Evidence map›Paper›PMID 26304969›Full record

Trial reportAnnals of family medicine2015

Peer-Led, Empowerment-Based Approach to Self-Management Efforts in Diabetes (PLEASED): A Randomized Controlled Trial in an African American Community.

Tricia S Tang, Martha M Funnell, Brandy Sinco, Michael S Spencer, Michele Heisler

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

Trial report in Annals of family medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing 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.

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

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

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  6. Using Peer Support to Prevent Diabetes: Results of a Pragmatic RCT.American journal of preventive medicine · 2023
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  7. Patient-provided e-support in reduced intensity obesity treatment: The INSPIRE randomized controlled trial.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2020
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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

5 authors.

Tricia S TangUniversity of British Columbia Department of Medicine, Vancouver, British Columbia tricia.tang@vch.ca.
Martha M FunnellUniversity of Michigan Department of Learning Health Sciences. Ann Arbor Michigan.
Brandy SincoUniversity of Michigan School of Social Work, Ann Arbor, Michigan.
Michael S SpencerUniversity of Michigan School of Social Work, Ann Arbor, Michigan.
Michele HeislerUniversity of Michigan Department of Internal Medicine, Ann Arbor, Michigan Ann Arbor VA Center for Clinical Management Research (CCMR), Ann Arbor, Michigan.

Funding

Research BaseP30DK092926 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MARY ELLEN MICHELE HEISLER, ADESUWA B OLOMU · 2011 to 2026
$10.0M
HORMONE REGULATION OF PROLACTIN GENE EXPRESSIONF32DK007855 · NIDDK · UNIVERSITY OF CALIFORNIA SAN DIEGO · PI ADLER, STUART P · 1986 to 1988
–
NIDDK NIH HHS P30 DK092926NIDDK NIH HHS R18DK0785501A1
6 · The paper itself

Abstract

purposeWe compared a 3-month diabetes self-management education (DSME) program followed by a 12-month peer support intervention with a 3-month DSME program alone in terms of initial and sustained improvements in glycated hemoglobin (HbA1c). Secondary outcomes were risk factors for cardiovascular disease (CVD), diabetes distress, and social support.

methodsWe randomized 106 community-dwelling African American adults with type 2 diabetes to a 3-month DSME program followed by 12 months of weekly group sessions and supplementary telephone support delivered by peer leaders or to a 3-month DSME program with no follow-up peer support. Assessments were conducted at baseline, 3, 9, and 15 months.

resultsNo changes in HbA1c were observed at 3 months or at 15 months for either group. The peer support group either sustained improvement in key CVD risk factors or stayed the same while the control group worsened at 15 months. At 15 months, the peer-support group had significantly lower low-density lipoprotein cholesterol levels (-15 mg/dL, P = .03), systolic blood pressure (-10 mm Hg, P = .01), diastolic blood pressure (-8.3 mm Hg, P = .001), and body mass index (-0.8 kg/m(2), P = .032) than the DSME-alone group.

conclusionsIn this population of African American adults, an initial DSME program, whether or not followed by 12 months of peer support, had no effect on glycemic control. Participants in the peer-support arm of the trial did, however, experience significant improvements in some CVD risk factors or stay approximately the same while the control group declined.

Indexed as

Black or African AmericanPeer GroupSocial SupportAgedBlood PressureBody Mass IndexCardiovascular DiseasesCholesterol, LDLCounselingDiabetes Mellitus, Type 2FemaleGlycated HemoglobinHumansMaleMiddle AgedPower, PsychologicalCholesterol, LDLGlycated Hemoglobinhemoglobin A1c protein, humanblood glucose controldiabeteshealth care disparitiespeer supportrandomized controlled trialself-management

Identifiers

PMID26304969
PMCPMC4648139

What OpenQuestion holds

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Registered trials

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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.