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 .
Cost-effectiveness and net benefit of enhanced treatment of depression for older adults with diabetes and depression.
OBJECTIVE To determine the incremental cost-effectiveness and net benefit of a depression collaborative care program compared with usual care for patients with diabetes and depression . RESEARCH DESIGN AND METHODS This article describes a preplanned subgroup analysis of patients with diabetes from the Improving Mood-Promoting Access to Collaborative ( IMPACT ) r and omized controlled trial . The setting for the study included 18 primary care clinics from eight health care organizations in five states . A total of 418 of 1,801 patients r and omized to the IMPACT intervention ( n = 204 ) versus usual care ( n = 214 ) had coexisting diabetes . A depression care manager offered education , behavioral activation , and a choice of problem-solving treatment or support of antidepressant management by the primary care physician . The main outcomes were incremental cost-effectiveness and net benefit of the program compared with usual care .  RESULTS Relative to usual care , intervention patients experienced 115 ( 95 % CI 72 - 159 ) more depression-free days over 24 months . Total outpatient costs were 25 dollars ( 95 % CI -1,638 to 1,689 ) higher during this same period . The incremental cost per depression-free day was 25 cents ( -14 dollars to 15 dollars ) and the incremental cost per quality -adjusted life year ranged from 198 dollars ( 144 - 316 ) to 397 dollars ( 287 - 641 ) . An incremental net benefit of 1,129 dollars ( 692 - 1,572 ) was found . CONCLUSIONS The IMPACT intervention is a high-value investment for older adults with diabetes ; it is associated with high clinical benefits at no greater cost than usual care
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 .