Evidence map›Paper›PMID 29413063›Full record

Trial reportArchives of psychiatric nursing2018

What Works in a Nurse Led Self-Management Program for Patients with Serious Mental Illness (SMI) and Diabetes (DM).

Carol Blixen, Stephanie W Kanuch, Adam T Perzynski, Charles Thomas, Neal V Dawson, Martha Sajatovic

Open access · greenAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Archives of psychiatric nursing, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 81% 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

1 citing paper in PubMed, 7 citations in OpenAlex.

  1. Review
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

6 authors at 2 institutions in 1 country.

Carol BlixenCase Western Reserve University and Senior Scholar, Center for Health Care Research and Policy, MetroHealth Medical Center, Cleveland, OH, United States. Electronic address: cxb28@cwru.edu.
Stephanie W KanuchCenter for Health Care Research and Policy, Case Western Reserve University, MetroHealth Medical Center, Cleveland, OH, United States.
Adam T PerzynskiCenter for Health Care Research and Policy, Case Western Reserve University, MetroHealth Medical Center, Cleveland, OH, United States.
Charles ThomasCenter for Health Care Research and Policy, Case Western Reserve University, MetroHealth Medical Center, Cleveland, OH, United States.
Neal V DawsonCenter for Health Care Research and Policy, Case Western Reserve University, MetroHealth Medical Center, Cleveland, OH, United States.
Martha SajatovicCase Western Reserve University School of Medicine and Neurological Institute, University Hospitals Case Medical Center, Cleveland, OH, United States.
Case Western Reserve University · USMetroHealth Medical Center · US

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR024989 · NCRR · CASE WESTERN RESERVE UNIVERSITY · PI DAVIS, PAMELA B · 2007 to 2011
$53.7M
Clinical and Translational Science Collaborative of ClevelandUL1TR000439 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI KONSTAN, MICHAEL W. · 2012 to 2016
$50.0M
Clinical and Translational Science Collaborative of ClevelandKL2TR000440 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI KONSTAN, MICHAEL W. · 2012 to 2016
$11.1M
Improving Outcomes for Individuals with Serious Mental Illness and DiabetesR01MH085665 · NIMH · CASE WESTERN RESERVE UNIVERSITY · PI DAWSON, NEAL V, SAJATOVIC, MARTHA X · 2011 to 2015
$2.9M
NCATS NIH HHS KL2 TR000440NCATS NIH HHS UL1 TR000439NCRR NIH HHS UL1 RR024989NIMH NIH HHS R01 MH085665
6 · The paper itself

Abstract

objectiveTo develop a deeper understanding of "how" a nurse led self-management intervention in a successful randomized controlled trial (RCT) for individuals with both serious mental illness (SMI) and diabetes (DM) influenced health outcomes and the lives of the participants.

methodsIn depth interviews, were conducted with a sample of 10 participants who received the self-management intervention in the RCT. Interviews were audiotaped, transcribed verbatim, and analyzed using content analysis, with an emphasis on dominant themes.

resultsThe mean age of the respondents was 53.9years (SD=5.6); 6 (60%) were women and the mean level of education was 12.4years (SD=2.4). Transcript based analysis generated 3 major mechanisms of action that led to improved self-management of their SMI and DM: (Colton & Manderscheid, 2006) positive group experience, (Osborn et al., 2008) increased health knowledge, and (Newcomer, 2005) increased self- confidence.

conclusionsDeveloping complex interventions for testing in RCTs of individuals with SMI and other comorbid conditions is of increasing importance in healthcare planning for this vulnerable population. Using qualitative methods to explore mechanisms of action underlying quantitative outcomes, can enrich our understanding of processes relevant for individuals with SMI and comorbid conditions.

Indexed as

Self-ManagementDiabetes MellitusFemaleHealth BehaviorHumansMaleMental DisordersMiddle AgedNurse's RolePersons with Psychiatric DisordersPsychiatric NursingDiabetesSelf-managementSerious mental illness

Identifiers

PMID29413063
PMCPMC6014592
OpenAlexW2762945859

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.