Evidence map›Paper›PMID 24569697›Full record

ArticleWestern journal of nursing research2014

Stressors may compromise medication adherence among adults with diabetes and low socioeconomic status.

Chandra Y Osborn, Lindsay Satterwhite Mayberry, Julie A Wagner, Garry W Welch

Open access · greenAbstract read
In one paragraph

Article in Western journal of nursing research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
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

20 citing papers in PubMed, 35 citations in OpenAlex.

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  6. Tinnitus is not associated with cardiovascular risk factors or mortality in the Gutenberg Health Study.Clinical research in cardiology : official journal of the German Cardiac Society · 2025
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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

4 authors at 3 institutions in 1 country.

Chandra Y OsbornVanderbilt University Medical Center, Nashville, TN, USA chandra.osborn@vanderbilt.edu.
Lindsay Satterwhite MayberryVanderbilt University Medical Center, Nashville, TN, USA.
Julie A WagnerUniversity of Connecticut Health Center, Farmington, CT, USA.
Garry W WelchTufts University School of Medicine, Boston, MA, USA Baystate Medical Center, Springfield, MA, USA.
Vanderbilt University Medical Center · USTufts University · USUConn Health · US

Funding

The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
Research Design, Data, and Analytics CoreP30DK092949 · NIDDK · UNIVERSITY OF CHICAGO · PI ELBERT S. HUANG · 2011 to 2026
$10.0M
Vanderbilt Center for Diabetes Translation ResearchP30DK092986 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI MILLER-HUGHES, STEPHANIA · 2011 to 2020
$6.7M
A Reinforcement Approach to Improve Diabetes ManagementDP3DK097705 · NIDDK · UNIVERSITY OF CONNECTICUT SCH OF MED/DNT · PI PETRY, NANCY M · 2012 to 2012
$2.2M
Stress Management Among Latinos with Type 2 DiabetesR01MD005879 · NIMHD · YALE UNIVERSITY · PI PEREZ-ESCAMILLA, RAFAEL, WAGNER, JULIE A · 2010 to 2014
$2.0M
Leveraging Patient Portals to Improve Medication Adherence in Type 2 DiabetesK01DK087894 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI OSBORN, CHANDRA Y. · 2011 to 2015
$710k
Identifying Areas for Family Intervention to Improve Adult Diabetes Self-CareF32DK097880 · NIDDK · VANDERBILT UNIVERSITY · PI MAYBERRY, LINDSAY S. · 2012 to 2014
$87k
NCATS NIH HHS UL1 TR000445NCATS NIH HHS UL1TR000445NIDDK NIH HHS DP3 DK097705NIDDK NIH HHS F32 DK097880NIDDK NIH HHS F32DK097880NIDDK NIH HHS K01 DK087894NIDDK NIH HHS K01DK087894NIDDK NIH HHS P30 DK092949NIDDK NIH HHS P30 DK092986NIMHD NIH HHS R01 MD005879
6 · The paper itself

Abstract

Studies examining the impact of stressors on diabetes self-care have focused on a single stressor or have been largely qualitative. Therefore, we assessed the stressors experienced by a high-risk population with type 2 diabetes, and tested whether having more stressors was associated with less adherence to multiple self-care behaviors. Participants were recruited from a Federally Qualified Health Center and 192 completed a stressors checklist. Experiencing more stressors was associated with less adherence to diet recommendations and medications among participants who were trying to be adherent, but was not associated with adherence to other self-care behaviors. Because having more stressors was also associated with more depressive symptoms, we further adjusted for depressive symptoms. Stressors remained associated with less adherence to medications, but not to diet recommendations. For adults engaged in adherence, experiencing an accumulation of stressors presents barriers to adherence that are distinct from associated depressive symptoms.

Indexed as

Socioeconomic FactorsAdultAgedDepressionDiabetes MellitusDrug MonitoringFemaleHumansMaleMedication AdherenceMiddle AgedPovertySelf CareStress, PsychologicalTennesseedepressiondiabetesdietmedication adherenceself-carestressstressor

Identifiers

PMID24569697
PMCPMC4143498
OpenAlexW2075326474

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.