Trial reportAnnals of internal medicine2014
Comparison of community health worker-led diabetes medication decision-making support for low-income Latino and African American adults with diabetes using e-health tools versus print materials: a randomized, controlled trial.
Trial report in Annals of internal medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01427660 (Technologically Enhanced Community Health Worker), which is not on this map. Cited by 69 papers, 26 of them syntheses that pooled 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.
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.
Technologically Enhanced Community Health Worker (CHW) Delivery of Personalized Diabetes Information
Who cites it
69 citing papers in PubMed, 26 syntheses or guidelines pooled it, 105 citations in OpenAlex.
- Effectiveness of Digital Health Interventions to Improve Self-Care in Patients With Chronic Diseases: Systematic Review and Meta-Analysis of Randomized Controlled Trials.Journal of medical Internet research · 2026Pooled it
- Effects of Multilevel and Multidomain Interventions on Glycemic Control in U.S. Hispanic Populations.International journal of environmental research and public health · 2025Pooled it
- Engagement in Hypertension and Diabetes Clinical Trials at Federally Qualified Health Centers: A Systematic Review.JAMA network open · 2025Pooled it
- Shared Decision-Making in Cardiovascular Risk Factor Management: A Systematic Review and Meta-Analysis.JAMA network open · 2024Pooled it
- Decision aids for people facing health treatment or screening decisions.The Cochrane database of systematic reviews · 2024Pooled it
- Interventions to promote health literacy among working-age populations experiencing socioeconomic disadvantage: systematic review.Frontiers in public health · 2024Pooled it
- Quality improvement strategies for diabetes care: Effects on outcomes for adults living with diabetes.The Cochrane database of systematic reviews · 2023Pooled it
- The effectiveness of digital health technologies for patients with diabetes mellitus: A systematic review.Frontiers in clinical diabetes and healthcare · 2022Pooled it
- Decision coaching for people making healthcare decisions.The Cochrane database of systematic reviews · 2021Pooled it
- A Systematic Review and Meta-Analysis of Patient Decision Aids for Socially Disadvantaged Populations: Update from the International Patient Decision Aid Standards (IPDAS).Medical decision making : an international journal of the Society for Medical Decision Making · 2021Pooled it
- Efficacy of eHealth Interventions for Adults with Diabetes: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2021Pooled it
- Community Health Worker Training Curricula and Intervention Outcomes in African American and Latinx Communities: A Systematic Review.Health education & behavior : the official publication of the Society for Public Health Education · 2021Pooled it
- Decision-support tools via mobile devices to improve quality of care in primary healthcare settings.The Cochrane database of systematic reviews · 2021Pooled it
- Community-Based Participatory Research Interventions to Improve Diabetes Outcomes: A Systematic Review.The Diabetes educator · 2020Pooled it
- Interventions for improving medication-taking ability and adherence in older adults prescribed multiple medications.The Cochrane database of systematic reviews · 2020Pooled it
- Decision aids that facilitate elements of shared decision making in chronic illnesses: a systematic review.Systematic reviews · 2019Pooled it
- Effectiveness of Diabetes Self-Management Education Programs for US Latinos at Improving Emotional Distress: A Systematic Review.The Diabetes educator · 2019Pooled it
- Quality improvement strategies at primary care level to reduce inequalities in diabetes care: an equity-oriented systematic review.BMC endocrine disorders · 2018Pooled it
- Health Information Technology Continues to Show Positive Effect on Medical Outcomes: Systematic Review.Journal of medical Internet research · 2018Pooled it
- Psychological interventions for diabetes-related distress in adults with type 2 diabetes mellitus.The Cochrane database of systematic reviews · 2017Pooled it
9 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 5 institutions in 4 countries.
Funding
Abstract
backgroundHealth care centers serving low-income communities have scarce resources to support medication decision making among patients with poorly controlled diabetes.
objectiveTo compare outcomes between community health worker use of a tailored, interactive, Web-based, tablet computer-delivered tool (iDecide) and use of print educational materials.
designRandomized, 2-group trial conducted from 2011 to 2013 (ClinicalTrials.gov: NCT01427660).
settingCommunity health center in Detroit, Michigan, serving a Latino and African American low-income population.
participants188 adults with a hemoglobin A1c value greater than 7.5% (55%) or those who reported questions, concerns, or difficulty taking diabetes medications.
interventionParticipants were randomly assigned to receive a 1- to 2-hour session with a community health worker who used iDecide or printed educational materials and 2 follow-up calls. MEASUREMENTS: Primary outcomes were changes in knowledge about antihyperglycemic medications, patient-reported medication decisional conflict, and satisfaction with antihyperglycemic medication information. Also examined were changes in diabetes distress, self-efficacy, medication adherence, and hemoglobin A1c values.
resultsNinety-four percent of participants completed 3-month follow-up. Both groups improved across most measures. iDecide participants reported greater improvements in satisfaction with medication information (helpfulness, P = 0.007; clarity, P = 0.03) and in diabetes distress compared with the print materials group (P < 0.001). The other outcomes did not differ between the groups. LIMITATIONS: The study was conducted at 1 health center during a short period. The community health workers were experienced in behavioral counseling, thereby possibly mitigating the need for additional support tools.
conclusionMost outcomes were similarly improved among participants receiving both types of decision-making support for diabetes medication. Longer-term evaluations are necessary to determine whether the greater improvements in satisfaction with medication information and diabetes distress achieved in the iDecide group at 3 months translate into better longer-term diabetes outcomes. PRIMARY FUNDING SOURCE: Agency for Healthcare Research and Quality and National Institute of Diabetes and Digestive and Kidney Diseases.
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What OpenQuestion holds
Registered trials
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.