Monica L Wang1, Stephenie C Lemon, Matthew C Whited, Milagros C Rosal. 1. Division of Preventive and Behavioral Medicine, Department of Medicine, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA, 01655, USA, Monica.Wang@umassmed.edu.
Abstract
BACKGROUND:Depressive symptoms are common among adults with diabetes. Depression and social support may influence diabetes self-management. PURPOSE: This study aimed to examine change in depressive symptoms and the role of depression and support on clinical and dietary outcomes among Latinos with type 2 diabetes participating in a diabetes self-management intervention. METHODS:Participants (N = 252) were randomized to the intervention or usual care. Mixed effects models were used to examine interaction effects between intervention status and depressive symptoms (Centers for Epidemiologic Studies Depression (CES-D) score) and support for diabetes self-management behaviors at baseline. Outcomes were measured at baseline and 4 and 12 months and included dietary quality, physical activity, depressive symptoms, and hemoglobin A1c levels. RESULTS: Intervention participants had lower CES-D scores at follow-up than control participants. An interaction effect between intervention status and CES-D scores predicted diet quality. CONCLUSION: Latinos with depressive symptoms may derive the greatest benefits from diabetes self-management interventions. Additional research on support during diabetes self-management interventions is warranted.
RCT Entities:
BACKGROUND:Depressive symptoms are common among adults with diabetes. Depression and social support may influence diabetes self-management. PURPOSE: This study aimed to examine change in depressive symptoms and the role of depression and support on clinical and dietary outcomes among Latinos with type 2 diabetes participating in a diabetes self-management intervention. METHODS:Participants (N = 252) were randomized to the intervention or usual care. Mixed effects models were used to examine interaction effects between intervention status and depressive symptoms (Centers for Epidemiologic Studies Depression (CES-D) score) and support for diabetes self-management behaviors at baseline. Outcomes were measured at baseline and 4 and 12 months and included dietary quality, physical activity, depressive symptoms, and hemoglobin A1c levels. RESULTS: Intervention participants had lower CES-D scores at follow-up than control participants. An interaction effect between intervention status and CES-D scores predicted diet quality. CONCLUSION: Latinos with depressive symptoms may derive the greatest benefits from diabetes self-management interventions. Additional research on support during diabetes self-management interventions is warranted.
Authors: Angela P Gutierrez; Addie L Fortmann; Kimberly Savin; Taylor L Clark; Linda C Gallo Journal: Diabetes Educ Date: 2018-12-20 Impact factor: 2.140
Authors: Monica L Wang; Lauren Gellar; Brian H Nathanson; Lori Pbert; Yunsheng Ma; Ira Ockene; Milagros C Rosal Journal: J Acad Nutr Diet Date: 2014-12-26 Impact factor: 4.910
Authors: Sheila F Castañeda; Linda C Gallo; Melawhy L Garcia; Paulina M Mendoza; Angela P Gutierrez; Maria Lopez-Gurolla; Scott Roesch; Margaret S Pichardo; Fatima Muñoz; Gregory A Talavera Journal: Transl Behav Med Date: 2022-08-17 Impact factor: 3.626
Authors: Janett A Hildebrand; John Billimek; Jung-Ah Lee; Dara H Sorkin; Ellen F Olshansky; Stephen L Clancy; Lorraine S Evangelista Journal: Patient Educ Couns Date: 2019-09-09