A Tele-Behavioral Health Intervention to Reduce Depression, Anxiety, and Stress and Improve Diabetes Self-Management

Mochari‐Greenberger, Heidi; Vue, Lee; Luka, A.; Peters, Aimee; Pande, Reena L.

doi:10.1089/tmj.2015.0231

Cited by 35 publications

(25 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Some behavioral strategies, such as breathing and relaxation training, may be delivered in a single, brief session in a clinic setting, while multicomponent intervention packages require more time and resources to deliver outside of the medical visit. Individuals and families experiencing more general stress may have more barriers to attending frequent intervention sessions, making telehealth approaches a potentially useful avenue to pursue [85]. More work is needed to determine the most effective and least burdensome approach to intervention delivery for different types of stress.…”

Section: Discussionmentioning

confidence: 99%

Stress and A1c Among People with Diabetes Across the Lifespan

et al. 2016

View full text Add to dashboard Cite

Stress is known to negatively affect health and is a potentially serious barrier to diabetes-related health outcomes. This paper synthesizes what is known about stress and glycemic control among people with type 1 and type 2 diabetes across the lifespan. Chronic stress—especially in relation to living with diabetes—was most strongly associated with A1c, particularly among subgroups that face disproportionate stress, such as minority groups or adolescents/young adults. Mechanisms of the stress-A1c association include physiological, psychological, behavioral, and environmental links. Understanding the dimensions of stress as they relate to health in diabetes can be of significant clinical importance, and interventions targeting mechanisms that either exacerbate or buffer stress have reported modest improvements in A1c.

show abstract

Section: Discussionmentioning

confidence: 99%

Stress and A1c Among People with Diabetes Across the Lifespan

et al. 2016

View full text Add to dashboard Cite

show abstract

“…Engagement methodology and criteria for program participation have been previously described. [15][16][17][18] Briefly, participants entered the program either by referral from a healthcare or health insurance plan provider (including care management teams), or via proactive outreach and engagement guided by clinical algorithms to identify adults with pain conditions at risk for behavioral health issues. Participants were ≥18 years old and required to have access to a telephone.…”

Section: Participantsmentioning

confidence: 99%

Clinical and Workplace Outcomes From a Virtually Delivered Cognitive Behavioral Therapy Program for Pain

Mochari‐Greenberger¹,

Andreopoulos²,

Peters³

et al. 2020

Pain Practice

Self Cite

View full text Add to dashboard Cite

Objectives To evaluate clinical and workplace outcomes from an evidence‐based virtual behavioral therapy program for individuals with pain and behavioral health issues. Methods This was a retrospective de‐identified data analysis among a cohort of 1,086 participants enrolled in a standardized, evidence‐based telebehavioral therapy program between September 1, 2016, and August 31, 2017 (mean age 53 ± 11.5 years; 29% male). The program was delivered over approximately 8 weeks by licensed therapists and behavior coaches by telephone or video, and tailored to the pain management and behavioral health goals of each participant. Structured measurements were documented in the electronic clinical record, including demographics, comorbidities, pain severity (Pain Intensity, Enjoyment of Life, General Activity tool), behavioral health symptoms (Depression, Anxiety and Stress Scale short form), and productivity (Work Productivity and Activity Impairment survey). Results At baseline, participants had high average pain severity (5.8/10 points), high frequencies of behavioral health symptoms (68%), and activity impairment (90%); absenteeism (34%) and presenteeism (75%) were observed among employed individuals. Pain severity and pain interference improved by 17% and 27%, respectively, over 8 weeks (P < 0.0001). Reductions in depression, anxiety, and stress symptoms were significant and associated with reductions in pain interference (P < 0.0001). Absenteeism, presenteeism, and activity impairment ratings each improved by more than 25% (P < 0.0001). Discussion Participants in a virtually delivered behavioral therapy program for pain experienced significant improvements in pain intensity, pain interference, behavioral health symptoms, and work productivity.

show abstract

“…Future research is also progressively focusing on technology, such as fall-detection devices that allow a rapid intervention (Chaudhuri et al 2014) and distant methods of assistance for older people with mobility issues are being put into practice. Moreover, telehealth interventions have been demonstrated to be successful in improving depression and anxiety symptoms (Mochari-Greenberger et al 2016). In addition, it is urgent to redesign psychogeriatric models and to consider that more research is needed on older adults' perspectives as well to improve psychogeriatrics services (Sadavoy 2009).…”

Section: Future Directions Of Researchmentioning

confidence: 99%