Trial reportDiabetes care2013
Do older adults aged 60-75 years benefit from diabetes behavioral interventions?
Trial report in Diabetes care, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 47 citations in OpenAlex.
- Voices of Wisdom: Geriatric Interviews on Self-Management of Type 2 Diabetes in the United States-A Systematic Review and Metasynthesis.Journal of diabetes research · 2024Pooled it
- Psychological interventions for diabetes-related distress in adults with type 2 diabetes mellitus.The Cochrane database of systematic reviews · 2017Pooled it
- A behavioral intervention can decrease asthma exacerbations in older adults.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2020Trial
- Trial
- For whom is a health-promoting intervention effective? Predictive factors for performing activities of daily living independently.BMC geriatrics · 2016Trial
- Patterns of Adherence to Oral Hypoglycemic Agents and Glucose Control among Primary Care Patients with Type 2 Diabetes.Behavioral medicine (Washington, D.C.) · 2016Trial
- Self-efficacy and quality of life among people with bipolar disorder.The Journal of nervous and mental disease · 2014Trial
- Preventing Severe Hypoglycemia in Type 2 Diabetes: Randomized Controlled Trial of Proactive Care With Versus Without Psychoeducation.Journal of general internal medicine · 2026Article
- Depressive symptoms are not longitudinally associated with joint glycemic, blood pressure and cholesterol control among middle-aged and older adults with diabetes in USA.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025Article
- Transforming AADE7 for Use in an Evaluation Framework for Health Information Technology in Diabetes Mellitus.Journal of diabetes science and technology · 2022Article
- Applying social cognitive theory to predict physical activity and dietary behavior among patients with type-2 diabetes.Health psychology research · 2021Article
- Article
- Enhanced Self-Efficacy and Behavioral Changes Among Patients With Diabetes: Cloud-Based Mobile Health Platform and Mobile App Service.JMIR diabetes · 2019Article
- Motivational Strategies to Prevent Frailty in Older Adults with Diabetes: A Focused Review.Journal of aging research · 2019Review
- Effectiveness of a Community Health Worker-Led Diabetes Intervention among Older and Younger Latino Participants: Results from a Randomized Controlled Trial.Geriatrics (Basel, Switzerland) · 2018Article
- Identification of Patients With Diabetes Who Benefit Most From a Health Coaching Program in Chronic Disease Management, Sydney, Australia, 2013.Preventing chronic disease · 2017Article
- End of life hospitalisations differ for older Australian women according to death trajectory: a longitudinal data linkage study.BMC health services research · 2016Article
- Associations of Social Support and Self-Efficacy With Quality of Life in Older Adults With Diabetes.Journal of gerontological nursing · 2015Article
- Six impossible things before breakfast: examining diabetes self-care.Diabetes spectrum : a publication of the American Diabetes Association · 2015Article
- Diabetes self-care and the older adult.Western journal of nursing research · 2014Review
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveIn this secondary analysis, we examined whether older adults with diabetes (aged 60-75 years) could benefit from self-management interventions compared with younger adults. Seventy-one community-dwelling older adults and 151 younger adults were randomized to attend a structured behavioral group, an attention control group, or one-to-one education. RESEARCH DESIGN AND
methodsWe measured A1C, self-care (3-day pedometer readings, blood glucose checks, and frequency of self-care), and psychosocial factors (quality of life, diabetes distress, frustration with self-care, depression, self-efficacy, and coping styles) at baseline and 3, 6, and 12 months postintervention.
resultsBoth older (age 67 ± 5 years, A1C 8.7 ± 0.8%, duration 20 ± 12 years, 30% type 1 diabetes, 83% white, 41% female) and younger (age 47 ± 9 years, A1C 9.2 ± 1.2%, 18 ± 12 years with diabetes, 59% type 1 diabetes, 82% white, 55% female) adults had improved A1C equally over time. Importantly, older and younger adults in the group conditions improved more and maintained improvements at 12 months (older structured behavioral group change in A1C -0.72 ± 1.4%, older control group -0.65 ± 0.9%, younger behavioral group -0.55 ± 1.2%, younger control group -0.43 ± 1.7%). Furthermore, frequency of self-care, glucose checks, depressive symptoms, quality of life, distress, frustration with self-care, self-efficacy, and emotional coping improved in older and younger participants at follow-up.
conclusionsThe findings suggest that, compared with younger adults, older adults receive equal glycemic benefit from participating in self-management interventions. Moreover, older adults showed the greatest glycemic improvement in the two group conditions. Clinicians can safely recommend group diabetes interventions to community-dwelling older adults with poor glycemic control.
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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.