Ann-Marie Rosland1, Edith Kieffer2, Michael Spencer2, Brandy Sinco2, Gloria Palmisano3, Melissa Valerio4, Emily Nicklett2, Michele Heisler5. 1. University of Michigan Medical School, Department of Internal Medicine, USA; VA Ann Arbor Center for Clinical Management Research, USA. Electronic address: arosland@umich.edu. 2. University of Michigan School of Social Work, USA. 3. REACH Detroit Partnership, Detroit, USA. 4. University of Michigan School of Public Health, Department of Health Behavior and Health Education, USA. 5. University of Michigan Medical School, Department of Internal Medicine, USA; VA Ann Arbor Center for Clinical Management Research, USA; University of Michigan School of Public Health, Department of Health Behavior and Health Education, USA.
Abstract
OBJECTIVE: Examine influences of diabetes-specific social support (D-SS) and depressive symptoms on glycemic control over time, among adults randomized to a diabetes self-management education and support (DSME/S) intervention or usual care. METHODS: Data were from 108 African-American and Latino participants in a 6-month intervention trial. Multivariable linear regression models assessed associations between baseline D-SS from family and friends and depressive symptoms with changes in HbA1c. We then examined whether baseline D-SS or depression moderated intervention-associated effects on HbA1c. RESULTS: Higher baseline D-SS was associated with larger improvements in HbA1c (adjusted ΔHbA1c -0.39% for each +1-point D-SS, p=0.02), independent of intervention-associated HbA1c decreases. Baseline depressive symptoms had no significant association with subsequent HbA1c change. Neither D-SS nor depression moderated intervention-associated effects on HbA1c. CONCLUSIONS AND PRACTICE IMPLICATIONS: Diabetes self-management education and support programs have potential to improve glycemic control for participants starting with varying levels of social support and depressive symptoms. Participants starting with more support for diabetes management from family and friends improved HbA1c significantly more over 6 months than those with less support, independent of additional significant DSME/S intervention-associated HbA1c improvements. Social support from family and friends may improve glycemic control in ways additive to DSME/S. Published by Elsevier Ireland Ltd.
RCT Entities:
OBJECTIVE: Examine influences of diabetes-specific social support (D-SS) and depressive symptoms on glycemic control over time, among adults randomized to a diabetes self-management education and support (DSME/S) intervention or usual care. METHODS: Data were from 108 African-American and Latino participants in a 6-month intervention trial. Multivariable linear regression models assessed associations between baseline D-SS from family and friends and depressive symptoms with changes in HbA1c. We then examined whether baseline D-SS or depression moderated intervention-associated effects on HbA1c. RESULTS: Higher baseline D-SS was associated with larger improvements in HbA1c (adjusted ΔHbA1c -0.39% for each +1-point D-SS, p=0.02), independent of intervention-associated HbA1c decreases. Baseline depressive symptoms had no significant association with subsequent HbA1c change. Neither D-SS nor depression moderated intervention-associated effects on HbA1c. CONCLUSIONS AND PRACTICE IMPLICATIONS: Diabetes self-management education and support programs have potential to improve glycemic control for participants starting with varying levels of social support and depressive symptoms. Participants starting with more support for diabetes management from family and friends improved HbA1c significantly more over 6 months than those with less support, independent of additional significant DSME/S intervention-associated HbA1c improvements. Social support from family and friends may improve glycemic control in ways additive to DSME/S. Published by Elsevier Ireland Ltd.
Entities:
Keywords:
Community health workers; Depression; Diabetes; Racial/ethnic minorities; Social support
Authors: Mary Ann Parris Stephens; Melissa M Franks; Karen S Rook; Masumi Iida; Rachel C Hemphill; James K Salem Journal: Health Psychol Date: 2012-10-01 Impact factor: 4.267
Authors: Ann Marie Rosland; John D Piette; Courtney R Lyles; Melissa M Parker; Howard H Moffet; Nancy E Adler; Dean Schillinger; Andrew J Karter Journal: Ann Behav Med Date: 2014-12
Authors: Addie L Fortmann; Scott C Roesch; Frank J Penedo; Carmen R Isasi; Mercedes R Carnethon; Leonor Corsino; Neil Schneiderman; Martha L Daviglus; Yanping Teng; Aida Giachello; Franklyn Gonzalez; Linda C Gallo Journal: J Behav Med Date: 2014-08-09
Authors: Mark Peyrot; Leonard E Egede; Carlos Campos; Anthony J Cannon; Martha M Funnell; William C Hsu; Laurie Ruggiero; Linda M Siminerio; Heather L Stuckey Journal: Curr Med Res Opin Date: 2014-08-18 Impact factor: 2.580
Authors: Rifky Tkatch; Shirley Musich; Stephanie MacLeod; Kathleen Alsgaard; Kevin Hawkins; Charlotte S Yeh Journal: Gerontol Geriatr Med Date: 2016-09-18
Authors: Ann-Marie Rosland; John D Piette; Ranak Trivedi; Eve A Kerr; Shelley Stoll; Adam Tremblay; Michele Heisler Journal: Trials Date: 2018-07-24 Impact factor: 2.279