{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T03:37:01Z","timestamp":1775792221089,"version":"3.50.1"},"reference-count":44,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"7","license":[{"start":{"date-parts":[[2016,9,1]],"date-time":"2016-09-01T00:00:00Z","timestamp":1472688000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychosom Med"],"published-print":{"date-parts":[[2016,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n          <jats:sec>\n            <jats:title>Objective<\/jats:title>\n            <jats:p>Few interventions have combined life-style and psychosocial approaches in the context of Type 2 diabetes management. The purpose of this study was to determine the effect of a multicomponent behavioral intervention on weight, glycemic control, renal function, and depressive symptoms in a sample of overweight\/obese adults with Type 2 diabetes and marked depressive symptoms.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>A sample of 111 adults with Type 2 diabetes were randomly assigned to a 1-year intervention (<jats:italic toggle=\"yes\">n<\/jats:italic> = 57) or usual care (<jats:italic toggle=\"yes\">n<\/jats:italic> = 54) in a parallel groups design. Primary outcomes included weight, glycosylated hemoglobin, and Beck Depression Inventory II score. Estimated glomerular filtration rate served as a secondary outcome. All measures were assessed at baseline and 6 and 12 months after randomization by assessors blind to randomization. Latent growth modeling was used to examine intervention effects on each outcome.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>The intervention resulted in decreased weight (mean [M] = 0.322 kg, standard error [SE] = 0.124 kg, <jats:italic toggle=\"yes\">p<\/jats:italic> = .010) and glycosylated hemoglobin (M = 0.066%, SE = 0.028%, <jats:italic toggle=\"yes\">p<\/jats:italic> = .017), and Beck Depression Inventory II scores (M = 1.009, SE = 0.226, <jats:italic toggle=\"yes\">p<\/jats:italic> &lt; .001), and improved estimated glomerular filtration rate (M = 0.742 ml\u00b7min<jats:sup>\u22121<\/jats:sup>\u00b71.73 m<jats:sup>\u22122<\/jats:sup>, SE = 0.318 ml\u00b7min<jats:sup>\u22121<\/jats:sup>\u00b71.73 m<jats:sup>\u22122<\/jats:sup>, <jats:italic toggle=\"yes\">p<\/jats:italic> = .020) each month during the first 6 months relative to usual care.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>Multicomponent behavioral interventions targeting weight loss and depressive symptoms as well as diet and physical activity are efficacious in the management of Type 2 diabetes.<\/jats:p>\n            <jats:p>\n                                 <jats:bold>Trial Registration:<\/jats:bold> This study is registered at Clinicaltrials.gov ID: NCT01739205.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/psy.0000000000000348","type":"journal-article","created":{"date-parts":[[2016,7,4]],"date-time":"2016-07-04T11:40:09Z","timestamp":1467632409000},"page":"851-860","source":"Crossref","is-referenced-by-count":41,"title":["Effects of a Multicomponent Life-Style Intervention on Weight, Glycemic Control, Depressive Symptoms, and Renal Function in Low-Income, Minority Patients With Type 2 Diabetes: Results of the Community Approach to Lifestyle Modification for Diabetes Randomized Controlled Trial"],"prefix":"10.1097","volume":"78","author":[{"given":"Ashley E.","family":"Moncrieft","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria M.","family":"Llabre","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Judith Rey","family":"McCalla","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miriam","family":"Gutt","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Armando J.","family":"Mendez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc D.","family":"Gellman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ronald 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