Type 1 diabetes and the challenges of emotional support in crisis situations: results from a randomized clinical trial of a multidisciplinary teleintervention

The association between type 1 diabetes and mental health disorders could be exacerbated in a stressful environment. This study aimed to evaluate the effectiveness of a teleguided intervention on emotional disorders in patients with type 1 diabetes during the COVID-19 outbreak. An open-label clinica...

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Published in:Scientific reports 2022-02, Vol.12 (1), p.3086-10
Main Authors: Alessi, Janine, Becker, Alice Scalzilli, Amaral, Bibiana, de Oliveira, Giovana Berger, Franco, Debora Wilke, Knijnik, Carolina Padilla, Kobe, Gabriel Luiz, de Brito, Ariane, de Carvalho, Taíse Rosa, Telo, Guilherme Heiden, Schaan, Beatriz D, Telo, Gabriela Heiden
Format: Article
Language:English
Subjects:
Adult
Brazil - epidemiology
COVID-19 - epidemiology
COVID-19 - psychology
Diabetes Mellitus, Type 1 - psychology
Diabetes Mellitus, Type 1 - therapy
Female
Humans
Male
Middle Aged
SARS-CoV-2 - isolation & purification
Social Support
Telemedicine
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Summary:The association between type 1 diabetes and mental health disorders could be exacerbated in a stressful environment. This study aimed to evaluate the effectiveness of a teleguided intervention on emotional disorders in patients with type 1 diabetes during the COVID-19 outbreak. An open-label clinical trial was performed during the social distancing period in the COVID-19 outbreak in Brazil. Individuals with type 1 diabetes aged ≥ 18 years were randomized to receive a teleguided multidisciplinary intervention or the usual care plus an educational website access. The primary outcome was a positive screening for emotional disorders (Self Report Questionnaire 20) after a 16-week intervention. Secondary outcomes included evaluation of patients' perceptions of pandemic-related changes, diabetes-related emotional distress, eating disorders, and sleep disorders. Data were analyzed with the intent-to-treat principle. Fifty-eight individuals (mean age, 43.8 ± 13.6 years) were included (intervention group, n = 29; control group, n = 29). The primary outcome was not different between the groups. The intervention group felt more supported in their diabetes care during the social distancing period (82.8% vs. 48.3% in the control group, P 
ISSN:2045-2322
2045-2322
DOI:10.1038/s41598-022-07005-w