Evidence map›Paper›PMID 20956707›Full record

Trial reportAnnals of internal medicine2010

Diabetes control with reciprocal peer support versus nurse care management: a randomized trial.

Michele Heisler, Sandeep Vijan, Fatima Makki, John D Piette

2 registry-linked trialsOpen access · greenAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Annals of internal medicine, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 187 papers, 20 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
187citing papers in PubMed, 20 pooled it
14.4field-weighted citation impact, top 1% 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.

NCT00320112 phase3completednot on this map

Improving Insulin Therapy With Enhanced Care Management and Peer Support

TypeinterventionalSponsorUS Department of Veterans AffairsRan2007 to 2010Enrolled244ConditionsDiabetesArmsReciprocal Diabetes Peer Support Program, Nurse Case management, group outpatient counseling visits
NCT02804620 nacompletednot on this mapstarted 2014, after this paper: background citation

From Clinic to Community: Using Peer Support as a Transition Model for Improving Long-term Diabetes-related Health Outcomes

TypeinterventionalSponsorUniversity of British ColumbiaRan2014 to 2018Enrolled196ConditionsPeer Support, Diabetes Self-managementArmsPeer-led, Empowerment-based Approach to Self-management efforts in Diabetes
3 · Its place in the literature

Who cites it

187 citing papers in PubMed, 20 syntheses or guidelines pooled it, 365 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Guideline
  6. Pooled it
  7. Pooled it
  8. Pooled it
  9. Pooled it
  10. Pooled it
  11. Effect of telemedicine on glycated hemoglobin in diabetes: a systematic review and meta-analysis of randomized trials.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2017
    Pooled it
  12. Pooled it
  13. Pooled it
  14. Technology-mediated interventions for enhancing medication adherence.Journal of the American Medical Informatics Association : JAMIA · 2015
    Pooled it
  15. Interventions for enhancing medication adherence.The Cochrane database of systematic reviews · 2014
    Pooled it
  16. Pooled it
  17. Pooled it
  18. Guideline
  19. Guideline
  20. Pooled it

127 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 2 countries.

Michele HeislerUniversity of Michigan and Ann Arbor Veterans Affairs Health Care System, Ann Arbor, Michigan 48113-0170, USA. mheisler@umich.edu
Sandeep Vijan
Fatima Makki
John D Piette
University of Michigan–Ann Arbor · US

Funding

MICHIGAN INSTITUTE FOR CLINICAL AND HEALTH RESEARCH (MICHR) (UL1): (BPCA)UL1RR024986 · NCRR · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SHANLEY, THOMAS P. · 2007 to 2011
$51.2M
PUBLIC HEALTH DEMONSTRATIONP60DK020572 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MYERS, MARTIN G · 1985 to 2012
$26.5M
Research BaseP30DK092926 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MARY ELLEN MICHELE HEISLER, ADESUWA B OLOMU · 2011 to 2026
$10.0M
Peer Support--Congestive Heart Failure Self-ManagementR01HL085420 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI HEISLER, MARY ELLEN MICHELE · 2006 to 2009
$2.0M
NCRR NIH HHS UL1 RR024986NCRR NIH HHS UL1RR024986NHLBI NIH HHS R01 HL085420NIDDK NIH HHS 5P60-DK20572NIDDK NIH HHS P30 DK092926NIDDK NIH HHS P60 DK020572
6 · The paper itself

Abstract

backgroundResource barriers complicate diabetes care management. Support from peers may help patients manage their diabetes.

objectiveTo compare a reciprocal peer-support (RPS) program with nurse care management (NCM).

designRandomized, controlled trial. (ClinicalTrials.gov registration number: NCT00320112)

setting2 U.S. Department of Veterans Affairs health care facilities. PATIENTS: 244 men with hemoglobin A(1c) (HbA(1c)) levels greater than 7.5% during the previous 6 months. MEASUREMENTS: The primary outcome was 6-month change in HbA(1c) level. Secondary outcomes were changes in insulin therapy; blood pressure; and patient reports of medication adherence, diabetes-related support, and emotional distress.

interventionPatients in the RPS group attended an initial group session to set diabetes-related behavioral goals, receive peer communication skills training, and be paired with another age-matched peer patient. Peers were encouraged to talk weekly using a telephone platform that recorded call occurrence and provided reminders to promote peer contact. These patients could also participate in optional group sessions at 1, 3, and 6 months. Patients in the NCM group attended a 1.5-hour educational session and were assigned to a nurse care manager.

resultsOf the 244 patients enrolled, 216 (89%) completed the HbA(1c) assessments and 231 (95%) completed the survey assessments at 6 months. Mean HbA(1c) level decreased from 8.02% to 7.73% (change, -0.29%) in the RPS group and increased from 7.93% to 8.22% (change, 0.29%) in the NCM group. The difference in HbA(1c) change between groups was 0.58% (P = 0.004). Among patients with a baseline HbA(1c) level greater than 8.0%, those in the RPS group had a mean decrease of 0.88%, compared with a 0.07% decrease among those in the NCM group (between-group difference, 0.81%; P < 0.001). Eight patients in the RPS group started insulin therapy, compared with 1 patient in the NCM group (P = 0.020). Groups did not differ in blood pressure, self-reported medication adherence, or diabetes-specific distress, but the RPS group reported improvement in diabetes social support. LIMITATION: The study included only male veterans and lasted only 6 months.

conclusionReciprocal peer support holds promise as a method for diabetes care management.

Indexed as

Social SupportBlood PressureDiabetes Mellitus, Type 1Glycated HemoglobinHumansInsulinMaleMedication AdherenceMotivationPsychotherapy, GroupSelf EfficacyStress, PsychologicalTelephoneTreatment OutcomeGlycated HemoglobinInsulin

Identifiers

PMID20956707
PMCPMC4117390
OpenAlexW2066345304

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.