Who Benefits from Diabetes Self-Management Interventions? The Influence of Depression in the Latinos en Control Trial. Issue 2 (25th March 2014)

• Record Type: Journal Article
• Authors: Wang, Monica L.; Lemon, Stephenie C.; Whited, Matthew C.; Rosal, Milagros C.
• Is Part Of: Annals of behavioral medicine. Volume 48:Issue 2(2014)
• Page Start: 256
• Page End: 264
• Publication Date: 2014-03-25
• Subjects: Diabetes self-management -- Intervention -- Depression -- Social support -- Diet -- Health disparities -- Latinos/Hispanics; Medicine and psychology -- Periodicals; Sick -- Psychology -- Periodicals; Behavioral Medicine; 616.0019
• DOI: 10.1007/s12160-014-9606-y
• Languages: English
• ISSNs: 0883-6612

Abstract

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.