Impact of COVID-19 on the capacity to self-manage health and chronic conditions

Andrea Russell; Sarah Filec; Marina Serper; Lauren Opsasnick; Stephanie Batio; Rachel M. O'Conor; Laura Curtis; Mary Kwasny; Julia Yoshino Benavente; Guisselle Wismer; Morgan Bonham; Pauline Zheng; Rebecca Lovett; Marina Arvanitis; Daniela P. Ladner; Kirsten McCaffery; Jeffrey A. Linder; Stacy Cooper Bailey; Michael S. Wolf

doi:10.1016/j.pecinn.2023.100163

Impact of COVID-19 on the capacity to self-manage health and chronic conditions

Andrea Russell^*, Sarah Filec, Marina Serper, Lauren Opsasnick, Stephanie Batio, Rachel M. O'Conor, Laura Curtis, Mary Kwasny, Julia Yoshino Benavente, Guisselle Wismer, Morgan Bonham, Pauline Zheng, Rebecca Lovett, Marina Arvanitis, Daniela P. Ladner, Kirsten McCaffery, Jeffrey A. Linder, Stacy Cooper Bailey, Michael S. Wolf

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

Objective: To investigate well-being, lifestyle behaviors, self-management capacity and healthcare utilization among adults with chronic conditions at the outbreak of the COVID-19 pandemic. Methods: Data was collected from two interviewer-administered telephone surveys conducted between March 27 – May 22, 2020. Participants were patients at Chicago-area clinics. Self-report and validated measures were used for study-related outcomes. Results: A total of 553 participants (age range 23–88) completed data collection at both timepoints. One in five (20.7%) participants experienced stress due to the coronavirus most or all the time and rates of negative well-being were high (WHO-5 Index mean = 58.7%). Almost a quarter (22.3%) engaged in hazardous drinking and 79.7% reported insufficient physical activity. Nearly one in four participants (23.7%) avoided seeking medical care due to worry about COVID-19. In multivariable analyses, greater COVID-19 related stress was associated with less physical activity, lower self-efficacy, greater difficulty managing health and medications, and delays in seeking medical care due to the coronavirus. Conclusions: Mental well-being, lifestyle behaviors, self-management capacity, and healthcare utilization were impacted in the months following the COVID outbreak. Innovation: These findings suggest health systems should implement proactive measures for detecting and treating emotional and behavioral COVID-related concerns.

Original language	English (US)
Article number	100163
Journal	PEC Innovation
Volume	2
DOIs	https://doi.org/10.1016/j.pecinn.2023.100163
State	Published - Dec 2023

Funding

This work was supported by National Institutes of Health projects ( R01AG030611 ; R01AG046352 ; R01DK110172 ; R01NR01544 and P30AG059988 ).

Keywords

Behavior
COVID-19
Chronic conditions
Coronavirus
Patient
Physical activity
Self-management
Well-being

ASJC Scopus subject areas

Public Health, Environmental and Occupational Health
Medicine (miscellaneous)

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1016/j.pecinn.2023.100163

Cite this

Russell, A., Filec, S., Serper, M., Opsasnick, L., Batio, S., O'Conor, R. M., Curtis, L., Kwasny, M., Benavente, J. Y., Wismer, G., Bonham, M., Zheng, P., Lovett, R., Arvanitis, M., Ladner, D. P., McCaffery, K., Linder, J. A., Bailey, S. C., & Wolf, M. S. (2023). Impact of COVID-19 on the capacity to self-manage health and chronic conditions. PEC Innovation, 2, Article 100163. https://doi.org/10.1016/j.pecinn.2023.100163

@article{6a6f4108bedd4a73b58c7254f74d6490,

title = "Impact of COVID-19 on the capacity to self-manage health and chronic conditions",

abstract = "Objective: To investigate well-being, lifestyle behaviors, self-management capacity and healthcare utilization among adults with chronic conditions at the outbreak of the COVID-19 pandemic. Methods: Data was collected from two interviewer-administered telephone surveys conducted between March 27 – May 22, 2020. Participants were patients at Chicago-area clinics. Self-report and validated measures were used for study-related outcomes. Results: A total of 553 participants (age range 23–88) completed data collection at both timepoints. One in five (20.7%) participants experienced stress due to the coronavirus most or all the time and rates of negative well-being were high (WHO-5 Index mean = 58.7%). Almost a quarter (22.3%) engaged in hazardous drinking and 79.7% reported insufficient physical activity. Nearly one in four participants (23.7%) avoided seeking medical care due to worry about COVID-19. In multivariable analyses, greater COVID-19 related stress was associated with less physical activity, lower self-efficacy, greater difficulty managing health and medications, and delays in seeking medical care due to the coronavirus. Conclusions: Mental well-being, lifestyle behaviors, self-management capacity, and healthcare utilization were impacted in the months following the COVID outbreak. Innovation: These findings suggest health systems should implement proactive measures for detecting and treating emotional and behavioral COVID-related concerns.",

keywords = "Behavior, COVID-19, Chronic conditions, Coronavirus, Patient, Physical activity, Self-management, Well-being",

author = "Andrea Russell and Sarah Filec and Marina Serper and Lauren Opsasnick and Stephanie Batio and O'Conor, {Rachel M.} and Laura Curtis and Mary Kwasny and Benavente, {Julia Yoshino} and Guisselle Wismer and Morgan Bonham and Pauline Zheng and Rebecca Lovett and Marina Arvanitis and Ladner, {Daniela P.} and Kirsten McCaffery and Linder, {Jeffrey A.} and Bailey, {Stacy Cooper} and Wolf, {Michael S.}",

note = "Publisher Copyright: {\textcopyright} 2023",

year = "2023",

month = dec,

doi = "10.1016/j.pecinn.2023.100163",

language = "English (US)",

volume = "2",

journal = "PEC Innovation",

issn = "2772-6282",

publisher = "Elsevier B.V.",

}

Russell, A, Filec, S, Serper, M, Opsasnick, L, Batio, S, O'Conor, RM , Curtis, L , Kwasny, M , Benavente, JY, Wismer, G, Bonham, M, Zheng, P, Lovett, R, Arvanitis, M, Ladner, DP, McCaffery, K, Linder, JA , Bailey, SC & Wolf, MS 2023, 'Impact of COVID-19 on the capacity to self-manage health and chronic conditions', PEC Innovation, vol. 2, 100163. https://doi.org/10.1016/j.pecinn.2023.100163

TY - JOUR

T1 - Impact of COVID-19 on the capacity to self-manage health and chronic conditions

AU - Russell, Andrea

AU - Filec, Sarah

AU - Serper, Marina

AU - Opsasnick, Lauren

AU - Batio, Stephanie

AU - O'Conor, Rachel M.

AU - Curtis, Laura

AU - Kwasny, Mary

AU - Benavente, Julia Yoshino

AU - Wismer, Guisselle

AU - Bonham, Morgan

AU - Zheng, Pauline

AU - Lovett, Rebecca

AU - Arvanitis, Marina

AU - Ladner, Daniela P.

AU - McCaffery, Kirsten

AU - Linder, Jeffrey A.

AU - Bailey, Stacy Cooper

AU - Wolf, Michael S.

PY - 2023/12

Y1 - 2023/12

N2 - Objective: To investigate well-being, lifestyle behaviors, self-management capacity and healthcare utilization among adults with chronic conditions at the outbreak of the COVID-19 pandemic. Methods: Data was collected from two interviewer-administered telephone surveys conducted between March 27 – May 22, 2020. Participants were patients at Chicago-area clinics. Self-report and validated measures were used for study-related outcomes. Results: A total of 553 participants (age range 23–88) completed data collection at both timepoints. One in five (20.7%) participants experienced stress due to the coronavirus most or all the time and rates of negative well-being were high (WHO-5 Index mean = 58.7%). Almost a quarter (22.3%) engaged in hazardous drinking and 79.7% reported insufficient physical activity. Nearly one in four participants (23.7%) avoided seeking medical care due to worry about COVID-19. In multivariable analyses, greater COVID-19 related stress was associated with less physical activity, lower self-efficacy, greater difficulty managing health and medications, and delays in seeking medical care due to the coronavirus. Conclusions: Mental well-being, lifestyle behaviors, self-management capacity, and healthcare utilization were impacted in the months following the COVID outbreak. Innovation: These findings suggest health systems should implement proactive measures for detecting and treating emotional and behavioral COVID-related concerns.

AB - Objective: To investigate well-being, lifestyle behaviors, self-management capacity and healthcare utilization among adults with chronic conditions at the outbreak of the COVID-19 pandemic. Methods: Data was collected from two interviewer-administered telephone surveys conducted between March 27 – May 22, 2020. Participants were patients at Chicago-area clinics. Self-report and validated measures were used for study-related outcomes. Results: A total of 553 participants (age range 23–88) completed data collection at both timepoints. One in five (20.7%) participants experienced stress due to the coronavirus most or all the time and rates of negative well-being were high (WHO-5 Index mean = 58.7%). Almost a quarter (22.3%) engaged in hazardous drinking and 79.7% reported insufficient physical activity. Nearly one in four participants (23.7%) avoided seeking medical care due to worry about COVID-19. In multivariable analyses, greater COVID-19 related stress was associated with less physical activity, lower self-efficacy, greater difficulty managing health and medications, and delays in seeking medical care due to the coronavirus. Conclusions: Mental well-being, lifestyle behaviors, self-management capacity, and healthcare utilization were impacted in the months following the COVID outbreak. Innovation: These findings suggest health systems should implement proactive measures for detecting and treating emotional and behavioral COVID-related concerns.

KW - Behavior

KW - COVID-19

KW - Chronic conditions

KW - Coronavirus

KW - Patient

KW - Physical activity

KW - Self-management

KW - Well-being

UR - http://www.scopus.com/inward/record.url?scp=85159206241&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85159206241&partnerID=8YFLogxK

U2 - 10.1016/j.pecinn.2023.100163

DO - 10.1016/j.pecinn.2023.100163

M3 - Article

C2 - 37197693

AN - SCOPUS:85159206241

SN - 2772-6282

VL - 2

JO - PEC Innovation

JF - PEC Innovation

M1 - 100163

ER -

Impact of COVID-19 on the capacity to self-manage health and chronic conditions

Abstract

Funding

Keywords

ASJC Scopus subject areas

UN SDGs

Access to Document

Other files and links

Fingerprint

Cite this