Evidence map›Paper›PMID 27110482›Full record

ArticleThe journal of health, environment & education

A clinic-based pilot intervention to enhance diabetes management for elderly Hispanic patients.

Annie L Nguyen, Marco Angulo, Linda L Haghi, Maya Cruz, Nahal Nikroo, Sarah Peraza, Justin Bennink, O Kenrik Duru, Alison A Moore, Laura A Mosqueda

Abstract read
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In one paragraph

Article in The journal of health, environment & education. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

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

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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

10 authors.

Annie L NguyenUSC Keck School of Medicine Department of Family Medicine, 1000 South Fremont Ave, unit 22, Alhambra, CA 91803.
Marco AnguloUC, Irvine, Department of Family Medicine, 101 The City Drive South Building 200, Suite 835, Orange, CA 92868.
Linda L HaghiUC, Irvine, Department of Family Medicine, 101 The City Drive South Building 200, Suite 835, Orange, CA 92868.
Maya CruzUC, Irvine, Department of Family Medicine, 101 The City Drive South Building 200, Suite 835, Orange, CA 92868.
Nahal NikrooUC, Irvine, Department of Family Medicine, 101 The City Drive South Building 200, Suite 835, Orange, CA 92868.
Sarah PerazaUC, Irvine, Department of Family Medicine, 101 The City Drive South Building 200, Suite 835, Orange, CA 92868.
Justin BenninkUC, Irvine, Department of Family Medicine, 101 The City Drive South Building 200, Suite 835, Orange, CA 92868.
O Kenrik DuruUCLA Department of Medicine, Division of General Internal Medicine/Health Services Research, 10940 Wilshire Blvd, Suite 700 Los Angeles, CA 90024.
Alison A MooreUCLA Department of Medicine, Division of Geriatrics 10945 Le Conte Blvd, Suite 2339, Los Angeles, CA 90095.
Laura A MosquedaUSC Keck School of Medicine Department of Family Medicine, 1000 South Fremont Ave, unit 22, Alhambra, CA 91803.

Funding

UCLA Clinical and Translational Science InstituteUL1TR000124 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI DUBINETT, STEVEN M. · 2012 to 2015
$57.0M
The Center for Health Improvement of Minority ElderlyP30AG021684 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI CATHERINE A SARKISIAN · 2002 to 2026
$19.7M
Health Effects of Alcohol and Comorbidity in Older AdultsK24AA015957 · NIAAA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI MOORE, ALISON AHERN · 2007 to 2017
$1.8M
NCATS NIH HHS UL1 TR000124NIAAA NIH HHS K24 AA015957NIA NIH HHS P30 AG021684
6 · The paper itself

Abstract

BACKGROUND AND

objectivesSuccessful diabetes self-management requires behavioral and lifestyle changes. However, low-income patients may face challenges related to poverty that make it difficult to engage in lifestyle changes. We piloted an intervention designed to help older, low-income, Hispanic, patients with diabetes access free or low-cost community resources to enhance diabetes self-management. Results from this pilot intervention are reported. DESIGN AND

methodsPatients were recruited at baseline to complete surveys assessing diabetes self-care activities, diabetes self-efficacy, and general self-efficacy. Volunteers were trained by a clinic social worker to help patients identify needs and make referrals to local community resources (e.g., housing, transportation, food, clothing, dental and prescription services, employment, or family social services). Identical surveys were administered at 3-month follow-up.

results28 patients were recruited at baseline and 18 patients completed the follow-up assessment. No significant changes in diabetes care and self-efficacy were detected. All patients requested at least one referral to a community resource. The most common requests were for low-cost dental clinics, food assistance, and housing support. At follow-up, nine (50%) patients contacted their given referrals.

conclusionsThe need for assistance with basic social services is high in this population. The rate of referral uptake (50%) is high for a relatively low intensity intervention. Since the completion of the pilot, the program has trained 21 volunteers and helped over 220 patients in a primary care clinic. Using a volunteer model and creating connections to existing community resources is a cost-conscious way to deliver needed services to patients.

Identifiers

PMID27110482
PMCPMC4839583

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.