000145421 001__ 145421 000145421 005__ 20241024135331.0 000145421 0247_ $$2doi$$a10.1111/wvn.12744 000145421 0248_ $$2sideral$$a140200 000145421 037__ $$aART-2024-140200 000145421 041__ $$aeng 000145421 100__ $$0(orcid)0000-0002-6455-119X$$aFernández-Rodrigo, María Teresa$$uUniversidad de Zaragoza 000145421 245__ $$aTreatment adherence and wellness, nutrition, and physical activity outcomes of diabetic patients with comorbid depression during the 18-month follow-up of the TELE-DD study 000145421 260__ $$c2024 000145421 5060_ $$aAccess copy available to the general public$$fUnrestricted 000145421 5203_ $$aA good adherence to pharmacological treatment in chronic pathologies such as type 2 diabetes and clinical depression is essential to improve illness prognosis.AimsThe main goal of the TELE‐DD study was to analyze the effectiveness of a telephone, psychoeducational, and individualized intervention carried out by nurses in patients with type 2 diabetes mellitus and comorbid clinical depression with prior nonadherence to pharmacological treatment. In this paper, we describe and analyze secondary outcomes of the trial intervention.MethodsA prospective cohort study was used to assess the effectiveness of a telephonic intervention (IG) in n = 191 participants with a similar control group (CG). Adherence to pharmacological treatment was assessed using the patient's self‐perceived adherence questionnaire. In addition to clinical (HbAc1, HDL, LDL), physical (body mass index, blood pressure) and psychological measures (Patient Health Questionnaire‐9 affective state), and psychosocial distress due to Diabetes Distress Scale Questionnaire at 3, 6, 12, and 18 months of follow‐up were also analyzed.ResultsThe proportion of “Total Adherents” in the IG was higher throughout the study. This was particularly true at month 18 of the intervention. Self‐perceived adherence rates increased by 27.1% in the IG and by 1.1% in the CG. Results of clinical and physical measures were higher in the IG than in the CG at month 18 of the intervention.Linking Evidence to ActionThe interview based on positive reinforcement as well as individualized attention and flexibility in making telephone calls and dissemination of the intervention in the media closest to the patients were key to achieving good participation and collaboration as well as continuity in adherence to treatment and self‐care. 000145421 540__ $$9info:eu-repo/semantics/openAccess$$aby-nc-nd$$uhttp://creativecommons.org/licenses/by-nc-nd/3.0/es/ 000145421 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion 000145421 700__ $$aHoyo, María Luisa Lozano-del 000145421 700__ $$0(orcid)0000-0001-7049-8295$$aUrcola-Pardo, Fernando$$uUniversidad de Zaragoza 000145421 700__ $$0(orcid)0000-0002-5676-4179$$aSubirón-Valera, Ana Belén$$uUniversidad de Zaragoza 000145421 700__ $$aRodríguez-Roca, Beatriz$$uUniversidad de Zaragoza 000145421 700__ $$aGracia-Ruiz, Diana Cecilia 000145421 700__ $$aGómez-Borao, María Mercedes 000145421 700__ $$aAndaluz-Funcia, María Teresa 000145421 700__ $$aArtigas-Alcázar, Ana Belén 000145421 700__ $$aRoy-Delgado, Juan Francisco 000145421 7102_ $$11006$$2255$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Enfermería 000145421 773__ $$g21, 5 (2024), 582-591$$pWorldviews on Evidence-Based Nursing$$tWorldviews on Evidence-Based Nursing$$x1545-102X 000145421 8564_ $$s390383$$uhttps://zaguan.unizar.es/record/145421/files/texto_completo.pdf$$yVersión publicada 000145421 8564_ $$s2380607$$uhttps://zaguan.unizar.es/record/145421/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada 000145421 909CO $$ooai:zaguan.unizar.es:145421$$particulos$$pdriver 000145421 951__ $$a2024-10-24-12:12:42 000145421 980__ $$aARTICLE