A Model of Community-Based Behavioral Intervention for Depression in Diabetes: Program ACTIVE


In Brief

Depression affects one in four people with diabetes and significantly affects diabetes health. Earlier studies of the treatment of depression have documented that cognitive behavioral therapy (CBT) and exercise have each been found to be effective in treating depression in people with and without diabetes in the context of medical settings. Individuals in rural areas lack regular access to medical centers and require treatment options that may be adapted for local communities. To date, no studies have combined CBT and exercise for people with diabetes. This article presents a translational behavioral depression intervention study designed for individuals with type 2 diabetes in a rural Appalachian region as a model of an interdisciplinary approach to the treatment of depression in diabetes.


  • Mary de Groot, PhD, is an associate professor in the Department of Medicine at the Indiana University School of Medicine in Indianapolis. Michael Kushnick, PhD, is an associate professor, and Mark McGlynn, BA, is a graduate student at the Ohio University School of Recreation and Sport Sciences in Athens. Todd Doyle, MS, and Jennifer Merrill, MS, are graduate students at the Ohio University Department of Psychology in Athens. Jay Shubrook, DO, is an associate professor, and Frank Schwartz, MD, is a professor at the Ohio University College of Osteopathic Medicine in Athens.

| Table of Contents