测试综合护理模型试验

实验性的：协作护理小组

其他：平时护理

参与者将在 Grady 糖尿病诊所接受常规糖尿病护理。

其他名称：

• 护理标准 (SOC)

其他：协作护理模式（CoCM）

协作护理将包括：

• 行为健康顾问 (BHC) 的护理
• 基于测量的心理保健
• 系统的案件量审查
• 抑郁症的医疗管理

BHC 将监测抑郁和焦虑的严重程度，通过行为激活促进患者行为改变，并通过参与病例审查来支持抑郁症的医疗管理（即，多学科 T1D 每月审查个别患者的心理保健计划）临床团队和 BHC）。 由临床医生开始抑郁症治疗（如果有必要）并参与心理保健。

其他名称：

• 综合护理模式

有源比较器：日常护理

随机接受常规护理的参与者将在格雷迪的糖尿病诊所继续进行常规临床护理。

其他：平时护理

参与者将在 Grady 糖尿病诊所接受常规糖尿病护理。

其他名称：

• 护理标准 (SOC)

Proportion of patients achieving improvements in PHQ-9 score

The proportion of patients achieving improvements in PHQ-9 score [PHQ-9<10] or a ≥50% PHQ-9 score reduction.

Proportion of patients achieving improvement in HbA1c at end of intervention

Improvement in HbA1c will be considered as HbA1c<7 or ≥0.5% HbA1c reduction

Generalized anxiety disorder scale score

Researchers will use the Generalized anxiety disorder (GAD)-7, a 7-item scale with reporting scores from 0 to 3 on all the questions. It investigates how often the patient has been bothered by seven different symptoms of anxiety during the last two weeks with response options such as: " not at all," " several days '," more than half the days," and " nearly daily " scored as 0, 1, 2, and 3, respectively. The GAD-7 is scored by adding the scores for all 7 items, giving a total score from 0 to 21. Scores of 5, 10, and 15 are taken as the cut-off points for mild, moderate, and severe anxiety, respectively. Further evaluation is recommended when the score is 10 or greater.

Systolic and diastolic blood pressure (BP) measurements

Systolic and diastolic blood pressure (SBP and DBP) will be extracted from participants' medical records.

Low-density lipoprotein (LDL) cholesterol

LDL cholesterol data will be extracted from participants' medical records.