Research ers noted small improvements in body mass index immediately after the intervention was provided and at six months , along with improved weight post intervention .
Diabetes knowledge and self efficacy improved immediately following receipt of the intervention , and knowledge also at six months .
The intervention did not improve blood pressure .
Evidence is insufficient to show whether type 2 diabetes self management interventions for people with severe mental illness are effective in improving outcomes .
BACKGROUND People with severe mental illness are twice as likely to develop type 2 diabetes as those without severe mental illness .
Treatment guidelines for type 2 diabetes recommend that structured education should be integrated into routine care and should be offered to all .
However , for people with severe mental illness , physical health may be a low priority , and motivation to change may be limited .
These additional challenges mean that the findings reported in previous systematic review s of diabetes self management interventions may not be generalised to those with severe mental illness , and that tailored approaches to effective diabetes education may be required for this population .
OBJECTIVES To assess the effects of diabetes self management interventions specifically tailored for people with type 2 diabetes and severe mental illness .
Depression and Diabetes among Low-Income Hispanics: Design Elements of a Socio-Culturally Adapted Collaborative Care Model Randomized Controlled Trial
Objective : This article describes design elements of the Multifaceted Depression and Diabetes Program ( MDDP ) r and omized clinical trial . The MDDP trial hypothesizes that a socioculturally adapted collaborative care depression management intervention will reduce depressive symptoms and improve patient adherence to diabetes self-care regimens , glycemic control , and quality -of-life . In addition , baseline data of 387 low-income , 96 % Hispanic , enrolled patients with major depression and diabetes are examined to identify study population characteristics consistent with trial design adaptations . Methods : The  PHQ-9 depression scale  was used to identify patients meeting criteria for major depressive disorder ( 1 cardinal depression symptom + a PHQ-9 score of > 10 ) from two community safety net clinics . Design elements included sociocultural adaptations in recruitment and efforts to reduce attrition and collaborative depression care management . Results : Of 1,803 diabetes patients screened , 30.2 % met criteria for major depressive disorder . Of 387 patients enrolled in the clinical trial , 98 % had Type 2 diabetes , and 83 % had glycated hemoglobin ( HbA1c ) levels ≥ 7 % . Study recruitment rates and baseline data analyses identified socioeconomic and clinical factors that support trial design and intervention adaptations . Depression severity was significantly associated with diabetes complications , medical comorbidity , greater anxiety , dysthymia , financial worries , social stress , and poorer quality -of-life . Conclusion : Low-income Hispanic patients with diabetes experience high prevalence of depressive disorder and depression severity is associated with socioeconomic stressors and clinical severity . Improving depression care management among Hispanic patients in public sector clinics should include intervention components that address self-care of diabetes and socioeconomic stressors
Research ers noted small improvements in body mass index immediately after the intervention was provided and at six months , along with improved weight post intervention .
Diabetes knowledge and self efficacy improved immediately following receipt of the intervention , and knowledge also at six months .
The intervention did not improve blood pressure .
Evidence is insufficient to show whether type 2 diabetes self management interventions for people with severe mental illness are effective in improving outcomes .
BACKGROUND People with severe mental illness are twice as likely to develop type 2 diabetes as those without severe mental illness .
Treatment guidelines for type 2 diabetes recommend that structured education should be integrated into routine care and should be offered to all .
However , for people with severe mental illness , physical health may be a low priority , and motivation to change may be limited .
These additional challenges mean that the findings reported in previous systematic review s of diabetes self management interventions may not be generalised to those with severe mental illness , and that tailored approaches to effective diabetes education may be required for this population .
OBJECTIVES To assess the effects of diabetes self management interventions specifically tailored for people with type 2 diabetes and severe mental illness .