS (10-item USDA FS module) was ascertained at baseline, 1-year, and 2-year follow-up and categorized as persistently secure, intermittently insecure, or persistently insecure. Associations between FS category and changes in Healthy Eating Index-2020 (HEI-20), body mass index (BMI), and hemoglobin A1c (A1c) from baseline to year 2 were assessed using multivariate generalized linear models. Participants had median (p25, p75) age of 52 (42, 57); 71.8% were female and 62.8% Hispanic. Over follow-up, 32.4% were persistently food secure, 33.0% intermittently insecure, and 34.5% persistently insecure. Baseline mean (SD) HEI-20, BMI, and A1c were 55.8 (14.5), 35.9 (8.7) kg/m2, 7.1% (1.6) and did not differ by FS category. FS category was not associated with changes in HEI-20, BMI, and A1c at 2 years (all p > 0.05). Results suggest that Medicaid-enrolled adults with prediabetes or T2D, regardless of FS status, would benefit from dietary and weight management interventions.

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“…Healthcare centers and medical schools closed both clinical spaces and classrooms, limiting access for patients and students. Physicians and hospitals developed models of virtual care Open Access *Correspondence: dasolomon@bwh.harvard.edu and telehealth to fill gaps in clinical care [1,2]. In parallel, medical schools modified curricula and teaching methods to engage learners on virtual platforms [3,4].…”

Section: Introductionmentioning

confidence: 99%

A student-led interprofessional virtual outreach program for people with HIV during the Covid-19 pandemic: a pilot program at an academic medical center in Boston

et al. 2022

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Background The Coronavirus disease 2019 (Covid-19) pandemic caused an abrupt disruption in clinical care and medical education, putting patients at increased risk for social stressors and displacing medical students from traditional clerkships. The pandemic also exposed the need for virtual tools to supplement clinical care and an opportunity to create meaningful roles for learners. Methods An interdisciplinary group designed a student-led virtual outreach program for patients with HIV whose care was limited by the pandemic. Patients were identified by clinicians and social workers using a clinic-based registry. Students called patients to conduct needs assessments, provide Covid-19 education, and to facilitate connection to services. Students participated in case-based didactics and workshops on motivational interviewing and patient engagement using virtual tools. Facilitated team meetings were held weekly during which themes of calls were identified. Results During a three-month period, five students participated in the outreach program. Two hundred sixteen patients were identified for outreach calls, of which 174 (75.9%) were successfully reached by telephone. Rate of completed phone call did not differ by age or gender. Sixty patients had a preferred language other than English of which 95.6% were reached in their preferred language. Conclusions Virtual proactive outreach can be used as a tool to support patients and engage students in clinical care when access to in-person care is limited. This model of care could be adapted to other ambulatory practices and integrated into pre-clerkship curriculum as an introduction to the social history and structural drivers of health (SDOH) (245/350).

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Impacts of the COVID-19 pandemic on unmet social needs, self-care, and outcomes among people with diabetes and poor glycemic control

Cited by 14 publications

References 19 publications

COVID-19 pandemic impact on people with diabetes: results from a large representative sample of Italian older adults

COVID-19 pandemic impact on people with diabetes: results from a large representative sample of Italian older adults

Association of food insecurity with changes in diet quality, weight, and glycemia over two years in adults with prediabetes and type 2 diabetes on medicaid

A student-led interprofessional virtual outreach program for people with HIV during the Covid-19 pandemic: a pilot program at an academic medical center in Boston

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