OU-HCOM researchers seek better treatments for
those with diabetes and depression
(Athens, Ohio – July 19, 2012) In
2009, Ohio University researchers established that people with both
diabetes and depression benefitted from talk therapy and exercise.
Today with a grant from the National Institutes of Health (NIH),
those researchers are determining the treatment that will help
patients the most: exercise, counseling or a combination of both.
"Our initial study found that the
combination of cognitive based therapy and structured exercise
helped both diabetes and depression. We now want to know which
component is critical. Program A.C.T.I.V.E. will randomize people to
routine care to best understand what will help people most," said
Jay Shubrook D.O., associate professor of family medicine.
"Diabetes and depression are both very
serious problems for people in this region.," said Dr. Shubrook.
"When they are both present it is particularly hard to maintain
long-term control. Recognizing that these two problems can play off
of each other we want to find a way to improve people's lives and
control these problems."
second round of Program A.C.T.I.V.E. (Appalachians Coming Together
to Increase Vital Exercise) is now underway at two sites, one in
southeast Ohio and lead by OU-HCOM, the other in West Virginia
through the West Virginia University Human Performance Lab.
Researchers hope the community-based studies will point to the most
effective treatment for people dealing with both Type 2 diabetes and
depression: talk therapy, exercise or a combination of the two.
Bernadette Davantes Heckman, Ph.D.,
principal investigator for the OU-HCOM site; Frank Schwartz, M.D.,
professor of endocrinology, J.O. Watson Chair for Diabetes Research
and director of the OU-HCOM Diabetes/Endocrine Center; and Dr.
Shubrook received $1 million as a part of a $3.2 million NIH grant
awarded to Mary DeGroot, Ph.D., of Indiana University, to implement
Program A.C.T.I.V.E. Dr. DeGroot is the principal investigator for
the study. The grant was awarded last year through the NIH's
National Institute of Diabetes & Digestive & Kidney Diseases. The
OU-HCOM research team includes Program Coordinator Rachel Clift,
BSN, RN, and Research Assistant Shelly Everett.
The project seeks to enroll over 100
participants in the Parkersburg, W.V. and Marietta, Ohio, regions.
To be eligible, participants must have been diagnosed with
depression and have had Type 2 diabetes for at least one year.
Individuals should be able to perform everyday activities such as
walking, light household chores and other activities without the use
of a cane or other assistive devices, and they must receive approval
from their primary care physician to take part in the study.
Program A.C.T.I.V.E. participants are
randomly separated into four study groups. People assigned to one of
the groups that will undertake exercise will receive paid passes to
participating fitness centers where they will learn to become active
in safe and supportive environments. These participants will also
receive pedometers and glucose meters. Those assigned to groups
receiving talk therapy will meet individually with a local therapist
for 10 counseling sessions. Each encounter will focus on helping the
individual learn depression coping skills to better manage their
condition. Additionally, all participants will take part in cooking
classes to learn how to make healthy meals.
Adults dealing with both Type 2
diabetes and depression should call 1-855-362-2848 (1-855-DMACTIV)
to find out if they are eligible to participate in Program