{"doi":"10.1016/j.pecinn.2023.100163","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.","journal":"PEC Innovation","year":2023,"id":381905,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":3,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.7171,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2023-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1148190,"name":"Sarah Filec","orcid":null,"position":1,"is_corresponding":false},{"id":110279,"name":"Marina Serper","orcid":"0000-0003-4899-2160","position":2,"is_corresponding":false},{"id":110280,"name":"Lauren Opsasnick","orcid":"0000-0001-6345-7276","position":3,"is_corresponding":false},{"id":110285,"name":"Stephanie Batio","orcid":null,"position":4,"is_corresponding":false},{"id":110281,"name":"Rachel O’Conor","orcid":"0000-0001-5104-9531","position":5,"is_corresponding":false},{"id":110282,"name":"Laura M. Curtis","orcid":"0000-0003-2380-2201","position":6,"is_corresponding":false},{"id":110291,"name":"Mary Kwasny","orcid":"0000-0003-3287-1903","position":7,"is_corresponding":false},{"id":110283,"name":"Julia Yoshino Benavente","orcid":"0000-0003-0549-1809","position":8,"is_corresponding":false},{"id":110284,"name":"Guisselle Wismer","orcid":"0000-0002-2407-662X","position":9,"is_corresponding":false},{"id":1092051,"name":"Morgan Bonham","orcid":null,"position":10,"is_corresponding":false},{"id":110287,"name":"Pauline Zheng","orcid":"0000-0003-1380-6305","position":11,"is_corresponding":false},{"id":340427,"name":"Rebecca Lovett","orcid":"0000-0003-0169-9485","position":12,"is_corresponding":false},{"id":110289,"name":"Marina Arvanitis","orcid":"0000-0002-2186-5164","position":13,"is_corresponding":false},{"id":110290,"name":"Daniela P. Ladner","orcid":"0000-0001-5526-8272","position":14,"is_corresponding":false},{"id":867205,"name":"Kirsten McCaffery","orcid":"0000-0003-2696-5006","position":15,"is_corresponding":false},{"id":110294,"name":"Jeffrey A. Linder","orcid":"0000-0003-2217-184X","position":16,"is_corresponding":false},{"id":110295,"name":"Stacy Cooper Bailey","orcid":"0000-0002-2566-3789","position":17,"is_corresponding":false},{"id":110278,"name":"Michael S. Wolf","orcid":"0000-0002-4342-6517","position":18,"is_corresponding":false},{"id":110288,"name":"Andrea M. Russell","orcid":"0000-0001-6869-9581","position":0,"is_corresponding":true}],"reference_count":69,"raw_metadata":null,"created_at":"2026-07-19T01:17:12.933204Z","pmid":"37197693","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}