Evidence map›Paper›PMID 37120574›Full record

ArticleScientific reports2023

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

Medha Munshi, Christine Slyne, Katie Weinger, Sarah Sy, Kayla Sifre, Amy Michals, Dai'Quann Davis, Rachel Dewar, Astrid Atakov-Castillo, Saira Haque and 3 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 35% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 4 institutions in 1 country.

Medha MunshiJoslin Diabetes Center, One Joslin Place, Boston, MA, 02215, USA. mmunshi@bidmc.harvard.edu.
Christine SlyneJoslin Diabetes Center, One Joslin Place, Boston, MA, 02215, USA.
Katie WeingerJoslin Diabetes Center, One Joslin Place, Boston, MA, 02215, USA.
Sarah SyJoslin Diabetes Center, One Joslin Place, Boston, MA, 02215, USA.
Kayla SifreJoslin Diabetes Center, One Joslin Place, Boston, MA, 02215, USA.
Amy MichalsJoslin Diabetes Center, One Joslin Place, Boston, MA, 02215, USA.
Dai'Quann DavisJoslin Diabetes Center, One Joslin Place, Boston, MA, 02215, USA.
Rachel DewarJoslin Diabetes Center, One Joslin Place, Boston, MA, 02215, USA.
Astrid Atakov-CastilloJoslin Diabetes Center, One Joslin Place, Boston, MA, 02215, USA.
Saira HaqueRTI International, Research Triangle Park, NC, USA.
M Stirling CummingsRTI International, Research Triangle Park, NC, USA.
Stephen L BrownRTI International, Research Triangle Park, NC, USA.
Elena ToschiJoslin Diabetes Center, One Joslin Place, Boston, MA, 02215, USA.
Joslin Diabetes Center · USRTI International · USBeth Israel Deaconess Medical Center · USHarvard University · US

Funding

SPECIAL ASSAY COREP30DK036836 · NIDDK · JOSLIN DIABETES CENTER · PI ROHIT N. KULKARNI · 1986 to 2026
$50.5M
Use of Continuous Glucose Monitoring with Automated Clinical Decision Support to Reduce Hypoglycemia in Older Adults with Type 1 DiabetesDP3DK112214 · NIDDK · JOSLIN DIABETES CENTER · PI MUNSHI, MEDHA N, STEIL, GARRY MICHAEL · 2016 to 2016
$4.0M
NIDDK NIH HHS DP3 DK112214NIDDK NIH HHS P30 DK036836
6 · The paper itself

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.

Indexed as

COVID-19Diabetes Mellitus, Type 1AgedHumansPandemicsQuality of LifeSelf Care

Identifiers

PMID37120574
PMCPMC10148576
OpenAlexW4367394119

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.