Evidence map›Paper›PMID 25545117›Full record

Trial reportPediatric diabetes2016

Contribution of income to self-management and health outcomes in pediatric type 1 diabetes.

Kaitlyn Rechenberg, Robin Whittemore, Margaret Grey, Sarah Jaser, TeenCOPE Research Group

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Pediatric diabetes, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
–field-weighted citation impact
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

24 citing papers in PubMed.

  1. Article
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  6. Review
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  19. Health-risk Behaviors and Type 1 Diabetes Outcomes in the Transition from Late Adolescence to Early Emerging Adulthood.Children's health care : journal of the Association for the Care of Children's Health · 2019
    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.

Kaitlyn RechenbergSchool of Nursing, Yale University, West Haven, CT, USA.
Robin WhittemoreSchool of Nursing, Yale University, West Haven, CT, USA.
Margaret GreySchool of Nursing, Yale University, West Haven, CT, USA.
Sarah JaserSchool of Nursing, Yale University, West Haven, CT, USA.
TeenCOPE Research Group

Funding

NURSING INTERVENTION TO IMPLEMENT DCCT THERAPY IN YOUTHR01NR004009 · NINR · YALE UNIVERSITY · PI GREY, MARGARET · 1995 to 2011
$8.1M
Vanderbilt Center for Diabetes Translation ResearchP30DK092986 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI ROTHMAN, RUSSELL L. · 2011 to 2020
$6.7M
Coping, Parenting & Maternal-Child Adjustment in Adolescents with Type 1 DiabetesK23DK088454 · NIDDK · YALE UNIVERSITY · PI JASER, SARAH SANDERS · 2009 to 2013
$611k
NIDDK NIH HHS K23 DK088454NIDDK NIH HHS K23-DK088454NIDDK NIH HHS P30 DK092986NINR NIH HHS 2R01NR004009NINR NIH HHS R01 NR004009
6 · The paper itself

Abstract

Low income has been established as a risk factor for poorer outcomes in youth with type 1 diabetes; however, the effect of moderate income has not been studied. The purpose of this secondary analysis of baseline data from a multi-site study was to compare glycemic control, self-management, and psychosocial outcomes [depression, stress, and quality of life (QOL)] at different income levels in adolescents with type 1 diabetes. Youth (n = 320, mean age = 12.3 + 1.1, 55% female, 64% white, mean A1C = 8.3 ± 1.4) completed established self-management and psychosocial measures. A1C levels were collected from medical records. Caregivers reported annual family income, categorized as high (>$80K), moderate ($40-80K), or low (<$40K). Youth from high-income families had significantly lower A1C (mean = 7.9 ± 1.2) than those from the moderate-income group (8.6 ± 1.7, p < 0.001) or the low-income group (mean A1C = 8.6 ± 1.5, p = 0.003). Youth from the high-income group reported significantly better diabetes problem solving and more self-management goals than those from the moderate- or low-income groups (both p < 0.01). Youth from the high-income group also reported significantly fewer symptoms of depression, lower levels of perceived stress, and better QOL than those in the moderate or low-income groups (all p < 0.05). Multivariate linear regression models were used to test psychological and behavioral predictors of A1C and QOL. Parents' education status (p < 0.05) and self-management activities (p < 0.01) were significant predictors of hemoglobin A1c, while income (p < 0.01) and self-management activities (p < 0.05) were significant predictors of QOL.

Indexed as

Adaptation, PsychologicalAdolescentBlood GlucoseChildDiabetes Mellitus, Type 1FemaleHumansIncomeMalePatient Outcome AssessmentPrognosisQuality of LifeSelf CareSurveys and QuestionnairesBlood Glucosediabetes mellitus (type 1)incomejuvenile-onset diabetespediatricspsychosocial support systems

Identifiers

PMID25545117
PMCPMC4550560

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.