Evidence map›Paper›PMID 23393217›Full record

Trial reportDiabetes care2013

Nurse-community health worker team improves diabetes care in American Samoa: results of a randomized controlled trial.

Judith D DePue, Shira Dunsiger, Andrew D Seiden, Jeffrey Blume, Rochelle K Rosen, Michael G Goldstein, Ofeira Nu'usolia, John Tuitele, Stephen T McGarvey

2 registry-linked trialsOpen access · hybridAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Diabetes care, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 61 papers, 14 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 14 pooled it
4.5field-weighted citation impact, top 5% 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.

NCT00850824 nacompletednot on this map

Diabetes Care in American Samoa

TypeinterventionalSponsorNational Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)Ran2007 to 2013Enrolled268ConditionsType 2 Diabetes MellitusArmsCommunity Health Worker home visits
NCT07387393 naenrolling by invitationnot on this mapstarted 2026, after this paper: background citation

Peau o le Vasa: Accelerating the Currents of Health Advances for Pasifika People

TypeinterventionalSponsorUniversity of HawaiiRan2026 to 2028Enrolled400ConditionsCardiometabolic Conditions, Hypertension (HTN), Dyslipidemia, Pre-diabetesArmsPILI (Partnership for Improving Lifestyle Intervention) Pasifika Program
3 · Its place in the literature

Who cites it

61 citing papers in PubMed, 14 syntheses or guidelines pooled it, 102 citations in OpenAlex.

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1 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

9 authors at 5 institutions in 2 countries.

Judith D DePueCenters for Behavioral and Preventive Medicine, the Miriam Hospital, Providence, Rhode Island, USA. jdepue@lifespan.org
Shira Dunsiger
Andrew D Seiden
Jeffrey Blume
Rochelle K Rosen
Michael G Goldstein
Ofeira Nu'usolia
John Tuitele
Stephen T McGarvey
Brown University · USMiriam Hospital · USAmerican Samoa Government · ASCommunity Health Center · USVanderbilt University · US

Funding

Spatial Analysis CoreR24HD041020 · NICHD · BROWN UNIVERSITY · PI FOSTER, ANDREW D. · 2001 to 2016
$7.4M
Diabetes Care in American SamoaR18DK075371 · NIDDK · BROWN UNIVERSITY · PI MCGARVEY, STEPHEN T. · 2006 to 2010
$2.5M
NICHD NIH HHS R24 HD041020NIDDK NIH HHS R18 DK075371NIDDK NIH HHS R18-DK075371
6 · The paper itself

Abstract

objectiveTo evaluate the effectiveness of a culturally adapted, primary care-based nurse-community health worker (CHW) team intervention to support diabetes self-management on diabetes control and other biologic measures. RESEARCH DESIGN AND

methodsTwo hundred sixty-eight Samoan participants with type 2 diabetes were recruited from a community health center in American Samoa and were randomly assigned by village clusters to the nurse-CHW team intervention or to a wait-list control group that received usual care.

resultsParticipants had a mean age of 55 years, 62% were female, mean years of education were 12.5 years, 41% were employed, and mean HbA1c was 9.8% at baseline. At 12 months, mean HbA1c was significantly lower among CHW participants, compared with usual care, after adjusting for confounders (b = -0.53; SE = 0.21; P = 0.03). The odds of making a clinically significant improvement in HbA1c of at least 0.5% in the CHW group was twice the odds in the usual care group after controlling for confounders (P = 0.05). There were no significant differences in blood pressure, weight, or waist circumference at 12 months between groups.

conclusionsA culturally adapted nurse-CHW team intervention was able to significantly improve diabetes control in the U.S. Territory of American Samoa. This represents an important translation of an evidence-based model to a high-risk population and a resource-poor setting.

Indexed as

Diabetes Mellitus, Type 2AdultAgedAmerican SamoaCommunity Health WorkersFemaleHumansMaleMiddle AgedPatient Care TeamPrimary Health Care

Identifiers

PMID23393217
PMCPMC3687286
OpenAlexW2064904280

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.