Who benefits from diabetes self-management interventions? The influence of depression in the Latinos en Control trialUniversity of Massachusetts Medical School Faculty Publications
UMMS AffiliationDepartment of Medicine, Division of Preventive and Behavioral Medicine; UMass Worcester Prevention Research Center
AbstractBACKGROUND: 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.
DOI of Published Version10.1007/s12160-014-9606-y
SourceAnn Behav Med. 2014 Oct;48(2):256-64. doi: 10.1007/s12160-014-9606-y. Link to article on publisher's site
Related ResourcesLink to Article in PubMed
Citation InformationMonica L. Wang, Stephenie C. Lemon, Matthew C. Whited and Milagros C. Rosal. "Who benefits from diabetes self-management interventions? The influence of depression in the Latinos en Control trial" Vol. 48 Iss. 2 (2014) ISSN: 0883-6612 (Linking)
Available at: http://works.bepress.com/stephenie_lemon/80/