Evidence map›Paper›PMID 24470042›Full record

ArticleThe Diabetes educator

Self-management in early adolescence and differences by age at diagnosis and duration of type 1 diabetes.

Ariana Chao, Robin Whittemore, Karl E Minges, Kathryn M Murphy, Margaret Grey

Open access · greenAbstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in The Diabetes educator. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 9% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

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  18. Self-Management Strategies in Emerging Adults With Type 1 Diabetes.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners
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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.

Ariana ChaoYale University School of Nursing, Orange, Connecticut, USA (Ms Chao, Dr Whittemore, Mr Minges, Dr Orange)
Robin WhittemoreYale University School of Nursing, Orange, Connecticut, USA (Ms Chao, Dr Whittemore, Mr Minges, Dr Orange)
Karl E MingesYale University School of Nursing, Orange, Connecticut, USA (Ms Chao, Dr Whittemore, Mr Minges, Dr Orange)
Kathryn M MurphyThe Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA (Dr Murphy)
Margaret GreyYale University School of Nursing, Orange, Connecticut, USA (Ms Chao, Dr Whittemore, Mr Minges, Dr Orange)
Children's Hospital of Philadelphia · USYale University · US

Funding

NURSING INTERVENTION TO IMPLEMENT DCCT THERAPY IN YOUTHR01NR004009 · NINR · YALE UNIVERSITY · PI GREY, MARGARET · 1995 to 2011
$8.1M
Research Training: Self and Family ManagementT32NR008346 · NINR · YALE UNIVERSITY · PI GREY, MARGARET · 2003 to 2018
$4.7M
Multidisciplinary Behavioral Research Training in T1DT32DK097718 · NIDDK · YALE UNIVERSITY · PI GREY, MARGARET, WEINZIMER, STUART ALAN · 2012 to 2017
$771k
NIDDK NIH HHS T32DK07718NIDDK NIH HHS T32 DK097718NINR NIH HHS 2R01NR004009NINR NIH HHS R01 NR004009NINR NIH HHS T32 NR008346NINR NIH HHS T32NR00834610
6 · The paper itself

Abstract

purposeThe purpose of the study was to describe the frequency of diabetes self-management activities, processes, and goals among early adolescents. In addition, differences in self-management by age at diagnosis and duration of diabetes were explored.

methodsA cross-sectional design was used to analyze baseline data from 320 adolescents with T1DM enrolled in a multisite clinical trial. Participants completed questionnaires on demographic/clinical characteristics and self-management.

resultsThere was a transitional pattern of self-management with a high frequency of diabetes care activities, problem solving, and goals and variable amounts of collaboration with parents. After controlling for therapy type and age, youth with short diabetes duration reported performing significantly more diabetes care activities than individuals with a longer duration. Individuals with short diabetes duration had more frequent communication than individuals with a longer duration, which was associated with diagnosis in adolescence. Among those diagnosed as school age children, those with short diabetes duration reported significantly more diabetes goals than those with a longer duration.

conclusionsA more specific understanding of self-management may help clinicians provide more targeted education and support. Adolescents with a long duration of diabetes need additional self-management support, particularly for diabetes care activities and communication.

Indexed as

Adolescent BehaviorBlood Glucose Self-MonitoringDiabetes Mellitus, Type 1Diet, DiabeticExerciseSelf CareAdaptation, PsychologicalAdolescentChildCross-Sectional StudiesDirective CounselingFemaleHealth Knowledge, Attitudes, PracticeHumansMaleParents

Identifiers

PMID24470042
PMCPMC4160727
OpenAlexW2092051852

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.