Evidence map›Paper›PMID 29121408›Full record

Trial reportPharmacotherapy2018

Community Health Workers Supporting Clinical Pharmacists in Diabetes Management: A Randomized Controlled Trial.

Lisa K Sharp, Jessica J Tilton, Daniel R Touchette, Yinglin Xia, Daniel Mihailescu, Michael L Berbaum, Ben S Gerber

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Pharmacotherapy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01498159 (Health Promoters and Pharmacists in Diabetes Team Management), which is not on this map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
1.9field-weighted citation impact, top 15% 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.

NCT01498159 nacompletednot on this map

Health Promoters and Pharmacists in Diabetes Team Management

TypeinterventionalSponsorUniversity of Illinois at ChicagoRan2011 to 2018Enrolled244ConditionsDiabetes MellitusArmsPharmacist disease/medication management, Pharmacist-patient encounters, Pharmacist medication intensification and adherence support, Pharmacist communication with primary care physicians, Pharmacist documentation in electronic medical record
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Review
  7. Interprofessional Collaboration Between Community Health Workers and Pharmacists.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Literature Review of Type 2 Diabetes Management and Health Literacy.Diabetes spectrum : a publication of the American Diabetes Association · 2021
    Article
  15. Article
  16. Article
  17. 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

7 authors at 1 institution in 1 country.

Lisa K SharpPharmacy Systems, Outcomes, and Policy, College of Pharmacy, University of Illinois at Chicago, Chicago, Illinois.
Jessica J TiltonPharmacy Practice, College of Pharmacy, University of Illinois at Chicago, Chicago, Illinois.
Daniel R TouchettePharmacy Systems, Outcomes, and Policy, College of Pharmacy, University of Illinois at Chicago, Chicago, Illinois.
Yinglin XiaInstitute for Health Research and Policy, University of Illinois at Chicago, Chicago, Illinois.
Daniel MihailescuDivision of Endocrinology and Metabolism, College of Medicine, University of Illinois at Chicago, Chicago, Illinois.
Michael L BerbaumInstitute for Health Research and Policy, University of Illinois at Chicago, Chicago, Illinois.
Ben S GerberPharmacy Systems, Outcomes, and Policy, College of Pharmacy, University of Illinois at Chicago, Chicago, Illinois.ORCID 0000-0003-4367-6396
University of Illinois Chicago · US

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR029879 · NCRR · UNIVERSITY OF ILLINOIS AT CHICAGO · PI MAZZONE, THEODORE · 2009 to 2011
$11.0M
Health Promoters and Pharmacists in Diabetes Team ManagementR01DK091347 · NIDDK · UNIVERSITY OF ILLINOIS AT CHICAGO · PI GERBER, BEN STEVEN, SHARP, LISA K · 2011 to 2015
$3.4M
NCRR NIH HHS UL1 RR029879NIDDK NIH HHS R01 DK091347
6 · The paper itself

Abstract

objectivesTo evaluate the effectiveness of clinical pharmacists and community health workers (CHWs) in improving glycemic control within a low-income ethnic minority population.

methodsIn a two-arm 2-year crossover trial, 179 African-American and 65 Hispanic adult patients with uncontrolled diabetes mellitus (hemoglobin A

resultsSimilar HbA1C declines were noted after receiving the 1 year of CHW support: -0.45% (95% confidence interval [CI] -0.96 to 0.05) with CHW versus -0.42% (95% CI -0.93 to 0.08) without CHW support. In addition, no differences were noted in change on secondary outcome measures including body mass index, systolic blood pressure, high-density lipoprotein and low-density lipoprotein cholesterol, quality of life, and perceived social support. A difference in diastolic blood pressure change was noted: 0.80 mm Hg (95% CI -1.92 to 3.53) with CHW versus -1.85 mm Hg (95% CI -4.74 to 1.03) without CHW support (p=0.0078). Patients receiving CHW support had more lipid-lowering medication intensifications (0.39 [95% CI 0.27-0.52]) compared with those without CHW support (0.26 [95% CI 0.14-0.38], p<0.0001). However, no significant differences in intensification of antihyperglycemic and antihypertensive medications were observed between patients receiving CHW support and those without CHW support. Patients with low health literacy completed significantly more encounters with the pharmacist and CHW than those with high health literacy, although outcomes were comparable.

conclusionsNo significant differences were noted between a clinical pharmacist-CHW team and clinical pharmacist alone in improving glycemic control within a low-income ethnic minority population.

Indexed as

AdultAgedAntihypertensive AgentsBlack or African AmericanBlood GlucoseBlood PressureCommunity Health WorkersCross-Over StudiesDiabetes Mellitus, Type 2FemaleGlycated HemoglobinHispanic or LatinoHumansHypoglycemic AgentsMaleMiddle AgedAntihypertensive AgentsBlood GlucoseGlycated HemoglobinHypoglycemic Agentsadherence with treatmentcommunity healthdiabetes complicationsdisparitypharmacistrandomized clinical trial

Identifiers

PMID29121408
PMCPMC5766435
OpenAlexW2767838938

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.