Evidence map›Paper›PMID 26231856›Full record

Trial reportAmerican journal of preventive medicine2015

Efficacy of a Behavioral Intervention for Pediatric Type 1 Diabetes Across Income.

Tonja R Nansel, Dexter M Thomas, Aiyi Liu

Open access · greenAbstract readMulticenter StudyRandomized Controlled Trial
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 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 28% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
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 2 institutions in 1 country.

Tonja R NanselDivision of Intramural Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, Maryland. Electronic address: nanselt@mail.nih.gov.
Dexter M ThomasDivision of Intramural Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, Maryland.
Aiyi LiuDivision of Intramural Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, Maryland.
Office of Extramural Research · USEunice Kennedy Shriver Center · US

Funding

Research On Family Management Of Childhood DiseaseZ01HD008741 · NICHD · EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT · PI NANSEL, TONJA · 2005 to 2008
$1.2M
Ca2+ OSCILLATIONS AND KINASES REGULATE EGG ACTIVATIONR01HD043363 · NICHD · TUFTS MEDICAL CENTER · PI DUCIBELLA, THOMAS W · 2003 to 2006
$1.2M
Research On Family Management Of Childhood DiseaseZIAHD008741 · NICHD · EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT · PI NANSEL, TONJA · 2009 to 2022
$1.1M
FAMILY MANAGEMENT OF CHILDHOOD DIABETES /TYPE 1/: COORDINATING CENTER-275033360N01HD033360 · NICHD · JAMES BELL ASSOCIATES, INC. · PI MCDONNELL, CHERYL D · 2003 to 2006
–
Intramural NIH HHS Z01 HD008741Intramural NIH HHS ZIA HD008741NICHD NIH HHS N01-HD-3-3360NICHD NIH HHS N01-HD-4-3361NICHD NIH HHS N01-HD-4-3362NICHD NIH HHS N01-HD-4-3363NICHD NIH HHS N01-HD-4-3364
6 · The paper itself

Abstract

introductionYouth with Type 1 diabetes and lower family income typically have poorer glycemic control. This post hoc analysis examines whether a family-oriented behavioral intervention for this population is differentially effective across income levels.

methodsFamilies of youth aged 9-15 years with Type 1 diabetes (N=390; 49.2% female; age, 12.4 [1.7] years; hemoglobin A1c [HbA1c], 8.4 [1.2]; pump, 33.8%) at four U.S. pediatric endocrinology clinics participated in a 2-year RCT (data collected 2006-2011) of a clinic-integrated behavioral intervention designed to improve diabetes management by facilitating problem-solving skills, communication skills, and responsibility sharing. HbA1c was analyzed centrally. Family income was categorized as <$50,000 (low); $50,000 to <$100,000 (middle); and ≥$100,000 (high). Treatment effect was defined as the change in HbA1c from baseline to 2-year follow-up. A linear model tested the interaction of treatment effect with family income, controlling for race, insulin regimen, and site (analyzed in 2014).

resultsBaseline HbA1c was significantly poorer (p=0.004) in the low-income group. There was a significant overall effect of treatment group on change in HbA1c from baseline to follow-up (p=0.04). The interaction term for treatment by income group was not significant (p=0.44). Within each income category, a smaller deterioration in glycemic control was observed for the treatment group relative to controls.

conclusionsThis clinic-integrated behavioral intervention was similarly effective in improving glycemic control among youth with Type 1 diabetes across income levels. This family-oriented problem-solving approach offers flexibility in addressing families' needs and may optimize impact on health outcomes across income groups.

Indexed as

Behavior TherapyOutcome Assessment, Health CareSocial ClassAdolescentBlood GlucoseChildDiabetes Mellitus, Type 1FemaleHumansMaleUnited StatesBlood Glucose

Identifiers

PMID26231856
PMCPMC4706073
OpenAlexW980239364

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.