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：

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对患有2型糖尿病和中度焦虑和/或抑郁的成年人进行远程医疗支持的联合管理干预的前瞻性，非随机可行性和初步疗效研究

目的

这项试验性研究的主要目的是检验采用基于证据的2型糖尿病（T2DM）新兵训练营护理管理程序进行心理健康干预的代码可行性。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周的非随机先导性干预，在城市教学医院对便利人群进行了T2DM失控，中度抑郁和/或焦虑的成年人抽样研究。共同管理干预措施是通过面对面访问和远程医疗访问来实现的。在基线和90天时对参与者进行评估。

结果

参加者（n = 18）为非裔美国人，多数为女性（83％），年龄为50.7±13.4岁。通过减少患者健康调查问卷-9分2.4±2.9（P = .01）和广泛性焦虑症-7分2.3±1.9（P = .001）来衡量，证明了心理健康结局的显着改善。干预后的平均A1C改善了3.4±2.1个单位，从12％±1.4％提高到8.5％±1.7％（P <.001）。

结论

该试验中产生的数据支持通过结合亲自就诊和远程医疗就诊以使成年人患有T2DM并伴有中度抑郁症和/或焦虑症而进行糖尿病和心理健康联合管理干预的可行性。值得进一步研究。