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- Title
Who benefits from diabetes self-management interventions? The influence of depression in the Latinos en Control trial.
- Authors
Wang, Monica; Lemon, Stephenie; Whited, Matthew; Rosal, Milagros; Wang, Monica L; Lemon, Stephenie C; Whited, Matthew C; Rosal, Milagros C
- Abstract
<bold>Background: </bold>Depressive symptoms are common among adults with diabetes. Depression and social support may influence diabetes self-management.<bold>Purpose: </bold>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.<bold>Methods: </bold>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.<bold>Results: </bold>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.<bold>Conclusion: </bold>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.
- Subjects
SELF-management (Psychology); PEOPLE with diabetes; MENTAL depression; HISPANIC Americans; RANDOMIZED controlled trials; DISEASES; PSYCHOLOGY
- Publication
Annals of Behavioral Medicine, 2014, Vol 48, Issue 2, p256
- ISSN
0883-6612
- Publication type
journal article
- DOI
10.1007/s12160-014-9606-y