RETRACTED ARTICLE: Type 1 diabetes and the challenges of emotional support in crisis situations: results from a randomized clinical trial of a multidisciplinary teleintervention
Authors: Giovana Berger de Oliveira
Debora Wilke Franco
Guilherme Heiden Telo
Gabriela Heiden Telo
Carolina Padilla Knijnik
Bibiana Amaral
Janine Alessi
Taíse Rosa de Carvalho
Beatriz D Schaan
Ariane de Brito
Gabriel Luiz Kobe
Alice Scalzilli Becker
Journal: Scientific Reports (2022)
Discipline: Multidisciplinary
Keywords: type 1 diabetes; mental health disorders; teleguided intervention; emotional disorders; COVID-19 outbreak
Affiliations: Medical Science Program: Endocrinology, Universidade Federal do Rio Grande do Sul, Rua Ramiro Barcelos, 2350, prédio 12, 4° andar, Porto Alegre, RS, 90035-003, Brazil. ., Internal Medicine Department, Hospital São Lucas-Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Brazil. ., School of Medicine, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Brazil., Medical and Health Sciences Program, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Brazil., Medical Science Program: Endocrinology, Universidade Federal do Rio Grande do Sul, Rua Ramiro Barcelos, 2350, prédio 12, 4° andar, Porto Alegre, RS, 90035-003, Brazil., School of Medicine, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil., Endocrinology Division, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil., National Institute of Science and Technology for Health Technology Assessment (IATS)-CNPq/Brazil, Porto Alegre, Brazil., Internal Medicine Department, Hospital São Lucas-Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Brazil.

Abstract:  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 &lt; 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. 

Retracted: Yes

PubPeer comments:
 Retraction, 11 March 2022: https: www.nature.com articles s41598-022-08539-9  The Editors are retracting this Article. Owing to an administration error this Article was inadvertently published before the peer review process was complete. The Editors apologise to the Authors and to readers for this error. Author Janine Alessi stated on behalf of all co-authors that they agree with this retraction and its wording. ,