作者
Doyle M Cummings, Lesley D Lutes, Kerry Littlewood, Chelsey Solar, Marissa Carraway, Kari Kirian, Shivajirao Patil, Alyssa Adams, Stefanie Ciszewski, Sheila Edwards, Peggy Gatlin, Bertha Hambidge
发表日期
2019/5/1
期刊
Diabetes care
卷号
42
期号
5
页码范围
841-848
出版商
American Diabetes Association
简介
OBJECTIVE
This study evaluated the effect of cognitive behavioral therapy (CBT) plus lifestyle counseling in primary care on hemoglobin A1c (HbA1c) in rural adult patients with type 2 diabetes (T2D) and comorbid depressive or regimen-related distress (RRD) symptoms.
RESEARCH DESIGN AND METHODS
This study was a randomized controlled trial of a 16-session severity-tailored CBT plus lifestyle counseling intervention compared with usual care. Outcomes included changes in HbA1c, RRD, depressive symptoms, self-care behaviors, and medication adherence across 12 months.
RESULTS
Patients included 139 diverse, rural adults (mean age 52.6 ± 9.5 years; 72% black; BMI 37.0 ± 9.0 kg/m2) with T2D (mean HbA1c 9.6% [81 mmol/mol] ± 2.0%) and comorbid depressive or distress symptoms. Using intent-to-treat analyses, patients in the intervention …
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DM Cummings, LD Lutes, K Littlewood, C Solar… - Diabetes care, 2019