Evidence map›Paper›PMID 21030194›Full record

Trial reportPatient education and counseling2011

Self-management problem solving for adolescents with type 1 diabetes: intervention processes associated with an Internet program.

Shelagh A Mulvaney, Russell L Rothman, Chandra Y Osborn, Cindy Lybarger, Mary S Dietrich, Kenneth A Wallston

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Patient education and counseling, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

17 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  9. Diabetes and Behavior in the 21st Century: Things That Make You Go "Hmmm . . . ".Diabetes spectrum : a publication of the American Diabetes Association · 2019
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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

6 authors.

Shelagh A MulvaneySchool of Nursing, Vanderbilt University Medical Center, Nashville, TN 37240, USA. shelagh.mulvaney@vanderbilt.edu
Russell L Rothman
Chandra Y Osborn
Cindy Lybarger
Mary S Dietrich
Kenneth A Wallston

Funding

VANDERBILT UNIVERSITY CTSA FOR PEDIATRIC RESEARCHUL1RR024975 · NCRR · VANDERBILT UNIVERSITY · PI BERNARD, GORDON RAPHAEL · 2007 to 2011
$45.7M
Adolescent Self-Management of Diabetes: An InterventionR21DK070026 · NIDDK · VANDERBILT UNIVERSITY · PI MULVANEY, SHELAGH A · 2006 to 2007
$416k
NCRR NIH HHS UL1 RR024975NIDDK NIH HHS DK070026NIDDK NIH HHS R21 DK070026
6 · The paper itself

Abstract

objectiveDescribe intervention processes associated with an Internet self-management problem solving program for adolescents with type 1 diabetes, and relate participant characteristics to program use.

methodsForty-one adolescents with type 1 diabetes, aged 13-17, participated in an Internet intervention.

resultsParticipants reported psychosocial self-management barriers related to social issues (45%), time pressures (22%), and emotions (25%). Most adolescents (76%) completed the two guided problem solving cycles, and most (97%) problems were appropriate and specific to diabetes. Of the 61 diabetes problems reported, 92% were mostly or completely solved. Baseline hemoglobin A1c, diabetes duration, and age were not related to online activities, however females posted more often to the forum (U=130.0, Z=2.13, p=.033). The majority of parents (87%) interacted with their child about the website.

conclusionAdolescents experience psychosocial barriers to self-management that can be addressed by teaching problem solving via the Internet. PRACTICE IMPLICATIONS: An Internet self-management problem solving program with minimal external support provides a viable option for diabetes clinics to improve pediatric diabetes outcomes.

Indexed as

InternetPatient Education as TopicProblem SolvingAdaptation, PsychologicalAdolescentAdolescent BehaviorAdolescent Health ServicesDiabetes Mellitus, Type 1FemaleGlycated HemoglobinHumansMalePatient CompliancePsychology, AdolescentSelf CareSelf-Help GroupsGlycated Hemoglobin

Identifiers

PMID21030194
PMCPMC3046216

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.