Evidence map›Paper›PMID 24956324›Full record

Trial reportContemporary clinical trials2014

Peer Support for Achieving Independence in Diabetes (Peer-AID): design, methods and baseline characteristics of a randomized controlled trial of community health worker assisted diabetes self-management support.

Karin Nelson, Nathan Drain, June Robinson, Janet Kapp, Paul Hebert, Leslie Taylor, Julie Silverman, Meghan Kiefer, Dan Lessler, James Krieger

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Contemporary clinical trials, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 3 pooled it
1.7field-weighted citation impact, top 15% 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

10 citing papers in PubMed, 3 syntheses or guidelines pooled it, 17 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

10 authors at 4 institutions in 1 country.

Karin NelsonVA Puget Sound Healthcare System, Northwest HSR&D Center of Excellence, United States; VA Puget Sound Healthcare System, General Internal Medicine Service, United States; University of Washington, School of Medicine, Department of Medicine, United States; University of Washington, School of Public Health, United States. Electronic address: Karin.Nelson@va.gov.
Nathan DrainPublic Health - Seattle & King County, United States.
June RobinsonPublic Health - Seattle & King County, United States.
Janet KappPublic Health - Seattle & King County, United States.
Paul HebertVA Puget Sound Healthcare System, Northwest HSR&D Center of Excellence, United States; University of Washington, School of Medicine, Department of Medicine, United States.
Leslie TaylorVA Puget Sound Healthcare System, Northwest HSR&D Center of Excellence, United States.
Julie SilvermanVA Puget Sound Healthcare System, Northwest HSR&D Center of Excellence, United States; VA Puget Sound Healthcare System, General Internal Medicine Service, United States; University of Washington, School of Medicine, Department of Medicine, United States.
Meghan KieferVA Puget Sound Healthcare System, Northwest HSR&D Center of Excellence, United States; VA Puget Sound Healthcare System, General Internal Medicine Service, United States; University of Washington, School of Medicine, Department of Medicine, United States.
Dan LesslerUniversity of Washington, School of Medicine, Department of Medicine, United States.
James KriegerUniversity of Washington, School of Medicine, Department of Medicine, United States; University of Washington, School of Public Health, United States; Public Health - Seattle & King County, United States.
Public Health – Seattle & King County · USUniversity of Washington · USVA Puget Sound Health Care System · USSeattle University · US

Funding

Peer Support for Achieving Independence in Diabetes (Peer AID)R18DK088072 · NIDDK · SEATTLE-KING COUNTY PUBLIC HEALTH DEPT · PI NELSON, KARIN M. · 2010 to 2014
$2.3M
NIDDK NIH HHS 5R18DK088072NIDDK NIH HHS R18 DK088072
6 · The paper itself

Abstract

BACKGROUND &

objectivesCommunity health workers (CHWs) may be an important mechanism to provide diabetes self-management to disadvantaged populations. We describe the design and baseline results of a trial evaluating a home-based CHW intervention. METHODS & RESEARCH

designPeer Support for Achieving Independence in Diabetes (Peer-AID) is a randomized, controlled trial evaluating a home-based CHW-delivered diabetes self-management intervention versus usual care. The study recruited participants from 3 health systems. Change in A1c measured at 12 months is the primary outcome. Changes in blood pressure, lipids, health care utilization, health-related quality of life, self-efficacy and diabetes self-management behaviors at 12 months are secondary outcomes.

resultsA total of 1438 patients were identified by a medical record review as potentially eligible, 445 patients were screened by telephone for eligibility and 287 were randomized. Groups were comparable at baseline on socio-demographic and clinical characteristics. All participants were low-income and were from diverse racial and ethnic backgrounds. The mean A1c was 8.9%, mean BMI was above the obese range, and non-adherence to diabetes medications was high. The cohort had high rates of co-morbid disease and low self-reported health status. Although one-third reported no health insurance, the mean number of visits to a physician in the past year was 5.7. Trial results are pending.

conclusionsPeer-AID recruited and enrolled a diverse group of low income participants with poorly controlled type 2 diabetes and delivered a home-based diabetes self-management program. If effective, replication of the Peer-AID intervention in community based settings could contribute to improved control of diabetes in vulnerable populations.

Indexed as

PovertyResearch DesignAdultAgedBlood PressureCommunity Health WorkersCounselingDiabetes Mellitus, Type 2FemaleGlycated HemoglobinHealth ServicesHumansLipidsMaleMiddle AgedQuality of LifeGlycated HemoglobinLipidsCommunity health workersDiabetes self-management

Identifiers

PMID24956324
PMCPMC4141876
OpenAlexW2077474681

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.