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- Title
Impact of the COVID‐19 pandemic and lockdown restrictions on psychosocial and behavioural outcomes among Australian adults with type 2 diabetes: Findings from the PREDICT cohort study.
- Authors
Sacre, Julian W.; Holmes‐Truscott, Elizabeth; Salim, Agus; Anstey, Kaarin J.; Drummond, Grant R.; Huxley, Rachel R.; Magliano, Dianna J.; van Wijngaarden, Peter; Zimmet, Paul Z.; Speight, Jane; Shaw, Jonathan E.
- Abstract
Aim: To examine psychosocial and behavioural impacts of the novel coronavirus disease 2019 (COVID‐19) pandemic and lockdown restrictions among adults with type 2 diabetes. Methods: Participants enrolled in the PRogrEssion of DIabetic ComplicaTions (PREDICT) cohort study in Melbourne, Australia (n = 489 with a baseline assessment pre‐2020) were invited to complete a phone/online follow‐up assessment in mid‐2020 (i.e., amidst COVID‐19 lockdown restrictions). Repeated assessments that were compared with pre‐COVID‐19 baseline levels included anxiety symptoms (7‐item Generalised Anxiety Disorder scale [GAD‐7]), depressive symptoms (8‐item Patient Health Questionnaire [PHQ‐8]), diabetes distress (Problem Areas in Diabetes scale [PAID]), physical activity/sedentary behaviour, alcohol consumption and diabetes self‐management behaviours. Additional once‐off measures at follow‐up included COVID‐19‐specific worry, quality of life (QoL), and healthcare appointment changes (telehealth engagement and appointment cancellations/avoidance). Results: Among 470 respondents (96%; aged 66 ± 9 years, 69% men), at least 'moderate' worry about COVID‐19 infection was reported by 31%, and 29%–73% reported negative impacts on QoL dimensions (greatest for: leisure activities, feelings about the future, emotional well‐being). Younger participants reported more negative impacts (p < 0.05). Overall, anxiety/depressive symptoms were similar at follow‐up compared with pre‐COVID‐19, but diabetes distress reduced (p < 0.001). Worse trajectories of anxiety/depressive symptoms were observed among those who reported COVID‐19‐specific worry or negative QoL impacts (p < 0.05). Physical activity trended lower (~10%), but sitting time, alcohol consumption and glucose‐monitoring frequency remained unchanged. 73% of participants used telehealth, but 43% cancelled a healthcare appointment and 39% avoided new appointments despite perceived need. Conclusions: COVID‐19 lockdown restrictions negatively impacted QoL, some behavioural risk factors and healthcare utilisation in adults with type 2 diabetes. However, generalised anxiety and depressive symptoms remained relatively stable.
- Subjects
AUSTRALIA; SEDENTARY lifestyles; WELL-being; COVID-19; AGE distribution; BLOOD sugar monitoring; TYPE 2 diabetes; PHYSICAL activity; MEDICAL care use; PSYCHOLOGICAL tests; PSYCHOSOCIAL factors; HEALTH behavior; MENTAL depression; SYMPTOMS; ALCOHOL drinking; QUALITY of life; DESCRIPTIVE statistics; QUESTIONNAIRES; STAY-at-home orders; ANXIETY; WORRY; PATIENT compliance; COVID-19 pandemic; PEOPLE with diabetes; BEHAVIOR modification; PSYCHOLOGICAL distress; HEALTH self-care; TELEMEDICINE; DISEASE complications
- Publication
Diabetic Medicine, 2021, Vol 38, Issue 9, p1
- ISSN
0742-3071
- Publication type
Article
- DOI
10.1111/dme.14611