Evidence map›Paper›PMID 23914987›Full record

Trial reportPediatric diabetes2014

Family-based psychoeducation and Care Ambassador intervention to improve glycemic control in youth with type 1 diabetes: a randomized trial.

Michelle L Katz, Lisa K Volkening, Deborah A Butler, Barbara J Anderson, Lori M Laffel

2 registry-linked trialsAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Pediatric diabetes, 2014. 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 52 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 10 pooled it
6.7field-weighted citation impact, top 3% 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.

NCT00961974 nacompletednot on this map

Intensive Care Program for Youth With Diabetes

TypeinterventionalSponsorJoslin Diabetes CenterRan2002 to 2005Enrolled154ConditionsType 1 DiabetesArmsCare Ambassador Intervention, Psychoeducational Intervention
NCT04238949 naactive not recruitingnot on this mapstarted 2019, after this paper: background citation

The Impact of Community Health Workers in Pediatric Patients With Newly Diagnosed Type 1 Diabetes - A Pilot Study

TypeinterventionalSponsorChildren's Hospital of PhiladelphiaRan2019 to 2027Enrolled28ConditionsType 1 Diabetes, Diabetes Mellitus, Psychosocial Problem, Compliance, PatientArmsCommunity Health Worker added to diabetes team
3 · Its place in the literature

Who cites it

52 citing papers in PubMed, 10 syntheses or guidelines pooled it, 114 citations in OpenAlex.

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  7. Effects of caregiver-involved interventions on the quality of life of children and adolescents with chronic conditions and their caregivers: a systematic review and meta-analysis.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2019
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  11. An RCT of a family intervention for adolescents living with type 1 diabetes: Who benefits most?Diabetic medicine : a journal of the British Diabetic Association · 2026
    Trial
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  13. Do baseline resilience profiles moderate the effects of a resilience-enhancing intervention for adolescents with type I diabetes?Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2021
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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

5 authors at 2 institutions in 1 country.

Michelle L KatzGenetics and Epidemiology Section, Joslin Diabetes Center, Boston, MA, 02215, USA.
Lisa K Volkening
Deborah A Butler
Barbara J Anderson
Lori M Laffel
Joslin Diabetes Center · USBaylor College of Medicine · US

Funding

SPECIAL ASSAY COREP30DK036836 · NIDDK · JOSLIN DIABETES CENTER · PI JEAN E. SCHAFFER · 1986 to 2026
$50.5M
TRAINING IN DIABETES AND METABOLISMT32DK007260 · NIDDK · JOSLIN DIABETES CENTER · PI LAURIE J GOODYEAR · 1986 to 2026
$13.6M
CAREER DEVELOPMENT IN DIABETES RESEARCH FOR PEDIATRIC ENDOCRINOLOGISTSK12DK094721 · NIDDK · BOSTON CHILDREN'S HOSPITAL · PI LAFFEL, LORI M, WHITE, MORRIS F. · 2011 to 2021
$6.3M
NIDDK NIH HHS K12 DK094721NIDDK NIH HHS K12 DK094721-02NIDDK NIH HHS P30 DK036836NIDDK NIH HHS P30DK036836NIDDK NIH HHS T32 DK007260PHS HHS T32 HP10018
6 · The paper itself

Abstract

objectiveYouth with type 1 diabetes frequently do not achieve glycemic targets. We aimed to improve glycemic control with a Care Ambassador (CA) and family-focused psychoeducational intervention. RESEARCH DESIGN AND

methodsIn a 2-yr, randomized, clinical trial, we compared three groups: (i) standard care, (ii) monthly outreach by a CA, and (iii) monthly outreach by a CA plus a quarterly clinic-based psychoeducational intervention. The psychoeducational intervention provided realistic expectations and problem-solving strategies related to family diabetes management. Data on diabetes management and A1c were collected, and participants completed surveys assessing parental involvement in management, diabetes-specific family conflict, and youth quality of life (QOL). The primary outcome was A1c at 2 yr; secondary outcomes included maintaining parent involvement and avoiding deterioration in glycemic control.

resultsWe studied 153 youth (56% female, median age 12.9 yr) with type 1 diabetes (mean A1c 8.4 ± 1.4%). There were no differences in A1c across treatment groups. Among youth with suboptimal baseline A1c ≥ 8%, more youth in the psychoeducation group maintained or improved their A1c and maintained or increased parent involvement than youth in the other two groups combined (77 vs. 52%, p = 0.03; 36 vs. 11%, p = 0.01, respectively) without negative impact on youth QOL or increased diabetes-specific family conflict.

conclusionsNo differences in A1c were detected among the three groups at 2 yr. The psychoeducational intervention was effective in maintaining or improving A1c and parent involvement in youth with suboptimal baseline glycemic control.

Indexed as

AdolescentBlood GlucoseCaregiversChildDiabetes Mellitus, Type 1FamilyFemaleGlycated HemoglobinHumansMalePatient Care TeamPatient Education as TopicPsychotherapyQuality of LifeSurveys and QuestionnairesWorkforceBlood GlucoseGlycated Hemoglobinhemoglobin A1c protein, humanpatient adherencetype 1 diabetes mellitus

Identifiers

PMID23914987
PMCPMC3915039
OpenAlexW1845551963

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.