Feasibility of Pairing Behavioral Activation With Exercise for Women With Type 2 Diabetes and Depression: The Get It Study Pilot Randomized Controlled Trial.
Major depressive disorder is often comorbid with diabetes and associated with worse glycemic control. Exercise improves glycemic control and depression, and thus could be a parsimonious intervention for patients with comorbid diabetes and major depression. Because patients with diabetes and comorbid...
| Publicado en: | Behavior Therapy Vol. 47; no. 2; pp. 198 - 213 |
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| Autores principales: | , , , , , , , , , , , , |
| Formato: | journal article |
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Elsevier B.V.
Mar2016
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=113539159&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 113539159 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00057894 BTH jtl: Behavior Therapy issn: 00057894 maglogo: N pubinfo: dt: Mar2016 vid: 47 iid: 2 pid: 467 pub: Elsevier B.V. artinfo: ui: 113539159 10.1016/j.beth.2015.10.005 ppf: 198 ppct: 15 formats: tig: atl: Feasibility of Pairing Behavioral Activation With Exercise for Women With Type 2 Diabetes and Depression: The Get It Study Pilot Randomized Controlled Trial. aug: au: Schneider, Kristin L. Panza, Emily Handschin, Barbara Ma, Yunsheng Busch, Andrew M. Waring, Molly E. Appelhans, Bradley M. Whited, Matthew C. Keeney, Jacey Kern, Daniel Blendea, Mihaela Ockene, Ira Pagoto, Sherry L. affil: University of Massachusetts Medical School The Miriam Hospital and Alpert Medical School of Brown University Rush University Medical Center Rosalind Franklin University of Medicine & Science su: Mental depression Randomized controlled trials Therapeutics Behavior therapy Exercise Health behavior Patient satisfaction People with diabetes Glycemic control Comorbidity Type 2 diabetes treatment Type 2 diabetes complications Combined modality therapy Comparative studies Research methodology Medical cooperation Patient education Research Research funding Pilot projects Evaluation research sug: subj: Mental depression Randomized controlled trials Therapeutics Behavior therapy Exercise Health behavior Patient satisfaction People with diabetes Glycemic control Comorbidity Type 2 diabetes treatment Type 2 diabetes complications Combined modality therapy Comparative studies Research methodology Medical cooperation Patient education Research Research funding Pilot projects Evaluation research keyword: behavioral activation major depressive disorder physical activity Type 2 diabetes mellitus behavioral activation major depressive disorder physical activity Type 2 diabetes mellitus ab: Major depressive disorder is often comorbid with diabetes and associated with worse glycemic control. Exercise improves glycemic control and depression, and thus could be a parsimonious intervention for patients with comorbid diabetes and major depression. Because patients with diabetes and comorbid depression are often sedentary and lack motivation to exercise, we developed a group exercise intervention that integrates strategies from behavioral activation therapy for depression to increase motivation for and enjoyment of exercise. We conducted a 6-month pilot randomized controlled trial to test the feasibility of the behavioral activation exercise intervention (EX) for women with diabetes and depression. Of the 715 individuals who contacted us about the study, 29 participants were randomized to the EX condition or an enhanced usual care condition (EUC), which represents 4.1% of participants who initially contacted us. Inclusion criteria made recruitment challenging and limits the feasibility of recruiting women with diabetes and depression for a larger trial of the intervention. Retention was 96.5% and 86.2% at 3 and 6months. Participants reported high treatment acceptability; use of behavioral activation strategies and exercise class attendance was acceptable. No condition differences were observed for glycemic control, depressive symptoms, and physical activity, though depressive symptoms and self-reported physical activity improved over time. Compared to participants in the EUC condition, participants in the EX condition reported greater exercise enjoyment and no increase in avoidance behavior over time. Using behavioral activation strategies to increase exercise is feasible in a group exercise setting. However, whether these strategies can be delivered in a less intensive manner to a broader population of sedentary adults, for greater initiation and maintenance of physical activity, deserves further study. pubtype: Academic Journal doctype: journal article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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