Integrating Type 2 Diabetes Mellitus and Depression Treatment Among African Americans: A Randomized Controlled Pilot Trial

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dc.contributor.authorBogner, H. R.
dc.contributor.authorde Vries, H. F.
dc.date.accessioned2019-08-14T15:02:19Z
dc.date.available2019-08-14T15:02:19Z
dc.date.issued2010
dc.description.abstractPurpose The purpose of this study was to examine whether integrating depression treatment into care for type 2 diabetes mellitus among older African Americans improved medication adherence, glycemic control, and depression outcomes. Methods Older African Americans prescribed pharmacotherapy for type 2 diabetes mellitus and depression from physicians at a large primary care practice in west Philadelphia were randomly assigned to an integrated care intervention or usual care. Adherence was assessed at baseline, 2, 4, and 6 weeks using the Medication Event Monitoring System to assess adherence. Outcomes assessed at baseline and 12 weeks included standard laboratory tests to measure glycemic control and the Center for Epidemiologic Studies Depression Scale (CES-D) to assess depression. Results In all, 58 participants aged 50 to 80 years participated. The proportion of participants who had 80% or greater adherence to an oral hypoglycemic (intervention 62.1% vs usual care 24.1%) and an antidepressant (intervention 62.1% vs usual care 10.3%) was greater in the intervention group in comparison with the usual care group at 6 weeks. Participants in the integrated care intervention had lower levels of glycosylated hemoglobin (intervention 6.7% vs usual care 7.9%) and fewer depressive symptoms (CES-D mean scores: intervention 9.6 vs usual care 16.6) compared with participants in the usual care group at 12 weeks. Conclusion A pilot randomized controlled trial integrating type 2 diabetes mellitus treatment and depression was successful in improving outcomes among older African Americans. Integrated interventions may be more feasible and effective in real-world practices with competing demands for limited resources.
dc.description.urihttp://dx.doi.org/10.1177/0145721709356115
dc.identifierhttps://doi.org/10.13016/uz4b-biwg
dc.identifier.citationBogner, H. R. and de Vries, H. F. (2010) Integrating Type 2 Diabetes Mellitus and Depression Treatment Among African Americans: A Randomized Controlled Pilot Trial. The Diabetes Educator, 36 (2). pp. 284-292.
dc.identifier.issn0145-7217
dc.identifier.otherEprint ID 2520
dc.identifier.urihttp://hdl.handle.net/1903/23203
dc.subjectDiabetes
dc.subjectMental Health
dc.subjectinterventions
dc.subjectResearch
dc.subjectdepression treatment
dc.subjectglycemic control
dc.subjectdepression outcomes
dc.subjectOlder African Americans
dc.subjecttype 2 diabetes mellitus treatment
dc.titleIntegrating Type 2 Diabetes Mellitus and Depression Treatment Among African Americans: A Randomized Controlled Pilot Trial
dc.typeArticle

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