UMass Chan Medical School Faculty Publications


Who benefits from diabetes self-management interventions? The influence of depression in the Latinos en Control trial

UMMS Affiliation

Department of Medicine, Division of Preventive and Behavioral Medicine; UMass Worcester Prevention Research Center

Publication Date


Document Type



Behavior and Behavior Mechanisms | Endocrine System Diseases | Endocrinology, Diabetes, and Metabolism | Mental and Social Health | Psychiatric and Mental Health | Psychology | Public Health


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.

DOI of Published Version



Ann Behav Med. 2014 Oct;48(2):256-64. doi: 10.1007/s12160-014-9606-y. Link to article on publisher's site

Related Resources

Link to Article in PubMed

Journal/Book/Conference Title

Annals of behavioral medicine : a publication of the Society of Behavioral Medicine

PubMed ID