{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T02:09:08Z","timestamp":1779242948005,"version":"3.51.4"},"reference-count":45,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2021,3,25]],"date-time":"2021-03-25T00:00:00Z","timestamp":1616630400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100012367","name":"MedStar Health Research Institute","doi-asserted-by":"publisher","award":["Intramural Grant"],"award-info":[{"award-number":["Intramural Grant"]}],"id":[{"id":"10.13039\/100012367","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Science of Diabetes Self-Management and Care"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The primary aim of this pilot study was to examine the feasibility of codelivering a mental health intervention with an evidence-based type 2 diabetes (T2DM) boot camp care management program. The preliminary impact of participation on symptom scores for depression and anxiety and A1C was also examined.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a 12-week, non-randomized pilot intervention conducted with a convenience sample of adults with uncontrolled T2DM and moderate depression and\/or anxiety at an urban teaching hospital. Co-management intervention delivery was via in-person and telehealth visits. Participants were assessed at baseline and 90\u2009days.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Participants (n = 18) were African American, majority female (83%), and age 50.7 \u00b1 13.4\u2009years. Significant improvements in mental health outcomes were demonstrated, as measured by a reduction in Patient Health Questionnaire \u2212 9 scores of 2.4 \u00b1 2.9 ( P = .01) and in Generalized Anxiety Disorder \u2212 7 scores of 2.3 \u00b1 1.9 ( P = .001). The pre-post intervention mean A1C improved by 3.4 \u00b1 2.1\u2009units from 12% \u00b1 1.4% to 8.5% \u00b1 1.7% ( P &lt; .001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The data generated in this pilot support the feasibility of delivering a diabetes and mental health co-management intervention using a combination of in-person and telemedicine visits to engage adults with T2DM and coexisting moderate depression and\/or anxiety. Further research is warranted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0145721721996305","type":"journal-article","created":{"date-parts":[[2021,3,26]],"date-time":"2021-03-26T02:08:27Z","timestamp":1616724507000},"page":"144-152","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["A Prospective, Non-randomized Feasibility and Preliminary Efficacy Study of a Telemedicine-Enabled Co-management Intervention for Adults With Type 2 Diabetes and Moderate Anxiety and\/or Depression"],"prefix":"10.1177","volume":"47","author":[{"given":"Michelle F.","family":"Magee","sequence":"first","affiliation":[{"name":"MedStar Diabetes Institute, Washington, DC"},{"name":"Department of Medicine, Georgetown University School of Medicine, Washington, DC"},{"name":"MedStar Health Research Institute, Hyattsville, 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