Evidence map›Paper›PMID 23050731›Full record

ArticleHealth communication2013

Patient trust in physicians and shared decision-making among African-Americans with diabetes.

Monica E Peek, Rita Gorawara-Bhat, Michael T Quinn, Angela Odoms-Young, Shannon C Wilson, Marshall H Chin

Registry-linked trialAbstract read
In one paragraph

Article in Health communication, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01087073 (Improving Diabetes Care and Outcomes on the South Side of Chicago), which is not on this map. Cited by 70 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed, 3 pooled it
9.0field-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.

NCT01087073 nacompletednot on this map

Improving Diabetes Care and Outcomes on the South Side of Chicago

TypeinterventionalSponsorUniversity of ChicagoRan2009 to 2016Enrolled6,209ConditionsDiabetes MellitusArmsPatient Activation, Provider Training, Quality Improvement, Community Outreach
3 · Its place in the literature

Who cites it

70 citing papers in PubMed, 3 syntheses or guidelines pooled it, 146 citations in OpenAlex.

  1. Interventions for Indigenous Peoples making health decisions: a systematic review.Archives of public health = Archives belges de sante publique · 2023
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Aiding shared decision making in lung cancer screening: two decision tools.Journal of public health (Oxford, England) · 2021
    Trial
  5. What is the effect of a decision aid in potentially vulnerable parents? Insights from the head CT choice randomized trial.Health expectations : an international journal of public participation in health care and health policy · 2020
    Trial
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Medical Mistrust: A Concept Analysis.Nursing reports (Pavia, Italy) · 2025
    Review
  18. Article
  19. Article
  20. Review

10 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

6 authors at 2 institutions in 2 countries.

Monica E PeekSection of General Internal Medicine, Diabetes Research and Training Center, Center for Health and the Social Sciences & Center for the Study of Race, Politics, and Culture, University of Chicago, Chicago, IL 60637, USA.
Rita Gorawara-Bhat
Michael T Quinn
Angela Odoms-Young
Shannon C Wilson
Marshall H Chin
University of Chicago · USUniversity of Illinois Chicago · US

Funding

TRANSGENIC COREP60DK020595 · NIDDK · UNIVERSITY OF CHICAGO · PI BELL, GRAEME I · 1985 to 2012
$25.5M
Research Design, Data, and Analytics CoreP30DK092949 · NIDDK · UNIVERSITY OF CHICAGO · PI ELBERT S. HUANG · 2011 to 2026
$10.0M
Research and Mentorship in Improving Diabetes CareK24DK071933 · NIDDK · UNIVERSITY OF CHICAGO · PI CHIN, MARSHALL H · 2005 to 2014
$1.6M
The Impact of Shared Decision-Making among African-Americans with DiabetesK23DK075006 · NIDDK · UNIVERSITY OF CHICAGO · PI PEEK, MONICA E · 2006 to 2010
$622k
NIDDK NIH HHS K23 DK075006NIDDK NIH HHS K24 DK071933NIDDK NIH HHS P30 DK092949NIDDK NIH HHS P60 DK020595NIDDK NIH HHS P60 DK20595
6 · The paper itself

Abstract

This study explores patient trust in physicians and its relationship to shared decision-making (SDM) among African-Americans with diabetes (types 1 and 2). We conducted a series of focus groups (n = 27) and in-depth interviews (n = 24). Topic guides were developed utilizing theoretical constructs. Each interview was audiotaped and transcribed verbatim. Each transcript was independently coded by two randomly assigned members of the research team; codes and themes were identified in an iterative fashion utilizing Atlas.ti software. The mean age of study participants was 62 years and 85% were female. We found that (1) race as a social construct has the potential to influence key domains of patient trust (interpersonal/relationship aspects and medical skills/technical competence), (2) the relationship between patient trust and shared decision-making is bidirectional in nature, and (3) enhancing patient trust may potentially increase or decrease SDM among African-Americans with diabetes. Mistrust of physicians among African-Americans with diabetes may partially be addressed through (1) patient education efforts, (2) physician training in interpersonal skills and cultural competence, and (3) physician efforts to engage patients in SDM. To help enhance patient outcomes among African-Americans with diabetes, physicians might consider incorporating strategies to simultaneously engender their patients' trust and encourage shared decision-making.

Indexed as

Decision MakingPatient ParticipationPhysician-Patient RelationsTrustAdolescentAdultAgedBlack or African AmericanDiabetes Mellitus, Type 1Diabetes Mellitus, Type 2FemaleHumansMaleMiddle AgedQualitative ResearchTape Recording

Identifiers

PMID23050731
PMCPMC3766485
OpenAlexW1977440982

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.