Evidence map›Paper›PMID 21478777›Full record

Trial reportMedical care2011

A randomized trial of telephonic counseling plus walking for depressed diabetes patients.

John D Piette, Caroline Richardson, Joseph Himle, Sonia Duffy, Trissa Torres, Mark Vogel, Kimberly Barber, Marcia Valenstein

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

Trial report in Medical care, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04097483 (The TELE-DD Project), which is not on this map. Cited by 85 papers, 29 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
85citing papers in PubMed, 29 pooled it
9.8field-weighted citation impact, top 2% 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.

NCT04097483 nacompletednot on this mapstarted 2017, after this paper: background citation

The TELE-DD Project: a Nurse-led Randomised Controlled Trial on Treatment Adherence in Patients With Type 2 Diabetes and Comorbid Depression

TypeinterventionalSponsorAlicia Monreal BartoloméRan2017 to 2020Enrolled428ConditionsDiabetes Mellitus, Type 2, DepressionArmsTelephone Intervention Group
3 · Its place in the literature

Who cites it

85 citing papers in PubMed, 29 syntheses or guidelines pooled it, 201 citations in OpenAlex.

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  13. Walking for hypertension.The Cochrane database of systematic reviews · 2021
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25 more citing papers are in PubMed but not listed here.

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 3 institutions in 1 country.

John D PietteAnn Arbor VA Healthcare System, Flint, MI, USA. jpiette@umich.edu
Caroline Richardson
Joseph Himle
Sonia Duffy
Trissa Torres
Mark Vogel
Kimberly Barber
Marcia Valenstein
Genesys (United States) · USUniversity of Michigan–Ann Arbor · USVA Ann Arbor Healthcare System · 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
Regional Pilot And Feasibility Study Grants ProgramP30DK020572 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Martin G Myers · 2013 to 2026
$24.3M
Effective Care Management of Depressed Diabetes PatientsR18DK066166 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI PIETTE, JOHN D. · 2005 to 2009
$2.7M
Motivational Feedback to Increase Walking AdherenceK23HL075098 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI RICHARDSON, CAROLINE R. · 2004 to 2008
$666k
NCRR NIH HHS UL1 RR024986NCRR NIH HHS UL1RR024986NHLBI NIH HHS K23 HL075098NHLBI NIH HHS K23HL075098NIDDK NIH HHS 1R18DK066166-01A1NIDDK NIH HHS 5R18DK66166-3NIDDK NIH HHS DK020572NIDDK NIH HHS P30 DK020572NIDDK NIH HHS P60 DK020572NIDDK NIH HHS R18 DK066166
6 · The paper itself

Abstract

backgroundPatients with diabetes and depression often have self-management needs that require between-visit support. This study evaluated the impact of telephone-delivered cognitive behavioral therapy (CBT) targeting patients' management of depressive symptoms, physical activity levels, and diabetes-related outcomes.

methodsTwo hundred ninety-one patients with type 2 diabetes and significant depressive symptoms (Beck Depression Inventory scores ≥ 14) were recruited from a community-based, university-based, and Veterans Affairs health care systems. A manualized telephone CBT program was delivered weekly by nurses for 12 weeks, followed by 9 monthly booster sessions. Sessions initially focused exclusively on patients' depression management and then added a pedometer-based walking program. The primary outcome was hemoglobin A1c levels measured at 12 months. Blood pressure was a secondary outcome; levels of physical activity were determined by pedometer readings; depression, coping, and health-related quality of life were measured using standardized scales.

resultsBaseline A1c levels were relatively good and there was no difference in A1c at follow-up. Intervention patients experienced a 4.26 mm Hg decrease in systolic blood pressure relative to controls (P=0.05). Intervention patients had significantly greater increases in step counts (mean difference, 1131 steps/d; P=0.0002) and greater reductions in depressive symptoms (58% remitted at 12 mo vs. 39%; P=0.002). Intervention patients also experienced relative improvements in coping and health-related quality of life.

conclusionsThis program of telephone-delivered CBT combined with a pedometer-based walking program did not improve A1c values, but significantly decreased patients' blood pressure, increased physical activity, and decreased depressive symptoms. The intervention also improved patients' functioning and quality of life.

Indexed as

WalkingAdaptation, PsychologicalAgedBlood PressureBody Mass IndexCognitive Behavioral TherapyDepressionDiabetes Mellitus, Type 2FemaleGlycated HemoglobinHumansMaleMiddle AgedPsychometricsQuality of LifeSocioeconomic FactorsGlycated Hemoglobin

Identifiers

PMID21478777
PMCPMC3117978
OpenAlexW1984876495

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.