REDEEM: a pragmatic trial to reduce diabetes distress.

ABSTRACT:

Objective

To compare three interventions to reduce diabetes distress (DD) and improve self-management among non-clinically depressed adults with type 2 diabetes mellitus (T2DM).

Research design and methods

In REDEEM, 392 adults with T2DM and DD were randomized to computer-assisted self-management (CASM), CASM plus DD-specific problem solving (CAPS), or a computer-administered minimal supportive intervention. Primary outcomes were Diabetes Distress Scale (DDS) total, the Emotional Burden (EB) and Regimen Distress (RD) DDS subscales, and diet, exercise, and medication adherence.

Results

Significant and clinically meaningful reductions in DD (DDS, EB, and RD) and self-management behaviors occurred in all three conditions (P < 0.001), with no significant between-group dif

SUBMITTER: Fisher L 

PROVIDER: S-EPMC3747867 | biostudies-literature | 2013 Sep

REPOSITORIES: biostudies-literature