Evidence map›Paper›PMID 24623027›Full record

Trial reportDiabetes care2014

Randomized clinical trial of clinic-integrated, low-intensity treatment to prevent deterioration of disease care in adolescents with type 1 diabetes.

Clarissa S Holmes, Rusan Chen, Eleanor Mackey, Margaret Grey, Randi Streisand

Open access · hybridAbstract readComparative StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Diabetes care, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 5 pooled it
3.9field-weighted citation impact, top 6% 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

23 citing papers in PubMed, 5 syntheses or guidelines pooled it, 43 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. A model of parental distress and factors that mediate its link with parental monitoring of youth diabetes care, adherence, and glycemic control.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2016
    Trial
  7. Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. How can we support children, adolescents and young adults in managing chronic health challenges? A scoping review on the effects of patient education interventions.Health expectations : an international journal of public participation in health care and health policy · 2019
    Article
  13. Diabetes-specific family conflict and responsibility among emerging adults with type 1 diabetes.Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43) · 2019
    Article
  14. Diabetes and Behavior in the 21st Century: Things That Make You Go "Hmmm . . . ".Diabetes spectrum : a publication of the American Diabetes Association · 2019
    Article
  15. Article
  16. Article
  17. Stress and Coping Predicts Adjustment and Glycemic Control in Adolescents with Type 1 Diabetes.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2017
    Article
  18. Article
  19. Article
  20. Article
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 4 institutions in 1 country.

Clarissa S HolmesDepartment of Psychology, Pediatrics and Psychiatry, Virginia Commonwealth University, Richmond, VACenter for New Designs in Leadership and Scholarship, Georgetown University, Washington, DC cholmes@richmond.edu.
Rusan ChenCenter for New Designs in Leadership and Scholarship, Georgetown University, Washington, DC.
Eleanor MackeyCenter for Translational Science, Children's National Health System, Washington, DC.
Margaret GreyYale School of Nursing, Yale University, New Haven, CT.
Randi StreisandCenter for Translational Science, Children's National Health System, Washington, DC.
Children's National · USGeorgetown University · USVirginia Commonwealth University · USYale University · US

Funding

Prevention of Self-care Deterioration in Early Adolescents with DiabetesR01DK070917 · NIDDK · VIRGINIA COMMONWEALTH UNIVERSITY · PI HOLMES, CLARISSA S · 2007 to 2011
$3.0M
NIDDK NIH HHS R01 DK070917NIDDK NIH HHS R01DK070917
6 · The paper itself

Abstract

objectiveTo evaluate the efficacy of two office-based treatments designed to prevent deterioration in glycemic control in young adolescents with type 1 diabetes in a randomized clinical trial. An individualized, more intensive family teamwork Coping skills program was compared with a diabetes Education treatment. RESEARCH DESIGN AND

methodsA baseline assessment was followed by four brief treatment sessions and immediate posttesting over the course of 1.5 years. Families of 226 early adolescents (ages 11-14) were randomized to receive either individualized coping skills education or diabetes education as adjunctive treatment to quarterly medical appointments. Continued follow-up occurred at 3.5-month intervals for a long-term follow-up of up to 3 years. A post hoc Usual Care group facilitated comparisons of glycemic control.

resultsGrowth curve analysis showed that both treatment groups successfully prevented deterioration in adolescent disease care and simultaneously improved adolescent and parent quality of life that included indicators of more effective communication and reduced adherence barriers-without a concomitant increase in diabetes-related or general family conflict. However, contrary to expectation, the Education group was more efficacious than the Coping group in improvement of disease adherence and glycemic control over a 3-year follow-up.

conclusionsLow-intensity office-based quarterly treatment can maintain or improve disease care adherence in early adolescence when provided to adolescent/parent dyads. Better outcomes are achieved when treatment goals and techniques match the needs of the targeted population.

Indexed as

Adaptation, PsychologicalPatient Education as TopicPsychology, AdolescentAdolescentAmbulatory Care FacilitiesBlood GlucoseBlood Glucose Self-MonitoringChildDiabetes ComplicationsDiabetes Mellitus, Type 1FemaleFollow-Up StudiesHumansMaleParentsQuality of LifeBlood Glucose

Identifiers

PMID24623027
PMCPMC4030089
OpenAlexW2098067059

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.