MOOD/DIABETES SELF-CARE INTERVENTION RESEARCH PROJECT

情绪/糖尿病自我护理干预研究项目

• 批准号: 8103272
• 负责人: CAROL M MANGIONE
• 金额: $ 55.05万
• 依托单位: CHARLES R. DREW UNIVERSITY OF MED & SCI
• 依托单位国家: 美国
• 资助国家: 美国
• 起止时间: 至
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/8103272
• 关键词: Assertiveness; Attitude; Cognitive Therapy; Communities; Complications of Diabetes Mellitus; Control Groups; Depressed mood; Diabetes Mellitus; Elderly; Faculty; Glycosylated hemoglobin A; Health; Health Professional; High Prevalence; Intervention; Intervention Studies; Latino; Lead; Longevity; Low income; Mental Depression; Mental Health; Mentorship; Moods; Motivation; Outcome; Population; Positioning Attribute; Principal Investigator; Randomized; Recruitment Activity; Research Personnel; Research Project Grants; Self Care; Self Management; Training; Work; depressive symptoms; design; diabetic; group intervention; improved; interest

This project will be an intervention study among Latinos with both depressive symptoms and diabetes and will build upon existing expertise among our EXPORT Center faculty. Recently, Dr. Mangione (Co Principal Investigator of this project) demonstrated that a self-care intervention improves diabetes outcomes for older Latinos. However, 30% of these older Latinos were depressed, and the intervention did not result in improved diabetes outcomes for this subset of depressed diabetics. Dr. Miranda (Co-Principal Investigator of this project) has demonstrated that Cognitive Behavioral Therapy is highly effective for treating depression in low-income Latinos and has recently modified this depression intervention so that it can be given by nonmental health professionals. Thus, our Center is uniquely positioned to examine this combined intervention, which will be studied using a randomized design in 340 Latino subjects recruited at the Northeast San Fernando Valley and Hubert Humphrey Comprehensive Health Centers. We hypothesize that the intervention group, which will receive both interventions, will display significant improvement in both diabetes and depression outcomes compared to the control group will receive the self-management intervention alone. This project will also serve as a training opportunity for several EXPORT junior investigators with interest and expertise in diabetes and depression, allowing them to build upon initial work they have performed in these fields under the mentorship or Drs. Mangione, Miranda and other participating senior faculty. The Specific Aims of this project are: Specific Aim 1: To evaluate the impact of a 12-week mood treatment enhanced self-care diabetes intervention as compared with a self-care diabetes intervention alone for older depressed Latino diabetics: 1.a. To determine if the combined mood/self-care intervention results in lowered hemoglobin A1c as compared with a self-care intervention alone, at 3 and 6 months. 1.b. To determine if the combined mood/self-care intervention results in lowered depressive symptoms as compared with a self-care intervention alone, at 3 and 6 months. 1 .c. To determine if the combined mood/self-care intervention results in improved self-care for diabetes as compared with a self-care intervention alone, at 3 and 6 months. Specific Aim 2. To support dissemination of positive findings from our intervention to the community through our ongoing participation in the Community Core with the Witness for Wellness and Building Bridges to Optimum Health-Diabetes Throughout the Lifespan community dissemination projects.

该项目将是一项干预研究，在拉丁美洲人与抑郁症状和糖尿病， 将建立在我们的出口中心教师现有的专业知识。最近，Mangione博士（联合校长） 该项目的研究者）证明，自我护理干预可以改善老年人的糖尿病结局。 拉丁裔。然而，30%的老年拉丁美洲人患有抑郁症，干预并没有导致 改善这部分抑郁糖尿病患者的糖尿病预后。米兰达博士（联合主要研究者， 这个项目）已经证明，认知行为疗法是非常有效的治疗抑郁症， 低收入的拉丁美洲人，最近修改了这种抑郁症干预，使其可以给予非精神 卫生专业人员。因此，我们的中心是独特的定位，以研究这种综合干预， 该研究将采用随机设计，在东北旧金山招募340名拉丁裔受试者， Fernando Valley和Hubert Humphrey综合健康中心我们假设 接受两种干预措施的干预组，将在糖尿病和糖尿病方面显示出显著的改善。 与对照组相比，抑郁症的结局将接受自我管理干预 一个人该项目还将为几名EXPORT初级调查员提供培训机会， 对糖尿病和抑郁症的兴趣和专业知识，使他们能够建立在他们最初的工作基础上， 在Mangione博士、米兰达博士和其他参与的高级指导下， 教师。 该项目的具体目标是： 具体目标1：评估为期12周的情绪治疗对糖尿病自我护理的影响 干预相比，自我护理糖尿病干预单独为老年抑郁症拉丁裔糖尿病患者： 1.a.确定情绪/自我护理综合干预是否会导致血红蛋白A1 c降低， 与单独的自我护理干预相比，在3个月和6个月时。 1.b.确定情绪/自我护理联合干预是否会降低抑郁 在3个月和6个月时，与单独的自我护理干预相比， 1.c.确定情绪/自我护理综合干预是否能改善以下患者的自我护理： 糖尿病相比，自我护理干预单独，在3个月和6个月。 具体目标2。支持向社区传播我们干预的积极结果 通过我们持续参与社区核心与健康见证和建设桥梁 最佳健康糖尿病终身社区传播项目。