Innovative ways of treating comorbid diabetes type II and depression: the "MADE-IT" Program

INTERVENTION: Participants with diabetes type II and depression will be randomly allocated to Intervention Group 1(depression focussed CBT) or Intervention Group 2 (integrated CBT & diabetes education) Depression focussed treatment covers relationship between thoughts and feelings, thought challenging, behavioural activation, problem solving, mindfulness, schema therapy and relapse prevention. Integrated treatments cover relationship between thoughts and feelings, thought challenging, behavioural activation, problem solving, mindfulness, schema therapy and relapse prevention, understanding diabetes and the diabetes pathway, medications, foot care, dietary information (Glycaemic Index, fats, sodium & sugar), label reading, health plans. Both interventions are delivered in small groups, for 90 minutes sessions once a week, over eight weeks. CONDITION: Diabetes type II and Depression PRIMARY OUTCOME: Reduced depressive symptomatology on Beck Depression Scale and by Clinical Assessment (using SCID ‐ Depression rating) SECONDARY OUTCOME: Improved self care behaviours (Blood Glucose Level (BGL) monitoring, medication adherence, exercise, diet ahderence) and improved glycosated Hameoglobin levels(HbA1c). Self report by participants' on BGL's, medication adherence (or changes), levels of exercise, and dietary adherence are recorded fortnightly by researcher INCLUSION CRITERIA: Diabetes type II and Beck Depression Inventory score of >15.