Evidence map›Paper›PMID 27456837›Full record

Trial reportDiabetes care2016

Health and Psychosocial Outcomes of a Telephonic Couples Behavior Change Intervention in Patients With Poorly Controlled Type 2 Diabetes: A Randomized Clinical Trial.

Paula M Trief, Lawrence Fisher, Jonathan Sandberg, Donald A Cibula, Jacqueline Dimmock, Danielle M Hessler, Patricia Forken, Ruth S Weinstock

Open access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Diabetes care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 6 pooled it
5.7field-weighted citation impact, top 3% 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

48 citing papers in PubMed, 6 syntheses or guidelines pooled it, 99 citations in OpenAlex.

  1. Efficacy of eHealth Interventions for Adults with Diabetes: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2021
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Trial
  8. Trial
  9. Trial
  10. Trial
  11. Trial
  12. Trial
  13. Trial
  14. "Miscarried helping" in adults with Type 2 diabetes: Helping for Health Inventory-Couples.Families, systems & health : the journal of collaborative family healthcare · 2017
    Trial
  15. Trial
  16. Trial
  17. Article
  18. Article
  19. Article
  20. 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

8 authors at 3 institutions in 1 country.

Paula M TriefDepartment of Psychiatry and Behavioral Sciences, State University of New York Upstate Medical University, Syracuse, NY triefp@upstate.edu.
Lawrence FisherDepartment of Family Medicine, University of California, San Francisco, San Francisco, CA.
Jonathan SandbergSchool of Family Life, Brigham Young University, Provo, UT.
Donald A CibulaDepartment of Public Health and Preventive Medicine, State University of New York Upstate Medical University, Syracuse, NY.
Jacqueline DimmockDepartment of Psychiatry and Behavioral Sciences, State University of New York Upstate Medical University, Syracuse, NY.
Danielle M HesslerDepartment of Family Medicine, University of California, San Francisco, San Francisco, CA.
Patricia ForkenDepartment of Psychiatry and Behavioral Sciences, State University of New York Upstate Medical University, Syracuse, NY.
Ruth S WeinstockDepartment of Medicine, State University of New York Upstate Medical University, Syracuse, NY.
SUNY Upstate Medical University · USUniversity of California, San Francisco · USBrigham Young University · US

Funding

Improving Diabetes Outcomes: The Diabetes Support ProjectR18DK080867 · NIDDK · UPSTATE MEDICAL UNIVERSITY · PI TRIEF, PAULA MARY · 2009 to 2013
$3.4M
NIDDK NIH HHS R18 DK080867
6 · The paper itself

Abstract

objectiveTo compare glycemic control and secondary outcomes of a 4-month telephonic couples behavioral intervention to individual intervention, and to education, for adults with type 2 diabetes. RESEARCH DESIGN AND

methodsA randomized trial with the following three arms: couples calls (CC) (n = 104); individual calls (IC) (n = 94); and diabetes education (DE) (n = 82). All arms had self-management education (two calls). CC and IC had 10 additional behavior change calls. CC addressed collaboration and relationships/communication. Participants consisted of 280 couples, among whom one partner had type 2 diabetes and an A1C level ≥7.5%. Blinded assessments occurred at 4, 8, and 12 months. The primary outcome was change in A1C; and secondary outcomes were BMI, waist circumference, blood pressure, depressive symptoms, diabetes self-efficacy, and diabetes distress.

resultsPatients had a mean age of 56.8 years; 61.6% were male, and 30.4% were minorities. The baseline mean A1C level was 9.1%. Intention-to-treat analyses found significant A1C reductions for all (12 months: CC -0.47%, IC -0.52%, DE -0.57%), with no differences between arms. Preplanned within-arm analyses were stratified by baseline A1C tertiles: lowest tertile (7.5-8.2%), no change from baseline; middle tertile (8.3-9.2%), only CC led to significantly lower A1C level; and highest tertile (≥9.3%), significant improvement for all interventions. For BMI, CC showed significant improvement, and CC and DE led to decreased waist circumference. The IC group showed greater blood pressure improvement. Results for secondary psychosocial outcomes favored the CC group.

conclusionsIn adults with poorly controlled type 2 diabetes, a collaborative couples intervention resulted in significant, lasting improvement in A1C levels, obesity measures, and some psychosocial outcomes. For those with exceedingly high A1C levels, education alone was beneficial, but additional intervention is needed to achieve glycemic targets.

Indexed as

Behavior TherapySelf CareAdultBlood GlucoseDiabetes Mellitus, Type 2FemaleGlycated HemoglobinHumansMaleMiddle AgedPatient Education as TopicPsychotherapy, GroupTelemedicineTreatment OutcomeBlood GlucoseGlycated Hemoglobin

Identifiers

PMID27456837
PMCPMC5127234
OpenAlexW2500960093

What OpenQuestion holds

Textmetadata
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.