Evidence map›Paper›PMID 25906787›Full record

Trial reportDiabetes care2015

Let's Empower and Prepare (LEAP): Evaluation of a Structured Transition Program for Young Adults With Type 1 Diabetes.

Paola A Sequeira, Elizabeth A Pyatak, Marc J Weigensberg, Cheryl P Vigen, Jamie R Wood, Valerie Ruelas, Lucy Montoya, Marisa Cohen, Heather Speer, Susan Clark and 1 more

2 registry-linked trialsAbstract readClinical 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. It is linked to 2 registered trials, which are not on this map. Cited by 53 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 5 pooled it
–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.

NCT05000021 naactive not recruitingnot on this mapstarted 2022, after this paper: background citation

Reducing Diabetes Distress Using Cognitive Behavioral Therapy in Young Adults With Type 1 Diabetes

TypeinterventionalSponsorAlbert Einstein College of MedicineRan2022 to 2027Enrolled96ConditionsType 1 DiabetesArmsCognitive Behavioral Therapy for Diabetes Distress (CBT-DD) with Continuous Glucose Monitoring, Continuous Glucose Monitoring (CGM)
NCT05734313 narecruitingnot on this mapstarted 2023, after this paper: background citation

Telemedicine-Delivered Unified Protocol for Cognitive Behavioral Therapy for Anxiety and Depression in Young Adults With Type 1 Diabetes

TypeinterventionalSponsorAlbert Einstein College of MedicineRan2023 to 2027Enrolled94ConditionsDiabetes, Type 1 DiabetesArmsUnified protocol for cognitive behavioral therapy (UP-CBT), Continuous Glucose Monitoring (CGM)
3 · Its place in the literature

Who cites it

53 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Trial
  7. Trial
  8. Trial
  9. Trial
  10. Article
  11. Type 1 Diabetes Mellitus and Transfer from Pediatric to Adult Care: A Single-Center ExperienceJournal of clinical research in pediatric endocrinology · 2026
    Article
  12. Review
  13. Family and culture in type 1 diabetes transition care: a mini review.Journal of pediatric endocrinology & metabolism : JPEM · 2026
    Review
  14. Qualitative care experiences of emerging adults with type 1 diabetes after transfer to adult care providers.Diabetic medicine : a journal of the British Diabetic Association · 2026
    Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. 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

11 authors.

Paola A SequeiraDepartment of Pediatrics, University of Southern California, Los Angeles, CA psequeir@usc.edu.
Elizabeth A PyatakChan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, CA.
Marc J WeigensbergDepartment of Pediatrics, University of Southern California, Los Angeles, CA.
Cheryl P VigenChan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, CA.
Jamie R WoodChildren's Hospital Los Angeles, Los Angeles, CA.
Valerie RuelasKeck School of Medicine of University of Southern California, Los Angeles, CA.
Lucy MontoyaKeck School of Medicine of University of Southern California, Los Angeles, CA.
Marisa CohenChildren's Hospital Los Angeles, Los Angeles, CA.
Heather SpeerChildren's Hospital of Orange County, Orange, CA.
Susan ClarkChildren's Hospital of Orange County, Orange, CA.
Anne L PetersKeck School of Medicine of University of Southern California, Los Angeles, CA.

Funding

Los Angeles Basin Clinical and Translational Science InstituteKL2RR031991 · NCRR · UNIVERSITY OF SOUTHERN CALIFORNIA · PI BUCHANAN, THOMAS A · 2010 to 2011
$1.6M
NCRR NIH HHS KL2 RR031991NCRR NIH HHS KL2-RR-031991
6 · The paper itself

Abstract

objectiveTo evaluate the efficacy of a structured transition program compared with usual care in improving routine follow-up, clinical, and psychosocial outcomes among young adults with type 1 diabetes. RESEARCH DESIGN AND

methodsEighty-one young adults in their last year of pediatric care were recruited from three clinics. Intervention group (IG) participants (n = 51) received a structured transition program incorporating tailored diabetes education, case management, group education classes, and access to a newly developed young adult diabetes clinic and transition website. Control group (CG) participants (n = 30) received usual care. The primary outcome was the number of routine clinic visits. Secondary outcomes included glycemic control, hypoglycemia, health care use, and psychosocial well-being. Assessments were conducted at baseline, and 6 and 12 months.

resultsLimitations in CG follow-up prevented direct comparisons of adult care visits; however, at the 12-month follow-up among IG participants discharged from pediatric care (n = 32), 78% had one or more adult visits. Among IG participants, the total number of clinic visits did not differ between those who transitioned and those who remained in pediatric care (3.0 ± 1.24 vs. 3.11 ± 0.94, P = 0.74). IG compared with CG participants had improved glycemic control (-0.40 ± 1.16% vs. 0.42 ± 1.51% [4.4 ± 12.7 mmol/mol vs. 4.6 ± 16.5 mmol/mol], P = 0.01), incidence of severe hypoglycemia (0.0% vs. 16%, P = 0.02), and global well-being (P = 0.02) at 12 months.

conclusionsA structured transition program was successful in facilitating transition to adult care without a decrease in clinical follow-up. Compared with usual care, the transition program facilitated improvements in glycemic control, hypoglycemia, and psychosocial well-being.

Indexed as

Transition to Adult CareAmbulatory CareBlood GlucoseCase ManagementDiabetes Mellitus, Type 1FemaleHumansMaleProgram EvaluationProspective StudiesTreatment OutcomeYoung AdultBlood Glucose

Identifiers

PMID25906787
PMCPMC4512132

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.