Evidence map›Paper›PMID 26184986›Full record

Trial reportAmerican journal of preventive medicine2015

The Effect of a Community-Based Self-Help Intervention: Korean Americans With Type 2 Diabetes.

Miyong T Kim, Kim B Kim, Boyun Huh, Tam Nguyen, Hae-Ra Han, Lee R Bone, David Levine

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

Trial report in American journal of preventive medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 18 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 18 pooled it
3.4field-weighted citation impact, top 7% 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

61 citing papers in PubMed, 18 syntheses or guidelines pooled it, 104 citations in OpenAlex.

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  4. The Effect of Health Literacy Interventions on Self-management in Chronic Diseases: A Systematic Review.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025
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  7. Interventions for improving health literacy in migrants.The Cochrane database of systematic reviews · 2023
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  10. The Effect of Health Literacy Intervention on Patients with Diabetes: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2022
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1 more citing papers are in PubMed but not listed here.

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 6 institutions in 1 country.

Miyong T KimSchool of Nursing, University of Texas at Austin, Austin, Texas. Electronic address: kbkim@ikorean.org.
Kim B KimKorean Resource Center, Ellicott City, Maryland.
Boyun HuhSchool of Nursing, University of California at San Francisco, San Francisco, California.
Tam NguyenConnell School of Nursing, Boston College, Boston, Massachusetts.
Hae-Ra HanSchool of Nursing, Johns Hopkins University, Baltimore, Maryland.
Lee R BoneSchool of Public Health, Johns Hopkins University, Baltimore, Maryland.
David LevineSchool of Medicine, Johns Hopkins University, Baltimore, Maryland.
Johns Hopkins University · USBoston College · USJohns Hopkins Medicine · USKorean Resource Center · USThe University of Texas at Austin · USUniversity of California, San Francisco · US

Funding

Institute for Clinical and Translational ResearchUL1TR001079 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2013 to 2017
$60.1M
Community-Based Diabetes Care for Korean American ImmigrantsR18DK083936 · NIDDK · UNIVERSITY OF TEXAS AT AUSTIN · PI HAN, HAE-RA, KIM, MIYONG T · 2009 to 2013
$3.1M
NCATS NIH HHS UL1 TR001079NIDDK NIH HHS R18 DK083936
6 · The paper itself

Abstract

introductionKorean Americans are one of the most underserved ethnic/linguistic minority groups owing to cultural and institutional barriers; there is an urgent need for culturally competent diabetes management programs in the Korean American community for those with type 2 diabetes. The purpose of this study was to test the effectiveness of a community-based, culturally tailored, multimodal behavioral intervention program in an ethnic/linguistic minority group with type 2 diabetes.

designAn RCT with waitlist comparison based on the Predisposing, Reinforcing, and Enabling Constructs in Education/environmental Diagnosis and Evaluation (PRECEDE)-Policy, Regulatory, and Organizational Constructs in Educational and Environmental Development (PROCEED) and self-help models. Data were collected between September 2010 and June 2013 and were analyzed in August-December 2014. Statistical significance was set at p<0.05. SETTING/

participantsIn a naturally occurring community setting, a total of 250 Korean Americans with type 2 diabetes were randomized into an intervention group (n=120) or a control group (n=130).

interventionThe intervention consisted of key self-management skill-building activities through 12 hours of group education sessions, followed by integrated counseling and behavioral coaching by a team of RNs and community health workers.

main outcome measuresPrimary (clinical) outcomes were hemoglobin A1c, glucose, total cholesterol, and low-density lipoprotein at baseline and at 3, 6, 9, and 12 months. Secondary (psychosocial and behavioral) outcomes included diabetes-related quality of life, self-efficacy, adherence to diabetes management regimen, and health literacy.

resultsDuring the 12-month project, the intervention group demonstrated 1.0%-1.3% (10.9-14.2 mmol/mol) reductions in hemoglobin A1c, whereas the control group achieved reductions of 0.5%-0.7% (5.5-7.7 mmol/mol). The differences between the two groups were statistically significant. The intervention group showed statistically significant improvement in diabetes-related self-efficacy and quality of life when compared with the control group.

conclusionsRN/community health worker teams equipped with culturally tailored training can be effective in helping an ethnic/linguistic minority group manage diabetes in the community.

Indexed as

AsianAgedBlood GlucoseCounselingDiabetes Mellitus, Type 2FemaleGlycated HemoglobinHealth BehaviorHealth LiteracyHumansLipoproteins, LDLMaleMiddle AgedPatient ComplianceQuality of LifeResidence CharacteristicsBlood GlucoseGlycated HemoglobinLipoproteins, LDL

Identifiers

PMID26184986
PMCPMC4615366
OpenAlexW2199571192

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.