Depressive Symptoms and Health-Related Quality of Life Among Participants in the Pasos Adelante Chronic Disease Prevention and Control Program, Arizona, 2005-2008
Depressive Symptoms and Health-Related Quality of Life Among Participants in the Pasos Adelante Chronic Disease Prevention and Control Program, Arizona, 2005-2008
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DOI：
10.5888/pcd9.110020
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发表时间：
2012-01-01
影响因子：
5.5
通讯作者：
Roe, Denise J.
中科院分区：
文献类型：
--
作者：
Cutshaw, Christina A.;Staten, Lisa K.;Roe, Denise J.
慢性病是美国死亡的主要原因，并与抑郁症状和健康相关生活质量（HRQOL）差有关。本研究探讨是否抑郁症状和HRQOL指标的参与者之间的变化在Pasos Adelante，慢性疾病预防和控制计划在美国，墨西哥边境community.MethodsPasos Adelante是一个为期12周的promotora主导的计划，包括教育会议和步行组。我们使用流行病学研究中心抑郁量表（CES-D）和疾病控制中心的“健康日”措施来衡量抑郁症状和HRQOL。我们使用线性混合效应模型和一般估计方程，分析CES-D评分和HRQOL指标从基线到postprogram和postprogram 3个月follows.ResultsAt基线的变化，参与者平均有7.1身体不健康的日子，7.4精神不健康的日子，和3.9天的活动限制。从基线到计划后，身体和精神不健康的平均天数显著下降，但活动限制的平均天数没有下降。在基线时，42.6%的参与者报告他们的健康状况为一般/较差; 20.8%的参与者报告频繁的精神困扰，31.8%的参与者的CES-D评分为16或以上。所有3个比例从基线到程序后均下降。postprogram和follow-up.ConclusionParticipants在Pasos Adelante之间没有发生显着变化，显示抑郁症状和几个HRQOL指标的改善。未来的研究应该使用一个实验设计与对照组，以确定这些发现是否可以复制，并检查潜在的调解人和主持人的程序效果。
IntroductionChronic diseases are the leading causes of death in the United States and have been associated with depressive symptoms and poor health-related quality of life (HRQOL). This study examined whether depressive symptoms and HRQOL indicators changed among participants in Pasos Adelante, a chronic disease prevention and control program implemented in a US-Mexico border community.MethodsPasos Adelante was a 12-week promotora-led program that included educational sessions and walking groups. We used the Centers for Epidemiologic Studies Depression Scale (CES-D) and the Center for Disease Control's "Healthy Days" measures to measure depressive symptoms and HRQOL. We used linear mixed-effects models and general estimating equations to analyze changes in CES-D scores and HRQOL indicators from baseline to postprogram and from postprogram to 3-month follow-up.ResultsAt baseline, participants had a mean of 7.1 physically unhealthy days, 7.4 mentally unhealthy days, and 3.9 days of activity limitation. The mean number of physically and mentally unhealthy days declined significantly from baseline to postprogram, but the mean number of activity limitation days did not. At baseline, 42.6% of participants reported their health as fair/poor; 20.8% of participants reported frequent mental distress, and 31.8% had a CES-D score of 16 or more. All 3 proportions declined from baseline to postprogram. No significant changes occurred between postprogram and follow-up.ConclusionParticipants in Pasos Adelante showed improvement in depressive symptoms and several HRQOL indicators. Future studies should use an experimental design with a comparison group to determine whether these findings can be replicated and to examine potential mediators and moderators of program effects.