Evidence map›Paper›PMID 29119864›Full record

Trial reportChronic illness2017

Associations between having an informal caregiver, social support, and self-care among low-income adults with poorly controlled diabetes.

Erin D Bouldin, Ranak B Trivedi, Gayle E Reiber, Ann-Marie Rosland, Julie B Silverman, James Krieger, Karin M Nelson

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Chronic illness, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
–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

24 citing papers in PubMed.

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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

7 authors.

Erin D Bouldin1 Center of Innovation for Veteran-Centered and Value-Driven Care, Health Services Research & Development, VA Puget Sound Health Care System, Seattle, WA, USA.
Ranak B Trivedi3 Center for Innovation to Implementation, Health Services Research & Development, VA Palo Alto Health Care System, Palo Alto, CA, USA.
Gayle E Reiber1 Center of Innovation for Veteran-Centered and Value-Driven Care, Health Services Research & Development, VA Puget Sound Health Care System, Seattle, WA, USA.
Ann-Marie Rosland5 Center for Clinical Management Research, VA Ann Arbor Health Care System, Ann Arbor, MI, USA.
Julie B Silverman1 Center of Innovation for Veteran-Centered and Value-Driven Care, Health Services Research & Development, VA Puget Sound Health Care System, Seattle, WA, USA.
James Krieger2 Department of Health Services, School of Public Health, University of Washington, Seattle, WA, USA.
Karin M Nelson1 Center of Innovation for Veteran-Centered and Value-Driven Care, Health Services Research & Development, VA Puget Sound Health Care System, Seattle, WA, USA.

Funding

Research BaseP30DK092926 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MARY ELLEN MICHELE HEISLER, ADESUWA B OLOMU · 2011 to 2026
$10.0M
Peer Support for Achieving Independence in Diabetes (Peer AID)R18DK088072 · NIDDK · SEATTLE-KING COUNTY PUBLIC HEALTH DEPT · PI NELSON, KARIN M. · 2010 to 2014
$2.3M
NIDDK NIH HHS P30 DK092926NIDDK NIH HHS R18 DK088072
6 · The paper itself

Abstract

Objective To determine whether the presence of an informal caregiver and the patient's level of social support are associated with better diabetes self-care among adults with poorly controlled diabetes. Methods Cross-sectional study using baseline data from 253 adults of age 30-70 with poorly controlled diabetes. Participants who reported receiving assistance with their diabetes from a friend or family member in the past month were classified as having a caregiver. We used multivariate linear and logistic regression models to evaluate the associations between having a caregiver and level of social support with five self-reported diabetes self-care behaviors: diet, foot checks, blood glucose monitoring, medications, and physical activity. Results Compared to participants with no informal caregiver, those with an informal caregiver were significantly more likely to report moderate or high medication adherence (OR = 1.93, 95% CI: 1.07-3.49, p = 0.028). When we included social support in the model, having a caregiver was no longer significantly associated with medication adherence (OR = 1.50, 95% CI: 0.80-2.82), but social support score was (OR = 1.22, 95% CI: 1.03-1.45, p = 0.023). Discussion Among low-income adults with poorly controlled diabetes, having both an informal caregiver and high social support for diabetes may have a beneficial effect on medication adherence, a key self-care target to improve diabetes control.

Indexed as

Drug MonitoringExerciseSocial SupportAdultBlood Glucose Self-MonitoringCaregiversChi-Square DistributionCross-Sectional StudiesDiabetes Mellitus, Type 2HumansLinear ModelsMiddle AgedPovertySelf CareSelf EfficacySelf ReportadherenceCaregiverdiabetesself-careself-managementsocial support

Identifiers

PMID29119864
PMCPMC6993051

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.