Healthcare, Vol. 10, Pages 2290: Gender Specific Effect of Couple Based Intervention on Behavioral and Psychological Outcomes of Older Adults with Type 2 Diabetes during the COVID 19 Partial Lockdown in Guangzhou, China
Healthcare, Vol. 10, Pages 2290: Gender Specific Effect of Couple Based Intervention on Behavioral and Psychological Outcomes of Older Adults with Type 2 Diabetes during the COVID 19 Partial Lockdown in Guangzhou, China Healthcare doi: 10.3390/healthcare10112290 Authors: Conghui Yang Yingxin Xu Jingyi Zhi Huiqiong Zheng Zhenhua Sun Xueji Wu Jing Liao This study aimed to evaluate the gender specific effect of a couple based intervention on the management behaviors and mental well being of community dwelling older adults with type 2 diabetes mellitus during the COVID 19 partial lockdown in Guangzhou. Out of 207 participants involved in a prior randomized controlled trial (Trial no. ChiCTR1900027137), 156 (75%) completed the COVID 19 survey. Gendered differences in management behaviors and depressive symptoms between the couple based intervention group and the patient only control group were compared by distance to the high risk areas cross sectionally and longitudinally using random intercept models. Cross sectionally, female patients of the intervention group had more positive behavior change scores (β = 1.53, p = 0.002) and fewer depressive symptoms (β = -1.34, p = 0.02) than the control group. Over time, female patients lived closer to the high risk areas (<5 km) and showed decreasing depressive symptoms (β = -4.48, p = 0.008) in the intervention group vs. the control group. No statistically significant between group difference was found for males. Females tended to benefit more from the coupled based intervention than males did, particularly among these closer to the high risk areas. Chronic disease management can be better sustained with active spousal engagement.