Evidence map›Paper›PMID 37394817›Full record

ArticleJournal of primary care & community health

Unmet Needs and Coping Strategies of Older Underserved Veterans During the COVID-19 Pandemic.

Trenton M Haltom, Joyce Tiong, Tracy L Evans, Nipa Kamdar, Gala True, Mark E Kunik

Open access · goldAbstract read
In one paragraph

Article in Journal of primary care & community health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 27% 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

3 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

6 authors at 3 institutions in 1 country.

Trenton M HaltomVA HSR&D Center for Innovations in Quality, Effectiveness and Safety (IQuESt), Houston, TX, USA.ORCID 0000-0003-1116-4644
Joyce TiongBaylor College of Medicine, Houston, TX, USA.
Tracy L EvansVA HSR&D Center for Innovations in Quality, Effectiveness and Safety (IQuESt), Houston, TX, USA.
Nipa KamdarVA HSR&D Center for Innovations in Quality, Effectiveness and Safety (IQuESt), Houston, TX, USA.ORCID 0000-0003-4445-703X
Gala TrueSouth Central Mental Illness Research, Education, and Clinical Center (SC MIRECC), Houston, TX, USA.
Mark E KunikVA HSR&D Center for Innovations in Quality, Effectiveness and Safety (IQuESt), Houston, TX, USA.
Baylor College of Medicine · USMichael E. DeBakey VA Medical Center · USMental Illness Research, Education and Clinical Centers · US

Funding

Using Peer Navigators to increase access to VA and community resources for Veterans with diabetes-related distressI01HX002580 · VA · MICHAEL E DEBAKEY VA MEDICAL CENTER · PI KUNIK, MARK E. · 2019 to 2023
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HSRD VA I01 HX002580
6 · The paper itself

Abstract

introductionThe COVID-19 pandemic has had profound impacts on people with diabetes, a group with high morbidity and mortality. Factors like race, age, income, Veteran-status, and limited or interrupted resources early in the COVID-19 pandemic compounded risks for negative health outcomes. Our objective was to characterize the experiences and needs of under-resourced Veterans with type 2 diabetes during the COVID-19 pandemic.

methodsWe conducted semi-structured qualitative interviews (March through September 2021) with U.S. military Veterans with diabetes. Transcripts were analyzed using a team-based, iterative process of summarizing and coding to identify key themes. Participants included Veterans (n = 25) who were mostly men (84%), Black or African American (76%), older (mean age = 62.6), and low-income (<$20 000/year; 56%). Most participants self-reported moderate (36%) or severe (56%) diabetes-related distress.

resultsShutdowns and social distancing negatively impacted Veterans' social, mental, and physical health. Veterans reported feeling increased isolation, depression, stress, and unmet mental health needs. Their physical health was also negatively affected. Despite pandemic-related challenges, Veterans adapted with new technological skills, appreciating their families, staying active, and relying on their religious faith.

conclusionsVeterans' experiences during the pandemic revealed the importance of social support and access to technology. For those without social support, peer support could protect against negative health outcomes. Emergency-preparedness efforts for vulnerable patients with type 2 diabetes should include raising awareness about and increasing access to technological resources (eg, Zoom or telehealth platforms). Findings from this study will help tailor support programs for specific populations' needs in future health crises.

Indexed as

COVID-19Diabetes Mellitus, Type 2VeteransAdaptation, PsychologicalFemaleHumansMaleMiddle AgedPandemicscommunity healthCOVID-19diabetesqualitativeVeterans

Identifiers

PMID37394817
PMCPMC10315790
OpenAlexW4382919461

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.