Evidence map›Paper›PMID 23368423›Full record

Trial reportJournal of diabetes2013

Diabetes nurse case management and motivational interviewing for change (DYNAMIC): results of a 2-year randomized controlled pragmatic trial.

Robert A Gabbay, Raquel M Añel-Tiangco, Cheryl Dellasega, David T Mauger, Alan Adelman, Deborah H A Van Horn

Registry-linked trialAbstract readPragmatic Clinical TrialRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of diabetes, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03453970 (Effectiveness of a Diabetes Education Program Based on Tailored Interventions in the Andalusian Public Health and Social System), which is not on this map. Cited by 46 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 12 pooled it
3.1field-weighted citation impact, top 8% 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.

NCT03453970 nacompletednot on this mapstarted 2018, after this paper: background citation

Effectiveness of a Diabetes Education Program Based on Tailored Interventions in the Andalusian Public Health and Social System (Edep-Ti Study).

TypeinterventionalSponsorUniversity of MalagaRan2018 to 2021Enrolled410ConditionsDiabetes Mellitus, Type 2ArmsTherapeutic Education Program
3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 12 syntheses or guidelines pooled it, 82 citations in OpenAlex.

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  8. Patient-mediated interventions to improve professional practice.The Cochrane database of systematic reviews · 2018
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  9. Interventions to increase attendance for diabetic retinopathy screening.The Cochrane database of systematic reviews · 2018
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  15. Nurse-led psychological intervention for type 2 diabetes: a cluster randomised controlled trial (Diabetes-6 study) in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018
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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 3 institutions in 2 countries.

Robert A GabbayPenn State Hershey Diabetes Institute, Pennsylvania, USA. rgabbay@hmc.psu.edu
Raquel M Añel-Tiangco
Cheryl Dellasega
David T Mauger
Alan Adelman
Deborah H A Van Horn
Penn State Milton S. Hershey Medical Center · USPennsylvania State University · USClinical Research Consulting · US

Funding

Impact of nurse case management on diabetes co-morbidityR18DK067495 · NIDDK · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI GABBAY, ROBERT A · 2005 to 2009
$2.9M
NIDDK NIH HHS R18 DK067495NIDDK NIH HHS R18-DK067495
6 · The paper itself

Abstract

backgroundThe aim of the present study was to determine whether the addition of nurse case managers (NCMs) trained in motivational interviewing (MI) to usual care would result in improved outcomes in high-risk type 2 diabetes patients.

methodsA 2-year randomized controlled pragmatic trial randomized 545 patients to usual care control (n=313) or those who received the intervention (n=232) with additional practice-embedded NCM care, including MI-guided behavior change counseling. The NCMs received intensive MI training with ongoing fidelity assessment.

resultsSystolic blood pressure (SBP) was better in the intervention than usual care group (131 ± 15 vs. 135 ± 18 mmHg, respectively; P<0.05). Improvements were seen in both the control and intervention groups in terms of HbA1c (from 9.1% to 8.0% and from 8.8% to 7.8%, respectively), low-density lipoprotein (LDL; from 127 to 100 mg/dL and from 128 to 102 mg/dL, respectively), and diastolic blood pressure (from 78 to 74 mmHg and from 80 to 74 mmHg, respectively). Depression symptom scores were better in the intervention group. The reduction in diabetes-related distress approached statistical significance.

conclusionsThe NCMs and MI improved SBP and complications screening. The large decrease in HbA1C and LDL in the control group may have obscured any further intervention effect. Although nurses prompted providers for medication titration, strategies to reduce provider clinical inertia may also be needed.

Indexed as

Case ManagementNursesAgedBlood PressureDiabetes Mellitus, Type 2FemaleGlycated HemoglobinHumansLipoproteins, LDLMaleMiddle AgedMotivational InterviewingNurse-Patient RelationsNurse's RoleOutcome Assessment, Health CareQuality of LifeGlycated HemoglobinLipoproteins, LDLbehavior changemotivational interviewingnurse case management行为改变，动机性会谈，护士病例管理

Identifiers

PMID23368423
PMCPMC3679203
OpenAlexW1521667429

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.