Evidence map›Paper›PMID 29047326›Full record

Trial reportThe Diabetes educator2017

Integrating CHWs as Part of the Team Leading Diabetes Group Visits: A Randomized Controlled Feasibility Study.

Elizabeth M Vaughan, Craig A Johnston, Victor J Cardenas, Jennette P Moreno, John P Foreyt

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Diabetes educator, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07538505 (Implementing a Diabetes Intervention in Rural and Low-Income Clinics), which is not on this map. Cited by 26 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing 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.

NCT07538505 nanot yet recruitingnot on this mapstarted 2027, after this paper: background citation

Implementing a Diabetes Intervention in Rural and Low-Income Clinics: A Feasibility Study

TypeinterventionalSponsorThe University of Texas Medical Branch, GalvestonRan2027 to 2031Enrolled200ConditionsType 2 Diabetes MellitusArmsCommunity Health Worker-led diabetes program
3 · Its place in the literature

Who cites it

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

  1. Pooled it
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  4. Group Medical Care: A Systematic Review of Health Service Performance.International journal of environmental research and public health · 2021
    Pooled it
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  11. Review
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  13. Systematic Literature Review of the Impact of Type 2 Diabetes and Heart Failure Guideline Adherence on Clinical and Economic Outcomes.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2025
    Review
  14. Article
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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

5 authors.

Elizabeth M VaughanDepartment of Medicine, Baylor College of Medicine, Houston, Texas (Dr Vaughan, Dr Foreyt).
Craig A JohnstonDepartment of Health & Human Performance and the Texas Obesity Research Center, University of Houston, Houston, Texas (Dr Johnston).
Victor J CardenasDepartment of Medicine, University of Texas Medical Branch, Galveston, Texas (Dr Cardenas).
Jennette P MorenoDepartment of Pediatrics-Nutrition SDA/ARS Children's Nutrition Research Center, Baylor College of Medicine, Houston, Texas (Dr Moreno).
John P ForeytDepartment of Medicine, Baylor College of Medicine, Houston, Texas (Dr Vaughan, Dr Foreyt).

Funding

Technology to improve the health of resource-poor Hispanics with diabetesK23DK110341 · NIDDK · BAYLOR COLLEGE OF MEDICINE · PI VAUGHAN, ELIZABETH M · 2017 to 2021
$857k
The i♥Rhythm Project: Healthy sleep and behavioral rhythms for obesity preventionK99HD091396 · NICHD · BAYLOR COLLEGE OF MEDICINE · PI MORENO, JENNETTE P · 2017 to 2018
$221k
NICHD NIH HHS K99 HD091396NIDDK NIH HHS K23 DK110341
6 · The paper itself

Abstract

Purpose The purpose of the study was to evaluate the feasibility of integrating Community Health Workers (CHWs) as part of the team leading diabetes group visits. Methods This was a randomized controlled study that integrated CHWs as part of the team leading diabetes group visits for low-income Hispanic adults (n = 50). Group visits met for 3 hours each month for a 6-month duration. Main measures included baseline and 6-month clinical outcomes (ie, A1C, lipids), concordance with 8 standard of care guidelines (ie, screens for cervical, breast, and colon cancer) from the US Preventive Task Force and American Diabetes Association, and participant acceptability. Results Compared to control participants, the intervention group resulted in significantly better clinical outcomes or guideline concordance for the following areas: target A1C levels, retinal eye exams, diabetes foot exams, mammograms, and urine microalbumin. Significantly more individuals in the control group gained weight, whereas a greater number of participants in the intervention group lost weight. Intervention participants found the group visits highly acceptable. Conclusions Integrating CHWs as part a comprehensive diabetes group visit program is a feasible and effective system-level intervention to improve glycemic control and achieve guideline concordance.

Indexed as

Community Health WorkersPatient Care TeamAdultDiabetes Mellitus, Type 2Feasibility StudiesFemaleGlycated HemoglobinHumansMaleMiddle AgedPsychotherapy, GroupTreatment OutcomeGlycated Hemoglobinhemoglobin A1c protein, human

Identifiers

PMID29047326
PMCPMC5753422

What OpenQuestion holds

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Registered trials

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.