Evidence map›Paper›PMID 25364096›Full record

ArticleJournal of applied gerontology : the official journal of the Southern Gerontological Society2013

Older adults' fears about diabetes: using common sense models of disease to understand fear origins and implications for self-management.

Sara A Quandt, Teresa Reynolds, Christine Chapman, Ronny A Bell, Joseph G Grzywacz, Edward H Ip, Julienne K Kirk, Thomas A Arcury

Open access · greenAbstract read
In one paragraph

Article in Journal of applied gerontology : the official journal of the Southern Gerontological Society, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
0.8field-weighted citation impact, top 26% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 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 1 institution in 1 country.

Sara A QuandtDepartment of Epidemiology and Prevention, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157, 336-716-6015, 336-713-4157 (fax).
Teresa ReynoldsDepartment of Epidemiology and Prevention, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157, 336-716-6722.
Christine ChapmanDepartment of Epidemiology and Prevention, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157, 336-716-6015.
Ronny A BellDepartment of Epidemiology and Prevention, Wake Forest School of Medicine, Medical Center Boulevard Winston-Salem, NC 27157 336-716-9736.
Joseph G GrzywaczDepartment of Family and Community Medicine, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157, 336-716-2237.
Edward H IpDepartment of Biostatistical Sciences, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157 336-716-9833.
Julienne K KirkDepartment of Family and Community Medicine, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157, 336-716-9043.
Thomas A ArcuryDepartment of Family and Community Medicine, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157, 336-716-9438.
Wake Forest University · US

Funding

RURAL ELDERS'DIABETES SELF MANAGEMENT--ETHNIC VARIATIONR01AG017587 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI QUANDT, SARA A · 2001 to 2010
$2.9M
NIA NIH HHS R01 AG017587
6 · The paper itself

Abstract

This study examines older adults' fears of diabetes complications and their effects on self-management practices. Existing models of diabetes self-management posit that patients' actions are grounded in disease beliefs and experience, but there is little supporting evidence. In-depth qualitative interviews were conducted with a community-based sample of 74 African American, American Indian, and white older adults with diabetes. Analysis uses Leventhal's Common Sense Model of Diabetes to link fears to early experience and current self-management. Sixty-three identified fears focused on complications that could limit carrying out normal activities: amputation, blindness, low blood glucose and coma, and disease progression to insulin use and dialysis. Most focused self-management on actions to prevent specific complications, rather than on managing the disease as a whole. Early experiences focused attention on the inevitability of complications and the limited ability of patients to prevent them. Addressing older adults' fears about diabetes may improve their diabetes self-management practices.

Indexed as

FearSelf CareAttitude to HealthDiabetes ComplicationsDiabetes MellitusFemaleHealth BehaviorHumansInterviews as TopicMaleMiddle AgedNorth CarolinaRural Populationcommon sense modelqualitative methodsRural

Identifiers

PMID25364096
PMCPMC4212900
OpenAlexW2131568736

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.