Evidence map›Paper›PMID 26234800›Full record

Trial reportPatient education and counseling2015

Do pre-existing diabetes social support or depressive symptoms influence the effectiveness of a diabetes management intervention?

Ann-Marie Rosland, Edith Kieffer, Michael Spencer, Brandy Sinco, Gloria Palmisano, Melissa Valerio, Emily Nicklett, Michele Heisler

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

Trial report 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 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 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.

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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Diabetes Mellitus Family Assessment Instruments: A Systematic Review of Measurement Properties.International journal of environmental research and public health · 2023
    Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Psychosocial Determinants of Treatment Adherence in Patients with Type 2 Diabetes - A Review.Diabetes, metabolic syndrome and obesity : targets and therapy · 2021
    Review
  7. Article
  8. Article
  9. Article
  10. 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

8 authors.

Ann-Marie RoslandUniversity of Michigan Medical School, Department of Internal Medicine, USA; VA Ann Arbor Center for Clinical Management Research, USA. Electronic address: arosland@umich.edu.
Edith KiefferUniversity of Michigan School of Social Work, USA.
Michael SpencerUniversity of Michigan School of Social Work, USA.
Brandy SincoUniversity of Michigan School of Social Work, USA.
Gloria PalmisanoREACH Detroit Partnership, Detroit, USA.
Melissa ValerioUniversity of Michigan School of Public Health, Department of Health Behavior and Health Education, USA.
Emily NicklettUniversity of Michigan School of Social Work, USA.
Michele HeislerUniversity of Michigan Medical School, Department of Internal Medicine, USA; VA Ann Arbor Center for Clinical Management Research, USA; University of Michigan School of Public Health, Department of Health Behavior and Health Education, USA.

Funding

Research BaseP30DK092926 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MARY ELLEN MICHELE HEISLER, ADESUWA B OLOMU · 2011 to 2026
$10.0M
Community Health Worker Diabetes RCT for LatinosR18DK078558 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SPENCER, MICHAEL S · 2008 to 2012
$2.8M
NIDDK NIH HHS P30 DK092926NIDDK NIH HHS P30DK092926NIDDK NIH HHS R18 DK078558NIDDK NIH HHS R18-DK078558PHS HHS U50/CCU417409
6 · The paper itself

Abstract

objectiveExamine influences of diabetes-specific social support (D-SS) and depressive symptoms on glycemic control over time, among adults randomized to a diabetes self-management education and support (DSME/S) intervention or usual care.

methodsData were from 108 African-American and Latino participants in a 6-month intervention trial. Multivariable linear regression models assessed associations between baseline D-SS from family and friends and depressive symptoms with changes in HbA1c. We then examined whether baseline D-SS or depression moderated intervention-associated effects on HbA1c.

resultsHigher baseline D-SS was associated with larger improvements in HbA1c (adjusted ΔHbA1c -0.39% for each +1-point D-SS, p=0.02), independent of intervention-associated HbA1c decreases. Baseline depressive symptoms had no significant association with subsequent HbA1c change. Neither D-SS nor depression moderated intervention-associated effects on HbA1c. CONCLUSIONS AND PRACTICE IMPLICATIONS: Diabetes self-management education and support programs have potential to improve glycemic control for participants starting with varying levels of social support and depressive symptoms. Participants starting with more support for diabetes management from family and friends improved HbA1c significantly more over 6 months than those with less support, independent of additional significant DSME/S intervention-associated HbA1c improvements. Social support from family and friends may improve glycemic control in ways additive to DSME/S.

Indexed as

Social SupportBlack or African AmericanBlood GlucoseDepressionDiabetes MellitusFemaleGlycated HemoglobinHispanic or LatinoHumansMaleMiddle AgedModels, StatisticalTreatment OutcomeBlood GlucoseGlycated HemoglobinCommunity health workersDepressionDiabetesRacial/ethnic minoritiesSocial support

Identifiers

PMID26234800
PMCPMC4609239

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.