Evidence map›Paper›PMID 25986500›Full record

ArticlePatient education and counseling2015

A story of change: The influence of narrative on African-Americans with diabetes.

Anna P Goddu, Katie E Raffel, Monica E Peek

Open access · greenAbstract read
In one paragraph

Article in Patient education and counseling, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
23.3field-weighted citation impact, top 1% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. The experience of patients with cancer on narrative practice: A systematic review and meta-synthesis.Health expectations : an international journal of public participation in health care and health policy · 2020
    Pooled it
  2. Article
  3. Review
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  10. Storytelling: a Cultural Determinant of Health Among African American Cancer Patients.Journal of cancer education : the official journal of the American Association for Cancer Education · 2021
    Article
  11. Article
  12. New research directions on disparities in obesity and type 2 diabetes.Annals of the New York Academy of Sciences · 2020
    Article
  13. How patient and community involvement in diabetes research influences health outcomes: A realist review.Health expectations : an international journal of public participation in health care and health policy · 2019
    Review
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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

3 authors at 1 institution in 1 country.

Anna P GodduDepartment of Medicine, University of Chicago, Chicago, USA; Center for Health and the Social Sciences, University of Chicago, Chicago, USA; Chicago Center for Diabetes Translation Research, Chicago, USA.
Katie E RaffelPritzker School of Medicine, University of Chicago, Chicago, USA.
Monica E PeekDepartment of Medicine, University of Chicago, Chicago, USA; Center for Health and the Social Sciences, University of Chicago, Chicago, USA; Chicago Center for Diabetes Translation Research, Chicago, USA; Center for the Study of Race, Politics and Culture, University of Chicago, Chicago, USA. Electronic address: mpeek@medicine.bsd.uchicago.edu.
University of Chicago · US

Funding

TRANSGENIC COREP60DK020595 · NIDDK · UNIVERSITY OF CHICAGO · PI BELL, GRAEME I · 1985 to 2012
$25.5M
Pilot and Feasibility ProgramP30DK020595 · NIDDK · UNIVERSITY OF CHICAGO · PI Matthew J Brady · 2013 to 2026
$20.9M
Re-Engineering Translational Research at the University of ChicagoUL1TR000430 · NCATS · UNIVERSITY OF CHICAGO · PI SOLWAY, JULIAN · 2012 to 2016
$20.2M
Research Design, Data, and Analytics CoreP30DK092949 · NIDDK · UNIVERSITY OF CHICAGO · PI Ronald T. Ackermann, MARSHALL H CHIN · 2011 to 2026
$10.0M
Improving Diabetes Care and Outcomes on the South Side of ChicagoR18DK083946 · NIDDK · UNIVERSITY OF CHICAGO · PI CHIN, MARSHALL H, PEEK, MONICA E · 2010 to 2014
$2.6M
The Impact of Shared Decision-Making among African-Americans with DiabetesK23DK075006 · NIDDK · UNIVERSITY OF CHICAGO · PI PEEK, MONICA E · 2006 to 2010
$622k
NCATS NIH HHS UL1 TR000430NIDDK NIH HHS DK083946-01A1NIDDK NIH HHS K23 DK075006NIDDK NIH HHS P30 DK020595NIDDK NIH HHS P30 DK092949NIDDK NIH HHS P30 DK20595NIDDK NIH HHS P60 DK020595NIDDK NIH HHS P60 DK20595NIDDK NIH HHS R18 DK083946
6 · The paper itself

Abstract

objectiveTo understand if narratives can be effective tools for diabetes empowerment, from the perspective of African-American participants in a program that improved diabetes self-efficacy and self-management.

methodsIn-depth interviews and focus groups were conducted with program graduates. Participants were asked to comment on the program's film, storytelling, and role-play, and whether those narratives had contributed to their diabetes behavior change. An iterative process of coding, analyzing, and summarizing transcripts was completed using the framework approach.

resultsAfrican-American adults (n=36) with diabetes reported that narratives positively influenced the diabetes behavior change they had experienced by improving their attitudes/beliefs while increasing their knowledge/skills. The social proliferation of narrative - discussing stories, rehearsing their messages with role-play, and building social support through storytelling - was reported as especially influential.

conclusionUtilizing narratives in group settings may facilitate health behavior change, particularly in minority communities with traditions of storytelling. Theoretical models explaining narrative's effect on behavior change should consider the social context of narratives. PRACTICE IMPLICATIONS: Narratives may be promising tools to promote diabetes empowerment. Interventions using narratives may be more effective if they include group time to discuss and rehearse the stories presented, and if they foster an environment conducive to social support among participants.

Indexed as

CommunicationHealth BehaviorHealth Knowledge, Attitudes, PracticeNarrationAdultBlack or African AmericanDiabetes Mellitus, Type 2FemaleFocus GroupsHumansInterviews as TopicMaleMiddle AgedMinority HealthModels, TheoreticalUnited StatesBehavioral changeCultureDiabetesMinority healthNarrative

Identifiers

PMID25986500
PMCPMC4492448
OpenAlexW2075955744

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.