Women with diabetes who are depressed are less likely to follow their physician’s recommendations to manage their blood sugar by modifying their diet, increasing physical activity, checking blood sugar and taking diabetes control medications. When blood sugar is uncontrolled, the risk for complications including heart attack, stroke, kidney disease, blindness and amputations goes up. No studies have tested whether telephone delivered psychotherapy for depression can improve diabetes self-care behaviors in low income communities where women have the highest burden of depression, diabetes and diabetes complications. The specific goals of our project are to: 1) demonstrate the feasibility of recruiting depressed low-income predominately Latina and black women from a Federally Qualified Health Center (FQHC); 2) adapt the psychotherapy curriculum to reflect literacy levels and culture of the population; and, 3) to assess the effectiveness of the intervention for improving diabetes self-care behaviors. To achieve these goals, we will recruit eight women to participate in focus groups to modify the psychotherapy manual and 20 women who have diabetes and elevated depressive symptoms to undergo the 18 week intervention. Findings from our study will be used to design a larger randomized controlled trial to be carried out in the same population setting.
|Effective start/end date||9/1/15 → 8/31/17|
- Northwestern Memorial Hospital (6-FY2016)
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