Evidence map›Paper›PMID 25633661›Full record

Trial reportDiabetes care2015

An internet-based diabetes management platform improves team care and outcomes in an urban Latino population.

Garry Welch, Sofija E Zagarins, Paula Santiago-Kelly, Zoraida Rodriguez, Sven-Erik Bursell, Milagros C Rosal, Robert A Gabbay

Open access · bronzeAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Diabetes care, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 10 pooled it
3.8field-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

32 citing papers in PubMed, 10 syntheses or guidelines pooled it, 54 citations in OpenAlex.

  1. Effects of Multilevel and Multidomain Interventions on Glycemic Control in U.S. Hispanic Populations.International journal of environmental research and public health · 2025
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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

7 authors at 4 institutions in 1 country.

Garry WelchBehavioral Medicine Research, Baystate Medical Center, Springfield, MA garry@silverfernhealthcare.com.
Sofija E ZagarinsBehavioral Medicine Research, Baystate Medical Center, Springfield, MA.
Paula Santiago-KellyBehavioral Medicine Research, Baystate Medical Center, Springfield, MA.
Zoraida RodriguezBehavioral Medicine Research, Baystate Medical Center, Springfield, MA.
Sven-Erik BursellUniversity of Hawaii at Manoa, Honolulu, HI.
Milagros C RosalDivision of Preventive and Behavioral Medicine, University of Massachusetts Medical School, Worcester, MA.
Robert A GabbayJoslin Diabetes Center, Boston, MA.
Baystate Medical Center · USJoslin Diabetes Center · USUniversity of Hawaiʻi at Mānoa · USUniversity of Massachusetts Chan Medical School · US

Funding

Case Management for Underserved Hispanic Type 2 Diabetes PopulationsR01DK084325 · NIDDK · BAYSTATE MEDICAL CENTER, INC. · PI WELCH, GARRY W · 2009 to 2012
$2.4M
NIDDK NIH HHS 5R01-DK-084325-04NIDDK NIH HHS R01 DK084325
6 · The paper itself

Abstract

objectiveTo compare usual diabetes care (UDC) to a comprehensive diabetes care intervention condition (IC) involving an Internet-based "diabetes dashboard" management tool used by clinicians. RESEARCH DESIGN AND

methodsWe used a parallel-group randomized design. Diabetes nurses, diabetes dietitians, and providers used the diabetes dashboard as a clinical decision support system to deliver a five-visit, 6-month intervention to 199 poorly controlled (HbA1c >7.5% [58 mmol/mol]) Latino type 2 diabetic (T2D) patients (mean age 55 years, 60% female) at urban community health centers. We compared this intervention to an established, in-house UDC program (n = 200) for its impact on blood glucose control and psychosocial outcomes.

resultsRecruitment and retention rates were 79.0 and 88.5%, respectively. Compared with UDC, more IC patients reached HbA1c targets of <7% (53 mmol/mol; 15.8 vs. 7.0%, respectively, P < 0.01) and <8% (64 mmol/mol; 45.2 vs. 25.3%, respectively, P < 0.001). In multiple linear regression adjusting for baseline HbA1c, adjusted mean ± SE HbA1c at follow-up was significantly lower in the IC compared with the UDC group (P < 0.001; IC 8.4 ± 0.10%; UDC 9.2 ± 0.10%). The results showed lower diabetes distress at follow-up for IC patients (40.4 ± 2.1) as compared with UDC patients (48.3 ± 2.0) (P < 0.01), and also lower social distress (32.2 ± 1.3 vs. 27.2 ± 1.4, P < 0.01). There was a similar, statistically significant (P < 0.01) improvement for both groups in the proportion of patients moving from depressed status at baseline to nondepressed at follow-up (41.8 vs. 40%; no significance between groups).

conclusionsThe diabetes dashboard intervention significantly improved diabetes-related outcomes among Latinos with poorly controlled T2D compared with a similar diabetes team condition without access to the diabetes dashboard.

Indexed as

Hispanic or LatinoInternetAdultAgedBlood GlucoseComprehensive Health CareDiabetes Mellitus, Type 2FemaleHumansMaleMiddle AgedPatient Care TeamSelf CareStandard of CareTreatment OutcomeUrban PopulationBlood Glucose

Identifiers

PMID25633661
PMCPMC4370332
OpenAlexW2044958926

What OpenQuestion holds

Textmetadata
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.