Evidence map›Paper›PMID 26611663›Full record

Trial reportPediatric diabetes2016

Efficacy and implementation of an Internet psychoeducational program for teens with type 1 diabetes.

Robin Whittemore, Lauren S Liberti, Sangchoon Jeon, Ariana Chao, Karl E Minges, Kathryn Murphy, Margaret Grey

Open access · hybridAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Pediatric diabetes, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 4 pooled it
2.1field-weighted citation impact, top 11% 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

11 citing papers in PubMed, 4 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Pooled it
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  5. Article
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  10. Anxiety and diabetes: Innovative approaches to management in primary care.Experimental biology and medicine (Maywood, N.J.) · 2016
    Review
  11. Article
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 2 institutions in 1 country.

Robin WhittemoreYale University School of Nursing, Orange, CT, USA. robin.whittemore@yale.edu.
Lauren S LibertiYale University School of Nursing, Orange, CT, USA.
Sangchoon JeonYale University School of Nursing, Orange, CT, USA.
Ariana ChaoYale University School of Nursing, Orange, CT, USA.
Karl E MingesYale University School of Nursing, Orange, CT, USA.
Kathryn MurphyThe Division of Endocrinology & Diabetes, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Margaret GreyYale University School of Nursing, Orange, CT, USA.
Yale University · USChildren's Hospital of Philadelphia · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Yale Diabetes Research CenterP30DK045735 · NIDDK · YALE UNIVERSITY · PI Richard A Flavell · 1993 to 2026
$44.0M
Research Training: Self and Family ManagementT32NR008346 · NINR · YALE UNIVERSITY · PI GREY, MARGARET · 2003 to 2018
$4.7M
Multidisciplinary Behavioral Research Training in T1DT32DK097718 · NIDDK · YALE UNIVERSITY · PI GREY, MARGARET, WEINZIMER, STUART ALAN · 2012 to 2017
$771k
Stress, Binge Eating, and Metabolic AbnormalitiesF31NR014375 · NINR · YALE UNIVERSITY · PI CHAO, ARIANA MARIE · 2014 to 2015
$55k
NCATS NIH HHS UL1 TR001863NIDDK NIH HHS P30 DK045735NIDDK NIH HHS T32 DK097718NINR NIH HHS F31 NR014375NINR NIH HHS T32 NR008346
6 · The paper itself

Abstract

objectiveThe purpose of the study was to evaluate the participation and preliminary efficacy of an Internet psychoeducational program (Teens.Connect) shown to be efficacious under controlled conditions compared with an open-access diabetes website for youth (Planet D) on the primary outcomes of A1C and quality of life (QoL), and secondary outcomes of psychosocial and behavioral factors. RESEARCH DESIGN AND

methodsTeens with type 1 diabetes (n = 124, 11-14 yr) from two clinical sites were randomly prescribed one of the programs and completed baseline, 3-month and 6-month data. A1C was obtained from clinic records. Participation data included number of log ins, posts to the discussion board, and lessons completed (Teens.Connect only). Descriptive and mixed model analyses were used.

resultsEighty-five percent (85%) of consented teens registered for their prescribed program. Satisfaction and log ins were similar between groups (satisfaction ranged 3.3-3.5/5; mean log ins = 14/teen). Posts to the discussion forum were higher in Planet D (mean = 28 vs. 19). Participation in the Teens.Connect lessons was low, with only 69% of teens completing any lesson. After 6 months there were no significant differences in A1C, QoL or secondary outcomes between groups. Teens in the Teens.Connect group reported lower perceived stress over time (p < 0.01).

conclusionsTeens do not actively participate in an Internet psychoeducational program when they do not have frequent reminders, which may have contributed to a lack of treatment effect. Teens have many competing demands. Strategic implementation that includes targeted reminders and family support may be necessary to assure participation and improvement in health outcomes.

Indexed as

InternetAdolescentAdolescent BehaviorChildCognitive Behavioral TherapyDiabetes Mellitus, Type 1Directive CounselingFemaleGlycated HemoglobinHealth Plan ImplementationHumansMalePatient Education as TopicPatient SatisfactionQuality of LifeSelf CareGlycated Hemoglobinhemoglobin A1c protein, humandiabetes mellitusInternetpsychoeducationquality of liferandomized clinical trialtype 1

Identifiers

PMID26611663
PMCPMC4882266
OpenAlexW2180789789

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.