| Title: |
Self-care barriers and facilitators in older adults with T1D during a time of sudden isolation. |
| Authors: |
Munshi, Medha, Slyne, Christine, Weinger, Katie, Sy, Sarah, Sifre, Kayla, Michals, Amy, Davis, Dai'Quann, Dewar, Rachel, Atakov-Castillo, Astrid, Haque, Saira, Cummings, M. Stirling, Brown, Stephen L., Toschi, Elena |
| Source: |
Scientific Reports; 4/29/2023, Vol. 13 Issue 1, p1-6, 6p |
| Subject Terms: |
OLDER people, TYPE 1 diabetes, COVID-19 pandemic, HEALTH self-care, HEALTH behavior, RAPID response teams, PSYCHOLOGICAL stress, ETHNICITY |
| Abstract: |
Older adults with type 1 diabetes (T1D) have unique challenges and needs. In this mixed-methods study, we explored the impact of isolation during a pandemic on diabetes management and overall quality of life in this population. Older adults (age ≥ 65 years) with T1D receiving care at a tertiary care diabetes center participated in semi-structured interviews during COVID-19 pandemic isolation between June and August 2020. A multi-disciplinary team coded transcripts and conducted thematic analysis. Thirty-four older adults (age 71 ± 5 years, 97% non-Hispanic white, diabetes duration of 38 ± 7 years, A1C of 7.4 ± 0.9% (57.3 ± 10.1 mmol/mol) were recruited. Three themes related to diabetes self-care emerged regarding impact of isolation on: (1) diabetes management and self-care behaviors (how isolation prompted changes in physical activity and dietary habits); (2) emotional stress and anxiety (related to isolation and lack of support system, economic concerns); and (3) concerns regarding the COVID-19 pandemic (impact on timely medical care and access to information). Our findings identify modifiable barriers and challenges faced by older adults with T1D during isolation. As this population has a higher risk of decline in physical and psychosocial support even during non-pandemic times, clinicians will benefit from understanding these issues to improve care of this population. [ABSTRACT FROM AUTHOR] |
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| Database: |
Complementary Index |
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