Volunteer peer support, diabetes, and depressive symptoms: Results from the ENCOURAGE trial

Autor: Yulia Khodneva, Monika M. Safford, Joshua Richman, Christopher Gamboa, Susan Andreae, Andrea Cherrington
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Zdroj: Journal of Clinical & Translational Endocrinology, Vol 4, Iss C, Pp 38-44 (2016)
Druh dokumentu: article
ISSN: 2214-6237
DOI: 10.1016/j.jcte.2016.04.002
Popis: Aims: Depression in diabetes mellitus (DM) is common and is associated with poor health outcomes. Peer support DM interventions include encouraging interactions that could improve depressive symptoms. We examined intervention effects for those with and without depressive symptoms in a peer support trial. Methods: The 1-year ENCOURAGE trial included 424 persons with DM living in rural Alabama. Intervention participants worked with community volunteers who encouraged participants to engage in daily self-management; control arm participants received usual care. Outcomes included HbA1c, body mass index (BMI) and quality of life (QoL) with EuroQuol-5D (range 0.0–1.0). Depressive symptoms were assessed with the Patient Health Questionnaire (PHQ-8, range 0–24). Generalized Additive Models (GAM) examined control–intervention differences in changes in HbA1c, BMI, and QoL for those with PHQ-8 ≥ 5 and PHQ-8
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