Please select the arm or intervention descriptions that belong to the clinical trial below.
Title: Reducing Distress and Improving Self-Care in Diabetes
Brief Summary: To date, there have been few practical, evidenced based interventions that are directed at patients with Type II Diabetes who are experiencing depressed and/or emotional distress in primary care settings. This study will (1) combine two existing, evidenced-based, interventions (a computer automated, diabetes specific self-management program (CASM) vs. a self-care program plus a live problem solving distress-reduction program (CAPS) vs. a lifestyle and activities education program (LEAP-AHEAD)) into a practical, 3-arm clinical trial with a highly distressed multi-ethnic patient sample, and (2) evaluate the intervention using the RE-AIM framework, sharing the results through a comprehensive dissemination package.

Hypothesis 1: The combined CASM and CAPS arms will be superior to the LEAP-AHEAD group on the primary outcomes at follow-up.

Hypothesis 2: The CAPS arm will be superior to the CASM arm on primary outcomes at follow-up.


Options:
A: Arm Label: Diabetes-Specific CBT (DS-CBT); Type: EXPERIMENTAL; Interventions: Behavioral: Diabetes-Specific CBT (DS-CBT) | Arm Label: Standard Diabetes Education; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: Standard Diabetes Education | Intervention Type: BEHAVIORAL; Name: Diabetes-Specific CBT (DS-CBT); Assigned to Arm(s): Diabetes-Specific CBT (DS-CBT) | Intervention Type: BEHAVIORAL; Name: Standard Diabetes Education; Assigned to Arm(s): Standard Diabetes Education
B: Arm Label: Family plus community focused intervention; Type: EXPERIMENTAL; Interventions: Behavioral: PILI 'Ohana Lifestyle Program | Arm Label: Standard Behavioral Weight Loss Maintenance Intervention; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: Standard Behavioral Weight Loss Maintenance Program | Intervention Type: BEHAVIORAL; Name: PILI 'Ohana Lifestyle Program; Assigned to Arm(s): Family plus community focused intervention | Intervention Type: BEHAVIORAL; Name: Standard Behavioral Weight Loss Maintenance Program; Assigned to Arm(s): Standard Behavioral Weight Loss Maintenance Intervention
C: Arm Label: Geriatric diabetes team intervention group; Type: EXPERIMENTAL; Interventions: Other: Intervention for age specific barriers to self care | Arm Label: Attention Control Group; Type: NO_INTERVENTION; Interventions: N/A | Intervention Type: OTHER; Name: Intervention for age specific barriers to self care; Assigned to Arm(s): Geriatric diabetes team intervention group
D: Arm Label: 2; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: Computer Automated Self-Management (CASM) | Arm Label: 3; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: Computer Automated Self-Management (CASM), Behavioral: Computer Automated Self-Management and Problem Solving Therapy (CAPS) | Arm Label: 1; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: Lifestyle and Activities Education Program (LEAP-AHEAD) | Intervention Type: BEHAVIORAL; Name: Lifestyle and Activities Education Program (LEAP-AHEAD); Assigned to Arm(s): 1 | Intervention Type: BEHAVIORAL; Name: Computer Automated Self-Management (CASM); Assigned to Arm(s): 2, 3 | Intervention Type: BEHAVIORAL; Name: Computer Automated Self-Management and Problem Solving Therapy (CAPS); Assigned to Arm(s): 3

Answer: D