Evidence map›Paper›PMID 21445680›Full record

Trial reportJournal of general internal medicine2011

Effect of problem-solving-based diabetes self-management training on diabetes control in a low income patient sample.

Felicia Hill-Briggs, Mariana Lazo, Mark Peyrot, Angela Doswell, Yi-Ting Chang, Martha N Hill, David Levine, Nae-Yuh Wang, Frederick L Brancati

Registry-linked trialOpen access · bronzeAbstract readComparative StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of general internal medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00201110 (Problem Solving & CVD Risk Management in Diabetic Blacks), which is not on this map. Cited by 59 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 8 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.

NCT00201110 nacompletednot on this map

Problem Solving & CVD Risk Management in Diabetic Blacks

TypeinterventionalSponsorJohns Hopkins UniversityRan2004 to 2009Enrolled139ConditionsCardiovascular Diseases, Heart Diseases, Diabetes Mellitus, Type 2, Coronary DiseaseArmsProblem Solving Skills
3 · Its place in the literature

Who cites it

59 citing papers in PubMed, 8 syntheses or guidelines pooled it, 119 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Felicia Hill-BriggsDepartment of Medicine, Johns Hopkins School of Medicine, Baltimore, MD, USA. fbriggs3@jhmi.edu
Mariana Lazo
Mark Peyrot
Angela Doswell
Yi-Ting Chang
Martha N Hill
David Levine
Nae-Yuh Wang
Frederick L Brancati
Johns Hopkins University · USJohns Hopkins Medicine · USUniversity of Maryland, Baltimore · US

Funding

Institute for Clinical and Translational Research (UL1)UL1RR025005 · NCRR · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2007 to 2011
$75.8M
ZINC AND CA EDTA THERAPY OF PLUMBISMM01RR000052 · NCRR · JOHNS HOPKINS UNIVERSITY · PI FLEXNER, CHARLES W. · 1985 to 2007
$37.3M
JHU-UMD Diabetes Research CenterP30DK079637 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI AHIMA, REXFORD S. · 2013 to 2017
$9.7M
Diabetes Research and Training CenterP60DK079637 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI WONDISFORD, FREDRIC E. · 2008 to 2012
$9.1M
Problem Solving &CVD Risk Management in Diabetic BlacksK01HL076644 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI HILL-BRIGGS, FELICIA · 2004 to 2008
$761k
NCRR NIH HHS M01 RR000052NCRR NIH HHS M01RR000052NCRR NIH HHS UL1 RR025005NHLBI NIH HHS K01 HL076644NIDDK NIH HHS P30 DK079637NIDDK NIH HHS P60 DK079637
6 · The paper itself

Abstract

backgroundLower socioeconomic status is associated with excess disease burden from diabetes. Diabetes self-management support interventions are needed that are effective in engaging lower income patients, addressing competing life priorities and barriers to self-care, and facilitating behavior change.

objectiveTo pilot test feasibility, acceptability, and effect on disease control of a problem-based diabetes self-management training adapted for low literacy and accessibility.

designTwo-arm randomized controlled trial powered to detect a 0.50% change in A1C at follow-up with a 2-sided alpha of 0.05 in a pooled analysis.

participantsFifty-six urban African-American patients with type 2 diabetes and suboptimal blood sugar, blood pressure, or cholesterol control recruited from a diabetes registry within a university-affiliated managed care organization.

interventionsA group, problem-based diabetes self-management training designed for delivery in an intensive and a condensed program format. Three intensive and three condensed program groups were conducted during the trial. MAIN MEASURES: Clinical (A1C, systolic blood pressure [SBP], diastolic blood pressure [DBP], LDL and HDL cholesterol) and behavioral (knowledge, problem solving, self-management behavior) data were measured at baseline, post-intervention, and 3 months post-intervention (corresponding with 6-9 months following baseline).

resultsAdoption of both programs was high (>85% attendance rates, 95% retention). At 3 months post-intervention, the between-group difference in A1C change was -0.72% (p = 0.02), in favor of the intensive program. A1C reduction was partially mediated by problem-solving skill at follow-up (ß = -0.13, p = 0.04). Intensive program patients demonstrated within-group improvements in knowledge (p < 0.001), problem-solving (p = 0.01), and self-management behaviors (p = 0.04). Among the subsets of patients with suboptimal blood pressure or lipids at baseline, the intensive program yielded clinically significant individual improvements in SBP, DBP, and LDL cholesterol. Patient satisfaction and usability ratings were high for both programs.

conclusionsA literacy-adapted, intensive, problem-solving-based diabetes self-management training was effective for key clinical and behavioral outcomes in a lower income patient sample.

Indexed as

Problem SolvingAgedDiabetes MellitusDisease ManagementFemaleFollow-Up StudiesHumansMaleMiddle AgedPatient Education as TopicPilot ProjectsPovertySelf Care

Identifiers

PMID21445680
PMCPMC3157525
OpenAlexW2031687539

What OpenQuestion holds

Textmetadata
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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.