Self-care barriers and facilitators in older adults with T1D during a time of sudden isolation.

Autor: Munshi M; Joslin Diabetes Center, One Joslin Place, Boston, MA, 02215, USA. mmunshi@bidmc.harvard.edu.; Beth Israel Deaconess Medical Center, Boston, MA, USA. mmunshi@bidmc.harvard.edu.; Harvard Medical School, Boston, MA, USA. mmunshi@bidmc.harvard.edu., Slyne C; Joslin Diabetes Center, One Joslin Place, Boston, MA, 02215, USA., Weinger K; Joslin Diabetes Center, One Joslin Place, Boston, MA, 02215, USA., Sy S; Joslin Diabetes Center, One Joslin Place, Boston, MA, 02215, USA., Sifre K; Joslin Diabetes Center, One Joslin Place, Boston, MA, 02215, USA., Michals A; Joslin Diabetes Center, One Joslin Place, Boston, MA, 02215, USA., Davis D; Joslin Diabetes Center, One Joslin Place, Boston, MA, 02215, USA., Dewar R; Joslin Diabetes Center, One Joslin Place, Boston, MA, 02215, USA., Atakov-Castillo A; Joslin Diabetes Center, One Joslin Place, Boston, MA, 02215, USA., Haque S; RTI International, Research Triangle Park, NC, USA., Cummings MS; RTI International, Research Triangle Park, NC, USA., Brown SL; RTI International, Research Triangle Park, NC, USA., Toschi E; Joslin Diabetes Center, One Joslin Place, Boston, MA, 02215, USA.; Beth Israel Deaconess Medical Center, Boston, MA, USA.; Harvard Medical School, Boston, MA, USA.
Jazyk: angličtina
Zdroj: Scientific reports [Sci Rep] 2023 Apr 29; Vol. 13 (1), pp. 7026. Date of Electronic Publication: 2023 Apr 29.
DOI: 10.1038/s41598-023-33746-3
Abstrakt: 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.
(© 2023. The Author(s).)
Databáze: MEDLINE
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