Evidence map›Paper›PMID 22431674›Full record

Trial reportAnnals of internal medicine2012

Peer mentoring and financial incentives to improve glucose control in African American veterans: a randomized trial.

Judith A Long, Erica C Jahnle, Diane M Richardson, George Loewenstein, Kevin G Volpp

5 registry-linked trialsAbstract readComparative StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Annals of internal medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 165 papers, 15 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
165citing papers in PubMed, 15 pooled it
16.4field-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.

NCT01125956 nacompletednot on this map

Improving Diabetes Control Through Peer Counseling and Incentives

TypeinterventionalSponsorUniversity of PennsylvaniaRan2009 to 2010Enrolled160ConditionsDiabetes MellitusArmsAssigned a peer counselor, Financial incentives
NCT02880176 nacompletednot on this mapstarted 2016, after this paper: background citation

Steps to Eliminate Postoperative Problems

TypeinterventionalSponsorUniversity of PennsylvaniaRan2016 to 2019Enrolled34ConditionsBladder CancerArmsFinancial Incentive to Increase Ambulation
NCT03506230 naunknown statusnot on this mapstarted 2018, after this paper: background citation

The Effect of Financial Incentives on Improvement of Glycemic Control in Diabetic Patients From Low Socioeconomic Background

TypeinterventionalSponsorClalit Health ServicesRan2018 to 2019Enrolled180ConditionsType2 Diabetes MellitusArmsIncentives
NCT05726539 naunknown statusnot on this mapstarted 2024, after this paper: background citation

The Military Spouse Resiliency Group (MSRG) Peer Support Program: Equipping Families For Resiliency With Tools (EFFRT)

TypeinterventionalSponsorUniversity of Texas at AustinRan2024 to 2025Enrolled150ConditionsMilitary FamilyArmsGroup-based peer support
NCT06642246 narecruitingnot on this mapstarted 2026, after this paper: background citation

Sleep Promotion Among Children Newly Diagnosed With Essential Hypertension

TypeinterventionalSponsorChildren's Hospital of PhiladelphiaRan2026 to 2026Enrolled10ConditionsInsufficient Sleep, HypertensionArmsIntervention
3 · Its place in the literature

Who cites it

165 citing papers in PubMed, 15 syntheses or guidelines pooled it, 279 citations in OpenAlex.

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  19. Using Peer Support to Prevent Diabetes: Results of a Pragmatic RCT.American journal of preventive medicine · 2023
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105 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Judith A LongPhiladelphia Veterans Affairs Center for Health Equity Research and Promotion, USA. jalong@mail.med.upenn.edu
Erica C Jahnle
Diane M Richardson
George Loewenstein
Kevin G Volpp
Carnegie Mellon University · US

Funding

The Penn Roybal Center on Behavioral Economics and Health: Solving for Scale and Impact with Design Thinking, Digital Platforms, and Dynamic AdaptationP30AG034546 · NIA · UNIVERSITY OF PENNSYLVANIA · PI Alison Meredith Buttenheim · 2009 to 2026
$10.6M
NIA NIH HHS 1P30AG034546NIA NIH HHS P30 AG034546
6 · The paper itself

Abstract

backgroundCompared with white persons, African Americans have a greater incidence of diabetes, decreased control, and higher rates of microvascular complications. A peer mentorship model could be a scalable approach to improving control in this population and reducing disparities in diabetic outcomes.

objectiveTo determine whether peer mentors or financial incentives are superior to usual care in helping African American veterans decrease their hemoglobin A(1c) (HbA(1c)) levels.

designA 6-month randomized, controlled trial. (ClinicalTrials.gov registration number: NCT01125956)

settingPhiladelphia Veterans Affairs Medical Center. PATIENTS: African American veterans aged 50 to 70 years with persistently poor diabetes control.

intervention118 patients were randomly assigned to 1 of 3 groups: usual care, a peer mentoring group, and a financial incentives group. Usual care patients were notified of their starting HbA(1c) level and recommended goals for HbA(1c). Those in the peer mentoring group were assigned a mentor who formerly had poor glycemic control but now had good control (HbA(1c) level ≤7.5%). The mentor was asked to talk with the patient at least once per week. Peer mentors were matched by race, sex, and age. Patients in the financial incentive group could earn $100 by decreasing their HbA(1c) level by 1% and $200 by decreasing it by 2% or to an HbA(1c) level of 6.5%. MEASUREMENTS: Change in HbA(1c) level at 6 months.

resultsMentors and mentees talked the most in the first month (mean calls, 4; range, 0 to 30), but calls decreased to a mean of 2 calls (range, 0 to 10) by the sixth month. Levels of HbA(1c) decreased from 9.9% to 9.8% in the control group, from 9.8% to 8.7% in the peer mentor group, and from 9.5% to 9.1% in the financial incentive group. Mean change in HbA(1c) level from baseline to 6 months relative to control was -1.07% (95% CI, -1.84% to -0.31%) in the peer mentor group and -0.45% (CI, -1.23% to 0.32%) in the financial incentive group. LIMITATION: The study included only veterans and lasted only 6 months.

conclusionPeer mentorship improved glucose control in a cohort of African American veterans with diabetes. PRIMARY FUNDING SOURCE: National Institute on Aging Roybal Center.

Indexed as

Black or African AmericanMentorsRewardSocial SupportAgedBlood GlucoseDiabetes MellitusFemaleGlycated HemoglobinHumansMaleMiddle AgedTelephoneVeteransBlood GlucoseGlycated Hemoglobin

Identifiers

PMID22431674
PMCPMC3475415
OpenAlexW2115695512

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.