Literature DB >> 35776001

Effectiveness of an integrated primary care intervention in improving psychosocial outcomes among Latino adults with diabetes: the LUNA-D study.

Sheila F Castañeda1,2, Linda C Gallo1,2, Melawhy L Garcia3, Paulina M Mendoza1,2, Angela P Gutierrez1, Maria Lopez-Gurolla1,2, Scott Roesch1,2, Margaret S Pichardo4,5, Fatima Muñoz6, Gregory A Talavera1,2.   

Abstract

OBJECTIVE: To compare the effectiveness of usual care (UC) versus a culturally tailored integrated care model in improving mental health symptoms for Latino patients with Type 2 diabetes mellitus (T2DM).
METHODS: We conducted a two-arm randomized controlled trial from 2015 to 2019 at a federally qualified health center. Participants were 456 adults ages 23-80 years who had a previous diagnosis of T2DM and were not currently using insulin. Participants were randomly assigned to Integrated Care Intervention (ICI; including behavioral/mental healthcare, medical visits, health education and care coordination) or UC; standard of care including referrals for health education and behavioral/mental health care where appropriate. Intention-to-treat, multilevel models were used to compare group × time changes in depression and anxiety symptoms (PHQ-8; GAD-7) and perceived stress (PSS-10) across 6 months.
RESULTS: Participant mean age was 55.7 years, 36.3% were male, and 63.7% were primarily Spanish speaking. Baseline sociodemographic factors and mental health symptoms across study arms were balanced. Significant group × time interaction effects were observed for anxiety and depression symptoms (p < .05). Within the ICI and UC groups, mean depression symptom changes were -0.93 and -0.39 (p < .01); anxiety symptom changes were -0.97 (p < .01) and -0.11 (p = .35); and perceived stress changes were -1.56 and -1.27 (p < .01), respectively.
CONCLUSIONS: Although both ICI and UC showed decreases over time, the ICI group evidenced larger, statistically significant changes in both depression and anxiety. Adapted integrated models of behavioral and chronic disease management appear to be effective and could be considered for usual care practices. CLINICALTRIALS.GOV IDENTIFIER: NCT03983499. © Society of Behavioral Medicine 2022. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Entities:  

Keywords:  Hispanic/Latino; Integrated care; Mental health symptoms; Primary care

Mesh：

Year:  2022        PMID： 35776001      PMCID： PMC9385125          DOI： 10.1093/tbm/ibac042

Source DB:  PubMed          Journal:  Transl Behav Med        ISSN： 1613-9860            Impact factor:   3.626


  33 in total

1.  Effectiveness of Diabetes Self-Management Education Programs for US Latinos at Improving Emotional Distress: A Systematic Review.

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

2.  Standards of medical care in diabetes--2013.

Authors: 
Journal:  Diabetes Care       Date:  2013-01       Impact factor: 19.112

3.  Cardiovascular disease risk factors and psychological distress among Hispanics/Latinos: The Hispanic Community Health Study/Study of Latinos (HCHS/SOL).

Authors:  Sheila F Castañeda; Christina Buelna; Rebeca Espinoza Giacinto; Linda C Gallo; Daniela Sotres-Alvarez; Patricia Gonzalez; Addie L Fortmann; Sylvia Wassertheil-Smoller; Marc D Gellman; Aida L Giachello; Gregory A Talavera
Journal:  Prev Med       Date:  2016-02-26       Impact factor: 4.018

4.  2017 National Standards for Diabetes Self-Management Education and Support.

Authors:  Joni Beck; Deborah A Greenwood; Lori Blanton; Sandra T Bollinger; Marcene K Butcher; Jo Ellen Condon; Marjorie Cypress; Priscilla Faulkner; Amy Hess Fischl; Theresa Francis; Leslie E Kolb; Jodi M Lavin-Tompkins; Janice MacLeod; Melinda Maryniuk; Carolé Mensing; Eric A Orzeck; David D Pope; Jodi L Pulizzi; Ardis A Reed; Andrew S Rhinehart; Linda Siminerio; Jing Wang
Journal:  Diabetes Educ       Date:  2018-12-17       Impact factor: 2.140

Review 5.  The effectiveness of disease and case management for people with diabetes. A systematic review.

Authors:  Susan L Norris; Phyllis J Nichols; Carl J Caspersen; Russell E Glasgow; Michael M Engelgau; Leonard Jack; George Isham; Susan R Snyder; Vilma G Carande-Kulis; Sanford Garfield; Peter Briss; David McCulloch
Journal:  Am J Prev Med       Date:  2002-05       Impact factor: 5.043

6.  A brief measure for assessing generalized anxiety disorder: the GAD-7.

Authors:  Robert L Spitzer; Kurt Kroenke; Janet B W Williams; Bernd Löwe
Journal:  Arch Intern Med       Date:  2006-05-22

7.  Cost-effectiveness and net benefit of enhanced treatment of depression for older adults with diabetes and depression.

Authors:  Wayne Katon; Jürgen Unützer; Ming-Yu Fan; John W Williams; Michael Schoenbaum; Elizabeth H B Lin; Enid M Hunkeler
Journal:  Diabetes Care       Date:  2006-02       Impact factor: 19.112

Review 8.  Translating what we have learned into practice. Principles and hypotheses for interventions addressing multiple behaviors in primary care.

Authors:  Russell E Glasgow; Michael G Goldstein; Judith K Ockene; Nicolaas P Pronk
Journal:  Am J Prev Med       Date:  2004-08       Impact factor: 5.043

9.  Ethnic differences in psychological outcomes among people with diabetes: USA results from the second Diabetes Attitudes, Wishes, and Needs (DAWN2) study.

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

10.  Comparative effectiveness of peer leaders and community health workers in diabetes self-management support: results of a randomized controlled trial.

Authors:  Tricia S Tang; Martha Funnell; Brandy Sinco; Gretchen Piatt; Gloria Palmisano; Michael S Spencer; Edith C Kieffer; Michele Heisler
Journal:  Diabetes Care       Date:  2014-04-10       Impact factor: 19.112
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