A Prospective, Non-randomized Feasibility and Preliminary Efficacy Study of a Telemedicine-Enabled Co-management Intervention for Adults With Type 2 Diabetes and Moderate Anxiety and/or Depression.
Citation: The Science Of Diabetes Self Management And Care. 47(2):144-152, 2021 Apr.PMID: 34078174Institution: MedStar Diabetes Institute | MedStar Health Research Institute | MedStar Washington Hospital CenterDepartment: Medicine/EndocrinologyForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: IN PROCESS -- NOT YET INDEXEDYear: 2021Abstract: CONCLUSION: The data generated in this pilot support the feasibility of delivering a diabetes and mental health co-management intervention using a combination of in-person and telemedicine visits to engage adults with T2DM and coexisting moderate depression and/or anxiety. Further research is warranted.METHODS: This was a 12-week, non-randomized pilot intervention conducted with a convenience sample of adults with uncontrolled T2DM and moderate depression and/or anxiety at an urban teaching hospital. Co-management intervention delivery was via in-person and telehealth visits. Participants were assessed at baseline and 90 days.PURPOSE: The primary aim of this pilot study was to examine the feasibility of codelivering a mental health intervention with an evidence-based type 2 diabetes (T2DM) boot camp care management program. The preliminary impact of participation on symptom scores for depression and anxiety and A1C was also examined.RESULTS: Participants (n = 18) were African American, majority female (83%), and age 50.7 +/- 13.4 years. Significant improvements in mental health outcomes were demonstrated, as measured by a reduction in Patient Health Questionnaire - 9 scores of 2.4 +/- 2.9 (P = .01) and in Generalized Anxiety Disorder - 7 scores of 2.3 +/- 1.9 (P = .001). The pre-post intervention mean A1C improved by 3.4 +/- 2.1 units from 12% +/- 1.4% to 8.5% +/- 1.7% (P < .001).Fiscal year: FY2021Digital Object Identifier: ORCID:- Nassar, Carine M:
- https://orcid.org/0000-0003-3674-1348
| Item type | Current library | Collection | Call number | Status | Date due | Barcode |
|---|---|---|---|---|---|---|
| Journal Article | MedStar Authors Catalog | Article | 34078174 | Available | 34078174 |
CONCLUSION: The data generated in this pilot support the feasibility of delivering a diabetes and mental health co-management intervention using a combination of in-person and telemedicine visits to engage adults with T2DM and coexisting moderate depression and/or anxiety. Further research is warranted.
METHODS: This was a 12-week, non-randomized pilot intervention conducted with a convenience sample of adults with uncontrolled T2DM and moderate depression and/or anxiety at an urban teaching hospital. Co-management intervention delivery was via in-person and telehealth visits. Participants were assessed at baseline and 90 days.
PURPOSE: The primary aim of this pilot study was to examine the feasibility of codelivering a mental health intervention with an evidence-based type 2 diabetes (T2DM) boot camp care management program. The preliminary impact of participation on symptom scores for depression and anxiety and A1C was also examined.
RESULTS: Participants (n = 18) were African American, majority female (83%), and age 50.7 +/- 13.4 years. Significant improvements in mental health outcomes were demonstrated, as measured by a reduction in Patient Health Questionnaire - 9 scores of 2.4 +/- 2.9 (P = .01) and in Generalized Anxiety Disorder - 7 scores of 2.3 +/- 1.9 (P = .001). The pre-post intervention mean A1C improved by 3.4 +/- 2.1 units from 12% +/- 1.4% to 8.5% +/- 1.7% (P < .001).
English