Who benefits from diabetes self-management interventions? The influence of depression in the Latinos en Control trial
Department of Medicine, Division of Preventive and Behavioral Medicine; UMass Worcester Prevention Research Center
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
Annals of behavioral medicine : a publication of the Society of Behavioral Medicine
Wang, Monica L.; Lemon, Stephenie C.; Whited, Matthew C.; and Rosal, Milagros C., "Who benefits from diabetes self-management interventions? The influence of depression in the Latinos en Control trial" (2014). University of Massachusetts Medical School Faculty Publications. 704.