Evidence map›Paper›PMID 27036083›Full record

SynthesisPatient education and counseling2016

Biobehavioral determinants of glycemic control in type 2 diabetes: A systematic review and meta-analysis.

Sharon A Brown, Alexandra A García, Adama Brown, Betsy J Becker, Vicki S Conn, Gilbert Ramírez, Mary A Winter, Lisa L Sumlin, Theresa J Garcia, Heather E Cuevas

Abstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Patient education and counseling, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 66 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed, 4 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

66 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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6 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

10 authors.

Sharon A BrownThe University of Texas at Austin, School of Nursing, Austin, TX, USA. Electronic address: sabrown@mail.utexas.edu.
Alexandra A GarcíaThe University of Texas at Austin, School of Nursing, Austin, TX, USA.
Adama BrownThe University of Texas at Austin, School of Nursing, Austin, TX, USA.
Betsy J BeckerFlorida State University, College of Education, Tallahassee, FL, USA.
Vicki S ConnUniversity of Missouri, Sinclair School of Nursing, Columbia, MO, USA.
Gilbert RamírezTexas A&M Health Science Center, School of Public Health, College Station, TX, USA.
Mary A WinterThe University of Texas at Austin, School of Nursing, Austin, TX, USA.
Lisa L SumlinThe University of Texas at Austin, School of Nursing, Austin, TX, USA.
Theresa J GarciaTexas A&M-Corpus Christi, School of Nursing, Corpus Christi, TX, USA.
Heather E CuevasThe University of Texas at Austin, School of Nursing, Austin, TX, USA.

Funding

Meta-Analysis of Biobehavioral Determinants of Health Outcomes in Type 2 DiabetesR01NR011450 · NINR · UNIVERSITY OF TEXAS AT AUSTIN · PI BROWN, SHARON A · 2009 to 2012
$1.4M
NINR NIH HHS R01 NR011450
6 · The paper itself

Abstract

objectivesTo conduct a model-driven meta-analysis of correlational research on psychological and motivational predictors of diabetes outcomes, with adherence factors as mediators.

methodsA comprehensive literature search of published and unpublished studies located a sample of 775 individual correlational or predictive studies reported across 739 research reports.

resultsResults varied according to the outcome variable included in the regression models. Depression had a larger negative effect on adherence to physical activity than on dietary adherence. Coping and self-efficacy were strongly related to dietary adherence, which was strongly related to improved glycemic control. Medication adherence was related to glycosylated hemoglobin, whereas medications and self-monitoring were related to fasting blood glucose. Adding appointment keeping to the models did not significantly alter the results.

conclusionSelf-efficacy was the most consistent predictor of all adherence behaviors and dietary adherence was the most significant predictor of HbA1c. Physical activity was the most predictive factor of BMI and glucose self-monitoring the most predictive of FBG. PRACTICE IMPLICATIONS: Metabolic control is a primary goal in T2DM, so the best pathway to attaining that goal appears to be an emphasis on self-efficacy and dietary adherence.

Indexed as

Blood GlucoseBlood Glucose Self-MonitoringDepressionDiabetes Mellitus, Type 2ExerciseGlycated HemoglobinHumansPatient ComplianceSelf CareSelf EfficacyStress, PsychologicalBlood GlucoseGlycated HemoglobinDepressionExplanatory modelsHbA1cMeta-analysisSelf-efficacyType 2 diabetes

Identifiers

PMID27036083
PMCPMC5028237

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.