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The Impact of a Mobile Diabetes Health Intervention on Diabetes Distress and Depression Among Adults: Secondary Analysis of a Cluster Randomized Controlled Trial

Authors :
Quinn, Charlene C
Swasey, Krystal K
Crabbe, J Christopher F
Shardell, Michelle D
Terrin, Michael L
Barr, Erik A
Gruber-Baldini, Ann L
Source :
JMIR mHealth and uHealth, Vol 5, Iss 12, p e183 (2017)
Publication Year :
2017
Publisher :
JMIR Publications, 2017.

Abstract

BackgroundDiabetes is a complex, demanding disease that requires the constant attention of patients. The burden of self-management, including different medication regimens, routine self-care activities, and provider visits, has an impact on patients’ emotional well-being. Diabetes distress and depression are two important components of emotional well-being that may negatively affect diabetes outcomes. ObjectiveThe aim was to determine the impact of the 1-year Mobile Diabetes Intervention Study cluster randomized clinical trial on emotional well-being measured by diabetes distress and depression among adults with type 2 diabetes (T2D). MethodsA total of 163 adults with not-well-managed T2D were enrolled from community primary care practices. Primary care practices were cluster randomized into either a usual care control group or intervention group. Intervention participants were given a mobile phone with coaching software including a Web portal to communicate with providers. A priori established secondary outcomes included distress measured by the Diabetes Distress Scale (DDS), with subscales measuring emotional burden, interpersonal distress, physician-related distress, and regimen-related distress, as well as depression measured by the Patient Health Questionnaire (PHQ-9). Linear mixed models were used to calculate the effect of the intervention on diabetes distress levels over time, both overall and separately by sex, and to determine if the intervention affected distress or depression. The impact of total DDS on changes in HbA1c was also studied. ResultsThere were no significant treatment group effects for DDS total (baseline: P=.07; differences over time: P=.38) or for depression (P=.06 over time). Significant declines in total DDS were observed over the 12-month intervention period (P=.01). Regimen-related distress significantly decreased for all study participants (P

Details

Language :
English
ISSN :
22915222
Volume :
5
Issue :
12
Database :
Directory of Open Access Journals
Journal :
JMIR mHealth and uHealth
Publication Type :
Academic Journal
Accession number :
edsdoj.41a1aadd0d434e60a72c2e49364364c7
Document Type :
article
Full Text :
https://doi.org/10.2196/mhealth.8910