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 .
Influence of a Community Health Worker Intervention on Mental Health Outcomes among Low-Income Latino and African American Adults with Type 2 Diabetes
This study investigated the influence of a community health worker ( CHW ) diabetes lifestyle intervention on mental health outcomes . Our study was guided by the principles of community-based participatory research . Data were collected from 164 African American ( N = 94 ) and Hispanic adults ( N = 70 ) participating in a r and omized , 6-month delayed intervention group design for improving glycemic control . The intervention time periods were baseline to 6 months for the treatment group and 6–12 months for the delayed group . Linear mixed models were used to conduct longitudinal analyses of the Problem Areas in Diabetes ( PAID ) and Patient Health Question naire ( PHQ ) scales . In the model adjusted for demographics , the PAID dropped significantly from pre-intervention to post-intervention within both the treatment and delayed groups ( p < 0.05 ) with an average intervention effect of −6.4 ( p < 0.01 ) . The PAID dropped even further within the immediate group from 6 to 12 months . Although the PHQ did not change significantly , the PHQ-2 had an average intervention effect of −0.3 ( p < 0.05 ) in the model adjusted for demographics . This study contributes to an underst and ing of how a CHW-led diabetes intervention can result in positive mental health outcomes for Latinos and African Americans with Type 2 diabetes . It also highlights the importance of further exploring what factors may contribute to racial/ethnic variation in mental health outcomes for African Americans and Latinos with diabetes and the role CHWs can play
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 .