title: Integrated medical care management and behavioral risk factor reduction for multicondition patients: behavioral outcomes of the TEAMcare trial.
abstract: OBJECTIVE
  The purpose of the study was to compare behavioral outcomes (physical activity, sedentary behavior, smoking cessation, diet) between the intervention and usual care conditions from the TEAMcare trial.
  
  
  METHODS
  TEAMcare was a randomized trial among 214 adults with depression and poorly controlled diabetes and/or coronary heart disease that promoted health behavior change and pharmacotherapy to improve health. Behavioral outcomes were measured with the International Physical Activity Questionnaire (physical activity, sitting time) and the Summary of Diabetes Self-Care Activities Measure (smoking, diet, exercise). Poisson regression models among completers (N=185) were conducted adjusting for age, education, smoking status and depression.
  
  
  RESULTS
  Intervention participants had more days/week following a healthy eating plan [relative rate=1.2, 95% confidence interval (CI)=1.1-1.4] and more days of participation in 30 min of physical activity (relative rate=1.2, 95% CI=1.1-2.0) compared to usual care. Intervention participants were more likely to meet physical activity guidelines (7.5% increase) compared to usual care (12% decrease; P=.053).
  
  
  CONCLUSIONS
  Diet and activity generally improved for those receiving the intervention, while there were no differences in some aspects of diet (fruit and vegetable and high-fat food intake), smoking status and sitting time between conditions in the TEAMcare trial.
authors: Group Health Research Institute, 1730 Minor Ave Suite 1600, Seattle, WA 98101, USA. Electronic address: rosenberg.d@ghc.org.
authors: Dori
authors: D
authors: Rosenberg
authors: Group Health Research Institute, 1730 Minor Ave Suite 1600, Seattle, WA 98101, USA.
authors: Elizabeth
authors: E
authors: Lin
authors: Group Health Research Institute, 1730 Minor Ave Suite 1600, Seattle, WA 98101, USA.
authors: Do
authors: D
authors: Peterson
authors: Group Health Research Institute, 1730 Minor Ave Suite 1600, Seattle, WA 98101, USA.
authors: Evette
authors: E
authors: Ludman
authors: Group Health Research Institute, 1730 Minor Ave Suite 1600, Seattle, WA 98101, USA.
authors: Michael
authors: M
authors: Von Korff
authors: Group Health Research Institute, University of Washington School of Medicine, Box 356560, Seattle, WA 98195-6560.
authors: Wayne
authors: W
authors: Katon
mesh_terms: D000328:Adult; D000368:Aged; D003327:Coronary Disease / Q000150:complications / Q000628:therapy*; D003866:Depressive Disorder / Q000150:complications / Q000628:therapy*; D003920:Diabetes Mellitus / Q000628:therapy*; D015444:Exercise; D005247:Feeding Behavior; D005260:Female; D015438:Health Behavior; D006801:Humans; D008297:Male; D008875:Middle Aged; D009043:Motor Activity; D015999:Multivariate Analysis; D010353:Patient Education as Topic / Q000379:methods*; D012044:Regression Analysis; D040242:Risk Reduction Behavior; D057185:Sedentary Behavior; D012648:Self Care; D016540:Smoking Cessation; D016896:Treatment Outcome
keywords: Cardiovascular disease; Depression; Diabetes; Diet; Physical activity