Evidence map›Paper›PMID 19359123›Full record

ArticlePatient education and counseling2009

Goal setting in diabetes self-management: taking the baby steps to success.

Darren A DeWalt, Terry C Davis, Andrea S Wallace, Hilary K Seligman, Betsy Bryant-Shilliday, Connie L Arnold, Janet Freburger, Dean Schillinger

Abstract read
In one paragraph

Article in Patient education and counseling, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 4 pooled it
6.3field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 4 syntheses or guidelines pooled it, 136 citations in OpenAlex.

  1. Pooled it
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  5. Self-management goals of cancer survivors with an ostomy.Journal of cancer survivorship : research and practice · 2023
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  16. The Impact of Physical Activity in Patients With Type 2 Diabetes.American journal of lifestyle medicine · 2025
    Review
  17. A Culturally Adapted Perioperative Mental Health Intervention for Older Black Surgical Patients.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 1 country.

Darren A DeWaltDivision of General Internal Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA. dewaltd@med.unc.edu
Terry C Davis
Andrea S Wallace
Hilary K Seligman
Betsy Bryant-Shilliday
Connie L Arnold
Janet Freburger
Dean Schillinger
University of North Carolina at Chapel Hill · USLouisiana State University in Shreveport · USSan Francisco General Hospital · USUniversity of California, San Francisco · USUniversity of New Mexico · US

Funding

UCSF CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTEUL1RR024131 · NCRR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI JOHNSTON, S. CLAIBORNE · 2006 to 2011
$111.2M
Research Training:Health Care Quality &Patient OutcomesT32NR008856 · NINR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MARK, BARBARA A · 2004 to 2013
$2.7M
FUNCTIONAL HEALTH LITERACY, COMMUNICATION, AND DIABETESK23RR016539 · NCRR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SCHILLINGER, DEAN · 2002 to 2006
$607k
NCRR NIH HHS K23 RR016539NCRR NIH HHS K-23 RR16539NCRR NIH HHS UL1 RR024131NINR NIH HHS T32 NR008856NINR NIH HHS T32 NR08856
6 · The paper itself

Abstract

objectiveTo evaluate the usefulness of a diabetes self-management guide and a brief counseling intervention in helping patients set and achieve their behavioral goals.

methodsWe conducted a quasi-experimental study using a one group pretest posttest design to assess the effectiveness of a goal setting intervention along with a self-management guide. English- and Spanish-speaking patients with diabetes had one in-person session and two telephone follow-up calls with a non-clinical provider over a 12-16-week period. At each call and at the end of the study, we assessed success in achieving behavioral goals and problem solving toward those goals. Satisfaction with the self-management guide was assessed at the end of the study.

resultsWe enrolled 250 patients across three sites and 229 patients completed the study. Most patients chose to set goals in diet and exercise domains. 93% of patients achieved at least one behavioral goal during the study and 73% achieved at least two behavioral goals. Many patients exhibited problem solving behavior to achieve their goals. We found no significant differences in reported achievement of behavior goals by literacy or language. Patients were very satisfied with the guide.

conclusionsA brief goal setting intervention along with a diabetes self-management guide helped patients set and achieve healthy behavioral goals. PRACTICE IMPLICATIONS: Non-clinical providers can successfully help a diverse range of patients with diabetes set and achieve behavioral goals.

Indexed as

GoalsAdultAgedAged, 80 and overChi-Square DistributionCounselingDiabetes Mellitus, Type 2Feasibility StudiesFemaleHumansMaleMiddle AgedPatient SatisfactionSelf CareSurveys and Questionnaires

Identifiers

PMID19359123
PMCPMC4286314
OpenAlexW1967547074

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.