DEPRESSION AND DIABETES AMONG LOW-INCOME HISPANICS: DESIGN ELEMENTS OF A SOCIO-CULTURALLY ADAPTED COLLABORATIVE CARE MODEL RANDOMIZED CONTROLLED TRIAL

摘要

ObjectiveThis article describes design elements of the Multifaceted Depression and Diabetes Program (MDDP) randomized clinical trial. The MDDP trial hypothesizes that a socioculturally adapted collaborative care depression management intervention will reduce depressive symptoms and improve patient adherence to diabetes self-care regimens, glycemic control, and quality-of-life. In addition, baseline data of 387 low-income, 96% Hispanic, enrolled patients with major depression and diabetes are examined to identify study population characteristics consistent with trial design adaptations.