Improving treatment of depression among Latinos with diabetes using project Dulce and IMPACT.
Ontology highlight
ABSTRACT: Objective
To assess the feasibility and cost of integrating diabetes and depression care management in three community clinics serving a low-income and predominantly Spanish-speaking Latino population.Research design and methods
We screened diabetes patients for depression, and for those with depressive symptoms, we provided depression care management. We assessed changes in depressive symptoms using the Patient Health Questionnaire-9 (PHQ-9), diabetes self-care activities (nutrition, exercise, and medication adherence), and costs.Results
Thirty-three percent of patients with diabetes had symptoms of major depression. Among 99 patients completing the study, PHQ-9 scores declined by an average of 7.5 points from 14.8 to 7.3 (P < 0.001). Clients averaged 6.7 visits with the care manager during the study period. Costs of depression care management were estimated to be $512 per participant.Conclusions
Adding a depression care manager to an existing diabetes management team was effective at reducing depressive symptoms at a reasonable cost.
SUBMITTER: Gilmer TP
PROVIDER: S-EPMC2453645 | biostudies-literature | 2008 Jul
REPOSITORIES: biostudies-literature
Publications
Improving treatment of depression among Latinos with diabetes using project Dulce and IMPACT.
Gilmer Todd P TP Walker Chris C Johnson Elizabeth D ED Philis-Tsimikas Athena A Unützer Jürgen J
Diabetes care 20080320 7
<h4>Objective</h4>To assess the feasibility and cost of integrating diabetes and depression care management in three community clinics serving a low-income and predominantly Spanish-speaking Latino population.<h4>Research design and methods</h4>We screened diabetes patients for depression, and for those with depressive symptoms, we provided depression care management. We assessed changes in depressive symptoms using the Patient Health Questionnaire-9 (PHQ-9), diabetes self-care activities (nutri ...[more]
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