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diabetes depression randomized

Marleen Kunneman, Megan E Branda, Ian Hargraves, Arwen H Pieterse, Victor M Montori
Objective: To assess the extent to which (1) clinicians, using or not using conversation aids, foster choice awareness during clinical encounters and (2) fostering choice awareness, with or without conversation aids, is associated with greater patient involvement in shared decision making (SDM). Patients and Methods: We randomly selected 100 video-recorded encounters, stratified by topic and study arm, from a database of 10 clinical trials of SDM interventions in 7 clinical contexts: low-risk acute chest pain, stable angina, diabetes, depression, osteoporosis, and Graves disease...
March 2018: Mayo Clinic proceedings. Innovations, quality & outcomes
Golnaz Azami, Kim Lam Soh, Shariff Ghazali Sazlina, Md Said Salmiah, Sanaz Aazami, Mosayeb Mozafari, Hamid Taghinejad
In recent years, great emphasis has been placed on the role of nonpharmacological self-management in the care of patients with diabetes. Studies have reported that nurses, compared to other healthcare professionals, are more likely to promote preventive healthcare seeking behaviors. The aim of this study was to investigate the effectiveness of a nurse-led diabetes self-management education on glycosylated hemoglobin. A two-arm parallel-group randomized controlled trial with the blinded outcome assessors was designed...
2018: Journal of Diabetes Research
Evelien Snippe, Maya J Schroevers, Annika Tovote, Robbert Sanderman, Paul M G Emmelkamp, Joke Fleer
Understanding why therapists deviate from a treatment manual is crucial to interpret the mixed findings on the adherence-outcome association. The current study aims to examine whether therapists' interpersonal behaviors and patients' active engagement predict treatment outcome and therapist adherence in Cognitive Behavior Therapy (CBT) and Mindfulness-Based Cognitive Therapy (MBCT) for depressive symptoms. In addition, the study explores rater's explanations for therapist non-adherence at sessions in which therapist adherence was low...
September 10, 2018: Clinical Psychology & Psychotherapy
Shihoko Koyama, Jun Aida, Noriko Cable, Toru Tsuboya, Yusuke Matsuyama, Yukihiro Sato, Tatsuo Yamamoto, Katsunori Kondo, Ken Osaka
BACKGROUND: No studies have examined the associations between the numbers of teeth and sleep disturbance. Therefore, we examined the associations between the number of teeth and sleep duration in older people, considering the evidence linking fewer teeth and sleep apnoea through changes in jaw position. METHODS: For this study we used information from a sample of 23,444 cohort participants, randomly selected from the Japan Gerontological Evaluation Study 2010 (N = 169,215)...
August 10, 2018: Sleep Medicine
Jesse H Wright, Laura W McCray, Tracy D Eells, Rangaraj Gopalraj, Laura B Bishop
PURPOSE OF REVIEW: We reviewed research on computer-assisted cognitive-behavior therapy (CCBT) performed in medical settings with the goals of assessing the effectiveness of this newer method of treatment delivery, evaluating the need for clinician support of therapeutic computer programs, and making suggestions for future research and clinical implementation. RECENT FINDINGS: The overall results of randomized, controlled trials suggest that CCBT can be an effective treatment for depression in primary care patients and health care anxiety...
September 7, 2018: Current Psychiatry Reports
Samantha L Hider, Milica Bucknall, Kelly Cooke, Kendra Cooke, Andrew G Finney, Dave Goddin, Emma L Healey, Susie Hennings, Daniel Herron, Clare Jinks, Martyn Lewis, Annabelle Machin, Christian Mallen, Simon Wathall, Carolyn A Chew-Graham
Background: Patients with inflammatory rheumatic conditions such as rheumatoid arthritis, polymyalgia rheumatica and ankylosing spondylitis are at increased risk of common comorbidities such as cardiovascular disease, osteoporosis and anxiety and depression which lead to increased morbidity and mortality. These associated morbidities are often un-recognized and under-treated. While patients with other long-term conditions such as diabetes are invited for routine reviews in primary care, which may include identification and management of co-morbidities, at present this does not occur for patients with inflammatory conditions, and thus, opportunities to diagnose and optimally manage these comorbidities are missed...
2018: Journal of Comorbidity
A Van Rie, N S West, S R Schwartz, L Mutanga, C F Hanrahan, J Ncayiyana, J Bassett
BACKGROUND: There is a growing interest in involving community health workers (CHWs) into the formal healthcare system in South Africa (SA). OBJECTIVES: To generate evidence for defining CHW tasks in urban SA. METHODS: A cross-sectional survey of residents of Diepsloot, northern Johannesburg, was performed using geographically weighted random sampling, with home-based health assessment and a questionnaire on sociodemographics, medical history, experience of violence, health-seeking behaviour and perceived health priorities...
August 28, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
Ghazal Rahmani, Fereshteh Farajdokht, Gisou Mohaddes, Shirin Babri, Vida Ebrahimi, Hadi Ebrahimi
This study investigated the effects of garlic on anxiety- and depression-related behaviors and brain oxidative markers in streptozotocin (STZ)-induced diabetes in rats. Fifty-six male Wistar rats were randomly divided into seven experimental groups (n = 8/group): control, diabetic + saline, diabetic + garlic, diabetic + imipramine, and diabetic + diazepam groups. Animals received garlic homogenate (0.1, 0.25, and 0.5 g/kg) for 10 days. At the end of the treatments, anxiety- and depressive-related behaviors were evaluated by elevated plus maze (EPM) and forced swimming test (FST), respectively...
August 31, 2018: Archives of Physiology and Biochemistry
Monika Kastner, Roberta Cardoso, Yonda Lai, Victoria Treister, Jemila S Hamid, Leigh Hayden, Geoff Wong, Noah M Ivers, Barbara Liu, Sharon Marr, Jayna Holroyd-Leduc, Sharon E Straus
INTRODUCTION: More than half of older adults (age ≥ 65 yr) have 2 or more high-burden multimorbidity conditions (i.e., highly prevalent chronic diseases, which are associated with increased health care utilization; these include diabetes [DM], dementia, depression, chronic obstructive pulmonary disease [COPD], cardiovascular disease [CVD], arthritis, and heart failure [HF]), yet most existing interventions for managing chronic disease focus on a single disease or do not respond to the specialized needs of older adults...
August 27, 2018: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
Tasneem Khambaty, Christopher M Callahan, Jesse C Stewart
Considerable epidemiologic evidence and plausible biobehavioral mechanisms suggest that depression is an independent risk factor for diabetes. Moreover, reducing the elevated diabetes risk of depressed individuals is imperative given that both conditions are leading causes of death and disability. However, because no prior study has examined clinical diabetes outcomes among depressed patients at risk for diabetes, the question of whether depression treatment prevents or delays diabetes onset remains unanswered...
2018: PloS One
Elizabeth J Mayer-Davis, David M Maahs, Michael Seid, Jamie Crandell, Franziska K Bishop, Kimberly A Driscoll, Christine M Hunter, Jessica C Kichler, Debra Standiford, Joan M Thomas
BACKGROUND: Adolescents with type 1 diabetes commonly have poor glycaemic control. We aimed to test the efficacy of a newly developed adaptive behavioral intervention (Flexible Lifestyles Empowering Change; FLEX) on metabolic and psychosocial outcomes in adolescents with type 1 diabetes. METHODS: Young people (13-16 years, type 1 diabetes duration >1 year, HbA1c of 64-119 mmol/mol [8·0-13·0%], and without other serious medical conditions or pregnancy) from two clinical sites (Colorado and Ohio, USA) were eligible for enrolment...
September 2018: Lancet Child & Adolescent Health
Daniela Sandoval, Carolina Nazzal, Tomás Romero
Background: Limited information exists on blood pressure (BP) control factors and adherence to antihypertensive drug therapy (Rx) in developing countries. Methods: Cross-sectional study in randomly selected 992 hypertensive patients under a Chilean national comprehensive Cardiovascular Health Program (CVHP). Association of education, income, diabetes, obesity, physical activity, psychosocial characteristics, smoking, and alcohol abuse with BP control and adherence were evaluated by multivariate logistic regression...
2018: International Journal of Hypertension
Marc J Weigensberg, Donna Spruijt-Metz, Cheng K Fred Wen, Jaimie N Davis, Quintilia Ávila, Magaly Juarez, Niquelle Brown-Wadé, Christianne J Lane
Innovative lifestyle interventions are needed to reduce type 2 diabetes risk in adolescents. This report describes the protocol of the Imagine HEALTH cluster randomized control trial, that tests an intervention based in Self-Determination Theory (SDT) and uses lifestyle education combined with the mind-body, complementary health modality of guided imagery (GI), to address obesity prevention and treatment in predominantly Latino adolescents. The primary aim is to determine the unique effects of each of the three major components of the 12-week lifestyle intervention (lifestyle education, stress reduction guided imagery, and lifestyle behavior guided imagery) compared to control on primary outcomes of physical activity (accelerometry), dietary intake (3-day recall), and stress biomarker levels (salivary cortisol)...
September 2018: Contemporary Clinical Trials
Fariba Raygan, Vahidreza Ostadmohammadi, Zatollah Asemi
BACKGROUND AND AIMS: The objective of this investigation was to assess the effects of probiotic and selenium co-supplementation on indicators of mental health and metabolic profiles in diabetic people with coronary heart disease (CHD). METHODS: This randomized, double-blind, placebo-controlled trial was conducted among 54 diabetic people with CHD. Patients were randomly allocated into two groups to receive either 200 μg/day selenium plus 8 × 109  CFU/day probiotic (n = 27) or placebo (n = 27) for 12 weeks...
July 21, 2018: Clinical Nutrition: Official Journal of the European Society of Parenteral and Enteral Nutrition
Malihe Imeni, Fakhri Sabouhi, Parvaneh Abazari, Bijan Iraj
Background: Body image, as an important factor in quality of life (QOL) satisfaction, in amputee patients is strongly affected by amputation, which can put the patient at risk of psychological disorders such as depression. Hence, this study was conducted to investigate the effect of spiritual care on body image in patients with type 2 diabetes-related amputation. Materials and Methods: In this study, an experimental pretest-posttest design with two groups was used...
July 2018: Iranian Journal of Nursing and Midwifery Research
Firouz KhalediSardashti, Zahra Ghazavi, Farshad Keshani, Mojtaba Smaeilzadeh
Background: Diabetes mellitus (DM) is a chronic disease which imposes high costs on patients and society and results in complications in patients. One of these complications includes issues related to mood. Thus, the present study was conducted with the aim to determine the effect of hope therapy on the mood status of patients with DM. Materials and Methods: This quasi-experimental study was performed with two groups in three stages in the summer of 2015 on 38 individuals...
July 2018: Iranian Journal of Nursing and Midwifery Research
Sylwia Chojnowska, Iwona Cabaj-Wiater, Aleksandra Mikulska-Baran, Beata Zalewska-Szajda, Napoleon Waszkiewicz
Background: Analysis of the correlation between diabetes type 2 (DT2) and serum N-acetyl- β -hexosaminidase (HEX) activity with parameters of fat metabolism and symptoms of anxiety and depression. Material and Method: The study was performed using a random sample of 40 DT2 patients (22 women and 18 men) between the ages of 43 and 71 (median 59) and 40 control persons (28 women and 12 men) between the ages of 18 and 64 (median 46). The activity of HEX was determined by a colorimetric method...
2018: Disease Markers
Mathew P Varghese, Ragavendrasamy Balakrishnan, Subramanya Pailoor
Background Type 2 diabetes mellitus [T2DM] is one of the leading causes for mortality. This study examined the role of an self-awareness based guided meditation practice, Cyclic Meditation [CM] on perceived stress, anxiety, depression, sleep and quality of life in T2DM patients. Design A single arm pre-post design was used for the study. Setting The study was conducted in an auditorium for general public diagnosed with T2DM in Ernakulam, Kerala, India. Subjects Subjects were 30 T2DM patients, both male and female of age 50...
July 19, 2018: Journal of Complementary & Integrative Medicine
Aileen Chang, Elizabeth Patberg, Victor Cueto, Hua Li, Bhavana Singh, Sonjia Kenya, Yisel Alonzo, Olveen Carrasquillo
OBJECTIVES: To determine whether a 1-year community health worker intervention improves access to care and service utilization among Latinos with diabetes. METHODS: We conducted a single-blind randomized trial of 300 adults with poorly controlled diabetes treated in 2 public hospital clinics in Miami, Florida. We began enrollment in 2010 and completed follow-up in 2015. We examined access and utilization using self-reported measures and data from electronic medical records...
September 2018: American Journal of Public Health
Hilary K Seligman, Morgan Smith, Sophie Rosenmoss, Michelle Berger Marshall, Elaine Waxman
OBJECTIVES: To determine whether food bank provision of self-management support and diabetes-appropriate food improves glycemic control among clients with diabetes. METHODS: We screened 5329 adults for diabetes at food pantries (n = 27) affiliated with food banks in Oakland, California; Detroit, Michigan; and Houston, Texas, between October 2015 and September 2016. We individually randomized 568 participants with hemoglobin A1c (HbA1c) 7.5% or greater to waitlist control or 6-month intervention including food, diabetes education, health care referral, and glucose monitoring...
September 2018: American Journal of Public Health
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