145421 20260217205602.0 doi 10.1111/wvn.12744 sideral 140200 ART-2024-140200 eng Fernández-Rodrigo, María Teresa Universidad de Zaragoza (orcid)0000-0002-6455-119X Treatment 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 2024 Access copy available to the general public Unrestricted A 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. info:eu-repo/semantics/openAccess by-nc-nd https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es 3.8 2024 NURSING 11 / 193 = 0.057 2024 Q1 T1 NURSING 11 / 193 = 0.057 2024 Q1 T1 1.488 2024 Nursing (miscellaneous) 2024 Q1 Medicine (miscellaneous) 2024 Q1 6.6 2024 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Hoyo, María Luisa Lozano-del Urcola-Pardo, Fernando Universidad de Zaragoza (orcid)0000-0001-7049-8295 Subirón-Valera, Ana Belén Universidad de Zaragoza (orcid)0000-0002-5676-4179 Rodríguez-Roca, Beatriz Universidad de Zaragoza Gracia-Ruiz, Diana Cecilia Gómez-Borao, María Mercedes Andaluz-Funcia, María Teresa Artigas-Alcázar, Ana Belén Roy-Delgado, Juan Francisco 1006 255 Universidad de Zaragoza Dpto. Fisiatría y Enfermería Área Enfermería 21, 5 (2024), 582-591 Worldviews on Evidence-Based Nursing Worldviews on Evidence-Based Nursing 1545-102X 390383 http://zaguan.unizar.es/record/145421/files/texto_completo.pdf Versión publicada 2380607 http://zaguan.unizar.es/record/145421/files/texto_completo.jpg?subformat=icon icon Versión publicada oai:zaguan.unizar.es:145421 articulos driver 2026-02-17-20:45:09 ARTICLE