HOPE Pilot for Veterans With Complex Diabetes
| Status: | Completed |
|---|---|
| Conditions: | Depression, Diabetes |
| Therapuetic Areas: | Endocrinology, Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 5/5/2014 |
| Start Date: | January 2011 |
| End Date: | September 2011 |
| Contact: | Aanand D Naik, MD |
| Email: | anaik@bcm.edu |
| Phone: | 713-794-8601 |
Behavioral Health Coaching for Rural Veterans With Diabetes and Depression
The purpose of this study is to determine if behavioral health coaching for rural veterans
with diabetes and depression will improve self-management behaviors and lead to improvement
in diabetes care outcomes (e.g., HA1C) and improvement in reported depressive symptoms.
with diabetes and depression will improve self-management behaviors and lead to improvement
in diabetes care outcomes (e.g., HA1C) and improvement in reported depressive symptoms.
The co-occurence of diabetes and depression is highly prevalent and has dramatic
consequences for quality of life and health. Due to the complex interrelation between
diabetes and depression, patients often experience both psychological and physiological
difficulties. These comorbid problems demand focused interventions that blend physical and
emotional health treatments with self-management strategies.Rural-dwelling veterans with
diabetes and depression are typically treated in community-based outpatient clinics (CBOCs).
Patients with diabetes in rural areas tend to have more problems controlling their blood
sugar, blood pressure and cholesterol compared to urban patients; thereby increasing their
risk of diabetic complications. Similarly, rural patients with depression have similar
barriers to care that increase their risk of poorer health outcomes as well. Using
behavioral health coaches (BHCs)to deliver telephone-mediated therapies may enhance the
reach of treatments for co-occurring diabetes and depression. The implementation of such
treatments requires the development and testing of therapeutic manuals and BHC training
protocols to ensure standardization and effictiveness. The BHC intervention has been labeled
Health Outcomes through Patient Empowerment (HOPE) and will be offered to eligible patients
receiving care through MEDVAMC and its CBOCs. Preliminary data obtained through this pilot
grant is to support a larger VA grant.
consequences for quality of life and health. Due to the complex interrelation between
diabetes and depression, patients often experience both psychological and physiological
difficulties. These comorbid problems demand focused interventions that blend physical and
emotional health treatments with self-management strategies.Rural-dwelling veterans with
diabetes and depression are typically treated in community-based outpatient clinics (CBOCs).
Patients with diabetes in rural areas tend to have more problems controlling their blood
sugar, blood pressure and cholesterol compared to urban patients; thereby increasing their
risk of diabetic complications. Similarly, rural patients with depression have similar
barriers to care that increase their risk of poorer health outcomes as well. Using
behavioral health coaches (BHCs)to deliver telephone-mediated therapies may enhance the
reach of treatments for co-occurring diabetes and depression. The implementation of such
treatments requires the development and testing of therapeutic manuals and BHC training
protocols to ensure standardization and effictiveness. The BHC intervention has been labeled
Health Outcomes through Patient Empowerment (HOPE) and will be offered to eligible patients
receiving care through MEDVAMC and its CBOCs. Preliminary data obtained through this pilot
grant is to support a larger VA grant.
Inclusion Criteria:
- Diagnosis of type 2 diabetes and PCP intent to treat
- Clinically significant symptoms of depression per self-report
- HA1C average of 7.5 or greater in past 12 months AND no HA1C < 7.0 in past 12 months.
Exclusion Criteria:
- Factors that render a telephone-based behavioral activation intervention
inappropriate
- Significant cognitive impairment
- Meet criteria of bipolar, psychotic or substance abuse disorder
- Serious medical issues; e.g., terminal cancer
- Reports severe depression or suicidal ideation
We found this trial at
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