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Peer support reduces hospitalizations in diabetics with comorbid depression

07 Nov 2018

Peer support reduces the utilization of acute care (AC) in type 2 diabetes patients with comorbid depression, reports a recent study.

Researchers randomly assigned 360 adults (mean age 60.2±12.1 years; 75.3 percent female) with type 2 diabetes to receive either peer support or usual care. Depressive symptoms were measured using the Patient Health Questionnaire (PHQ), while AC and hospital utilization was evaluated through self-reports.

At baseline, half of the participants had PHQ >5 and a fourth had PHQ >10. Mean glycated haemoglobin level was 7.9 percent, and the mean duration of diabetes was 13.3 years. There was no significant difference in baseline AC utilization between intervention and control groups.

At the 12-month follow-up, AC visits (incidence rate ratio [IRR], 0.699; 95 percent CI, 0.386–1.27; p=0.238), hospitalizations (IRR, 0.505; 0.21–1.21; p=0.128) and other visits were statistically comparable between those who received the peer support intervention and usual care control.

However, in the subset of participants with PHQ score >5, the intervention appeared to significantly reduce the rate of hospitalization by 74 percent at follow-up (IRR, 0.26; 0.08–0.84). The same was true for AC visits (IRR, 0.55; 0.28–1.07).

Moreover, the predicted number of hospitalizations in the intervention and control groups were 0.85 and 3.23 per 10 person-years, respectively. In absolute terms, this corresponds to one hospitalization prevented per year for every 4.2 participants enrolled in the intervention.

Researchers obtained similar results when they restricted the analysis to those with PHQ scores >10, but not to those with scores <5. The findings thus indicated that peer support holds value for diabetics with, but not without, depressive symptoms.

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Most Read Articles
Roshini Claire Anthony, 6 days ago

Patients with mild hypertension who are at low risk for cardiovascular disease (CVD) do not appear to derive mortality or CVD benefit from antihypertensive treatments, raising questions on the need for treatment in this population, according to a recent study from England.

Pearl Toh, 09 Nov 2018
A personalized computerized neurofeedback intervention for training attention and memory shows potential in cognitive training for healthy elderly men, who improved in cognitive performance after the training, although no significant improvements were seen in the overall study population.
4 days ago
Type 1 diabetes impairs cognitive functioning in children, and this effect is exacerbated by extreme glycaemic levels, according to a recent meta-analysis.
Pearl Toh, 08 Nov 2018
The pneumonia-causing bacteria, Streptococcus pneumoniae (pneumococcus), can be spread through nose picking and rubbing after exposure of the hands to the bacteria — in addition to the conventionally known route of inhalation of airborne droplets, a study reveals.