Evidence map›Paper›PMID 28827256›Full record

SynthesisBMJ open2017

A systematic review and meta-analysis of trials of social network interventions in type 2 diabetes.

Gabriela Spencer-Bonilla, Oscar J Ponce, Rene Rodriguez-Gutierrez, Neri Alvarez-Villalobos, Patricia J Erwin, Laura Larrea-Mantilla, Anne Rogers, Victor M Montori

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 6 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

40 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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  20. Social Support for Thai Adults with Type 2 Diabetes: A Case-Control Study.Diabetes, metabolic syndrome and obesity : targets and therapy · 2024
    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.

Gabriela Spencer-BonillaDepartment of Medicine, Mayo Clinic, Rochester, USA.
Oscar J PonceDepartment of Medicine, Mayo Clinic, Rochester, USA.
Rene Rodriguez-GutierrezDepartment of Medicine, Mayo Clinic, Rochester, USA.
Neri Alvarez-VillalobosDepartment of Medicine, Mayo Clinic, Rochester, USA.
Patricia J ErwinMayo Medical Library,Mayo Clinic, Rochester, USA.
Laura Larrea-MantillaDepartment of Medicine, Mayo Clinic, Rochester, USA.
Anne RogersNIHR CLAHRC Wessex, Health Sciences, University of Southampton, Southampton, UK.
Victor M MontoriDepartment of Medicine, Mayo Clinic, Rochester, USA.

Funding

Mayo Clinic Center for Translational Science ActivitiesUL1TR000135 · NCATS · MAYO CLINIC ROCHESTER · PI KHOSLA, SUNDEEP · 2012 to 2015
$41.2M
Shared decision making for stroke prevention in atrial fibrillation (SDM4Afib)R01HL131535 · NHLBI · MAYO CLINIC ROCHESTER · PI MONTORI, VICTOR MANUEL · 2016 to 2020
$3.2M
Mayo Clinic Center for Translational Science ActivitiesTL1TR000137 · NCATS · MAYO CLINIC ROCHESTER · PI KHOSLA, SUNDEEP · 2012 to 2015
$2.1M
NCATS NIH HHS TL1 TR000137NCATS NIH HHS UL1 TR000135NHLBI NIH HHS R01 HL131535
6 · The paper itself

Abstract

objectivesIn the care of patients with type 2 diabetes, self-management is emphasised and studied while theory and observations suggest that patients also benefit from social support. We sought to assess the effect of social network interventions on social support, glycaemic control and quality of life in patients with type 2 diabetes. RESEARCH DESIGN AND

methodsWe searched Ovid MEDLINE, Ovid EBM Reviews, Cochrane Central Register of Controlled Trials, EMBASE, PsycINFO and CINAHL through April 2017 for randomised clinical trials (RCTs) of social network interventions in patients with type 2 diabetes. Reviewers working independently and in duplicate assessed eligibility and risk of bias, and extracted data from eligible RCTs. We pooled estimates using inverse variance random effects meta-analysis.

resultsWe found 19 eligible RCTs enrolling 2319 participants. Social network interventions were commonly based on individual behaviour change rather than social or interpersonal theories of self-management, were educational, and sought to engage social network members for their knowledge and experience. Interventions improved social support (0.74 SD (95% CI 0.32 to 1.15), I

conclusionsDespite a compelling theoretical base, researchers have only minimally studied the value of interventions targeting patients' social networks on diabetes care. Although the body of evidence to date is limited, and based on individual behaviour change theories, the results are promising. This review challenges the scientific community to design and test theory-based interventions that go beyond self-management approaches to focus on the largely untapped potential of social networks to improve diabetes care. PROSPERO REGISTRATION: CRD42016036117.

Indexed as

Self-ManagementSocial SupportDiabetes Mellitus, Type 2Glycated HemoglobinHumansQuality of LifeRandomized Controlled Trials as TopicGlycated HemoglobinGeneral DiabetesPublic Health

Identifiers

PMID28827256
PMCPMC5629689

What OpenQuestion holds

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LicenceCC BY-NC
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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.