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Ann Behav Med. 2014 Oct;48(2):256-64. doi: 10.1007/s12160-014-9606-y.

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

Author information

1
Division of Preventive and Behavioral Medicine, Department of Medicine, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA, 01655, USA, Monica.Wang@umassmed.edu.

Abstract

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.

PMID:
24664615
DOI:
10.1007/s12160-014-9606-y
[Indexed for MEDLINE]
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