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.

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.

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).

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.

中文翻译：

---

一项针对成人 2 型糖尿病和中度焦虑和/或抑郁症的远程医疗共同管理干预的前瞻性、非随机可行性和初步疗效研究

目的

这项试点研究的主要目的是检查通过循证 2 型糖尿病 (T2DM) 新兵训练营护理管理计划共同实施心理健康干预的可行性。还检查了参与对抑郁和焦虑症状评分和 A1C 的初步影响。

方法

这是一项为期 12 周的非随机试点干预，在城市教学医院对患有不受控制的 T2DM 和中度抑郁和/或焦虑的成年人进行了便利样本。通过面对面和远程医疗访问提供共同管理干预。在基线和 90 天时对参与者进行评估。

结果

参与者 (n = 18) 是非裔美国人，大多数为女性 (83%)，年龄为 50.7 ± 13.4 岁。表现出心理健康结果的显着改善，表现为患者健康问卷 - 9 分 2.4 ± 2.9 ( P = .01) 和广泛性焦虑症 - 7 分 2.3 ± 1.9 ( P = .001) 的减少。干预前后平均 A1C 提高了 3.4 ± 2.1 个单位，从 12% ± 1.4% 提高到 8.5% ± 1.7% ( P < .001)。

结论

该试点中生成的数据支持使用面对面和远程医疗访问相结合的方式提供糖尿病和心理健康共同管理干预的可行性，以吸引患有 T2DM 并同时存在中度抑郁和/或焦虑的成年人。进一步的研究是有必要的。