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RETRACTED ARTICLE: Type 1 diabetes and the challenges of emotional support in crisis situations: results from a randomized clinical trial of a multidisciplinary teleintervention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), Article 3086 |
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creator | 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 |
description | 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 |
doi_str_mv | 10.1038/s41598-022-07005-w |
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ClinicalTrials.gov (NCT04344210), 14/04/2020.</description><identifier>ISSN: 2045-2322</identifier><identifier>EISSN: 2045-2322</identifier><identifier>DOI: 10.1038/s41598-022-07005-w</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/163/2743/137/1418 ; 692/163/2743/137/1926 ; 692/163/2743/348 ; 692/700/459 ; COVID-19 ; Eating disorders ; Humanities and Social Sciences ; Intervention ; multidisciplinary ; Outbreaks ; Pandemics ; Science</subject><ispartof>Scientific reports, 2022-02, Vol.12 (1), Article 3086</ispartof><rights>The Author(s) 2022</rights><rights>The Author(s) 2022. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c208w-f13f23e3e411b9b46799de3515d29325eed8fa39765aca2894441211c237f82d3</citedby><cites>FETCH-LOGICAL-c208w-f13f23e3e411b9b46799de3515d29325eed8fa39765aca2894441211c237f82d3</cites><orcidid>0000-0003-4311-3307</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2632035776/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2632035776?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,25731,27901,27902,36989,38493,43871,44566,74155,74869</link.rule.ids></links><search><creatorcontrib>Alessi, Janine</creatorcontrib><creatorcontrib>Becker, Alice Scalzilli</creatorcontrib><creatorcontrib>Amaral, Bibiana</creatorcontrib><creatorcontrib>de Oliveira, Giovana Berger</creatorcontrib><creatorcontrib>Franco, Debora Wilke</creatorcontrib><creatorcontrib>Knijnik, Carolina Padilla</creatorcontrib><creatorcontrib>Kobe, Gabriel Luiz</creatorcontrib><creatorcontrib>de Brito, Ariane</creatorcontrib><creatorcontrib>de Carvalho, Taíse Rosa</creatorcontrib><creatorcontrib>Telo, Guilherme Heiden</creatorcontrib><creatorcontrib>Schaan, Beatriz D.</creatorcontrib><creatorcontrib>Telo, Gabriela Heiden</creatorcontrib><title>RETRACTED ARTICLE: Type 1 diabetes and the challenges of emotional support in crisis situations: results from a randomized clinical trial of a multidisciplinary teleintervention</title><title>Scientific reports</title><addtitle>Sci Rep</addtitle><description>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 < 0.01). Both groups reported a similar self-perceived worsening of physical activity habits and mental health during the outbreak. There was no benefit to using the telehealth strategy proposed for emotional disorders in patients with type 1 diabetes during the COVID-19 outbreak. Further studies are needed to determine the impact on metabolic parameters and to understand why it is so difficult to emotionally support these patients.
Trail Registration:
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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 < 0.01). Both groups reported a similar self-perceived worsening of physical activity habits and mental health during the outbreak. There was no benefit to using the telehealth strategy proposed for emotional disorders in patients with type 1 diabetes during the COVID-19 outbreak. Further studies are needed to determine the impact on metabolic parameters and to understand why it is so difficult to emotionally support these patients.
Trail Registration:
ClinicalTrials.gov (NCT04344210), 14/04/2020.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><doi>10.1038/s41598-022-07005-w</doi><orcidid>https://orcid.org/0000-0003-4311-3307</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | 692/163/2743/137/1418 692/163/2743/137/1926 692/163/2743/348 692/700/459 COVID-19 Eating disorders Humanities and Social Sciences Intervention multidisciplinary Outbreaks Pandemics Science |
title | RETRACTED ARTICLE: Type 1 diabetes and the challenges of emotional support in crisis situations: results from a randomized clinical trial of a multidisciplinary teleintervention |
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