Evidence map›Paper›PMID 24468198›Full record

Trial reportPatient education and counseling2014

Effects of diabetes self-management programs on time-to-hospitalization among patients with type 2 diabetes: a survival analysis model.

Omolola E Adepoju, Jane N Bolin, Charles D Phillips, Hongwei Zhao, Robert L Ohsfeldt, Darcy K McMaughan, Janet W Helduser, Samuel N Forjuoh

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Patient education and counseling, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06337370 (Self-management Nursing Intervention for Women With Rheumatoid Arthritis), which is not on this map. Cited by 18 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 4 pooled it
2.4field-weighted citation impact, top 12% 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.

NCT06337370 nacompletednot on this mapstarted 2024, after this paper: background citation

Self-management Nursing Intervention for Women With Rheumatoid Arthritis: A Pragmatic Randomized Clinical Trial

TypeinterventionalSponsorUniversidad Nacional de ColombiaRan2024 to 2025Enrolled44ConditionsArthritis, RheumatoidArmsChronic Disease Self Management Program, Conventional Intervention- Standard care
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 4 syntheses or guidelines pooled it, 36 citations in OpenAlex.

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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

8 authors at 2 institutions in 1 country.

Omolola E AdepojuDepartment of Health Policy & Management, School of Rural Public Health, Texas A&M Health Science Center, College Station, USA. Electronic address: adepoju@srph.tamhsc.edu.
Jane N BolinDepartment of Health Policy & Management, School of Rural Public Health, Texas A&M Health Science Center, College Station, USA.
Charles D PhillipsDepartment of Health Policy & Management, School of Rural Public Health, Texas A&M Health Science Center, College Station, USA.
Hongwei ZhaoDepartment of Epidemiology & Biostatistics, School of Rural Public Health, Texas A&M Health Science Center, College Station, USA.
Robert L OhsfeldtDepartment of Health Policy & Management, School of Rural Public Health, Texas A&M Health Science Center, College Station, USA.
Darcy K McMaughanDepartment of Health Policy & Management, School of Rural Public Health, Texas A&M Health Science Center, College Station, USA.
Janet W HelduserDepartment of Health Policy & Management, School of Rural Public Health, Texas A&M Health Science Center, College Station, USA.
Samuel N ForjuohDepartment of Epidemiology & Biostatistics, School of Rural Public Health, Texas A&M Health Science Center, College Station, USA; Department of Health Promotion & Community Health Sciences, School of Rural Public Health, Texas A&M Health Science Center, College Station, USA; Department of Family & Community Medicine, Scott & White Healthcare, College of Medicine, Texas A&M Health Science Center, Temple, USA.
Texas A&M Health Science Center · USBaylor Scott & White Health · US

Funding

TRAINING COREP20MD002295 · NIMHD · TEXAS A&M UNIVERSITY · PI MCLEROY, KENNETH R. · 2007 to 2011
$6.7M
NIMHD NIH HHS 1P20MD002295NIMHD NIH HHS P20 MD002295
6 · The paper itself

Abstract

objectiveThis study compared time-to-hospitalization among subjects enrolled in different diabetes self-management programs (DSMP). We sought to determine whether the interventions delayed the occurrence of any acute event necessitating hospitalization.

methodsElectronic medical records (EMR) were obtained for 376 adults enrolled in a randomized controlled trial (RCT) of Type 2 diabetes (T2DM) self-management programs. All study participants had uncontrolled diabetes and were randomized into either: personal digital assistant (PDA), Chronic Disease Self-Management Program (CDSMP), combined PDA and CDSMP (COM), or usual care (UC) groups. Subjects were followed for a maximum of two years. Time-to-hospitalization was measured as the interval between study enrollment and the occurrence of a diabetes-related hospitalization.

resultsSubjects enrolled in the CDSMP-only arm had significantly prolonged time-to-hospitalization (Hazard ratio: 0.10; p=0.002) when compared to subjects in the control arm. Subjects in the PDA-only and combined PDA and CDSMP arms showed no improvements in comparison to the control arm.

conclusionCDSMP can be effective in delaying time-to-hospitalization among patients with T2DM. PRACTICE IMPLICATIONS: Reducing unnecessary healthcare utilization, particularly inpatient hospitalization is a key strategy to improving the quality of health care and lowering associated health care costs. The CDSMP offers the potential to reduce time-to-hospitalization among T2DM patients.

Indexed as

Patient Acceptance of Health CareSelf CareAdultComputers, HandheldDiabetes Mellitus, Type 2FemaleFollow-Up StudiesHealth BehaviorHealth ServicesHospitalizationHumansMaleMiddle AgedRetrospective StudiesSurvival AnalysisTexasDisease managementHealth-care utilization

Identifiers

PMID24468198
PMCPMC4009353
OpenAlexW1990821645

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.