Key result
A 12-month multicondition collaborative care intervention significantly improved self-care confidence compared to usual care, which partially explained subsequent improvements in depression.
Why the study?
Does a 12-month team-based collaborative care intervention improve self-care efficacy and depression in patients with comorbid depression and poorly controlled diabetes and/or coronary heart disease?
RCT (n=214)
Does a 12-month team-based collaborative care intervention improve self-care efficacy and depression in patients with comorbid depression and poorly controlled diabetes and/or coronary heart disease?
A 12-month collaborative care intervention significantly improves self-care efficacy and confidence, which mediates subsequent improvements in depression among patients with comorbid depression and chronic illnesses like diabetes or coronary heart disease.
Answers are grounded in this paper and cite their sources.
Supports collaborative care for comorbid depression and chronic disease; extends evidence by identifying self-care confidence as a mediator.
The aim of this study was to examine whether patients who received a multicondition collaborative care intervention for chronic illnesses and depression had greater improvement in self-care knowledge and efficacy, and whether greater knowledge and self-efficacy was positively associated with improved target outcomes. A randomized controlled trial with 214 patients with comorbid depression and poorly controlled diabetes and/or coronary heart disease tested a 12-month team-based intervention that combined self-management support and collaborative care management. At 6 and 12 month outcomes the intervention group showed significant improvements over the usual care group in confidence in ability to follow through with medical regimens important to managing their conditions and to maintain lifestyle changes even during times of stress. Improvements in self care-efficacy were significantly related to improvements in depression, and early improvements in confidence to maintain lifestyle changes even during times of stress explained part of the observed subsequent improvements in depression.
No takes yet. Share an insight, caveat, or question.
Ludman et al. (2013) conducted an RCT in Comorbid depression and poorly controlled diabetes and/or coronary heart disease (n=214). Multicondition collaborative care intervention vs. Usual care was evaluated on Improvement in self-care knowledge and efficacy. A 12-month multicondition collaborative care intervention significantly improved self-care confidence compared to usual care, which partially explained subsequent improvements in depression.
Synapse has enriched 10 related papers. Consider them for comparative context: