Table 2.
Primary outcome measures in the Diabetes-Depression Care-management Adoption Trial (DCAT), Los Angeles, 2011 to 2013. HBA1c: glycated hemoglobin; PHQ-9: 9-item Patient Health Questionnaire; PST: problem-solving therapy; SF-12: 12-item Short Form Survey.
| Variables | Description | |
| Depression, measured at baseline and 6 months post intervention |
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PHQ-9 [58] | Continuous variable assessing severity of depression. Scoring: PHQ-9 of 5-9=mild depression; PHQ-9 of 10-14=moderate depression; PHQ-9 of 15-19=major depression; PHQ-9 of 20-27=severe depression. For purposes of this study, PHQ-9 ≥10 indicated depression serious enough to consider pharmacologic or PST treatment. |
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Depression remission | Dichotomous variable assessing effectiveness of treating patients with major depression. Depression remission defined as baseline PHQ-9 ≥10 and 6-month PHQ-9 ≤8 with a reduction ≥50%. |
| Diabetes, measured at baseline and 6 months post intervention if not otherwise indicated |
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HBA1c valuea | Continuous variable assessing severity of diabetes. HBA1c value indicates average plasma glucose concentration over prolonged periods. |
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HBA1c testeda | Dichotomous variable assessing diabetes care process. |
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Total cholesterola | Continuous variable assessing cholesterol levels and severity of dyslipidemia |
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Diabetes self-care [61] | Days per week of diabetes self-care. Treated as a continuous variable. |
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Exercise | Days of participating in at least 30 min of exercise during previous week. |
| Patient reported outcomes, measured at baseline and 6 months post intervention |
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SF-12 physical score [62] | Continuous variables assessing functional health and well-being |
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SF-12 mental score [62] | |
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Sheehan Disability Scale [63,64] | Self-reported tool assessing functional impairment in work or school, social, and family life. |
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Satisfaction with diabetes care | Five-level score assessing diabetes care satisfaction. Treated as a continuous variable. |
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Satisfaction with care for emotional problems | Five-level score assessing mental health care satisfaction. Treated as a continuous variable. |
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Satisfaction with care for emotional problems, baseline PHQ-9 ≥10 | Five-level score assessing mental care satisfaction of patients with major depression. Treated as a continuous variable. |
aThe HBA1c value, HBA1c tested, and total cholesterol value were obtained from the LACDHS electronic medical record system. The measurement periods were within 3 months of baseline and 6-month post intervention. If more than one value was available, the values closest to the baseline and the 6-month follow-up period were chosen.