Evidence map›Paper›PMID 29467118›Full record

ArticleJournal of medical Internet research2018

Type 2 Diabetes Education and Support in a Virtual Environment: A Secondary Analysis of Synchronously Exchanged Social Interaction and Support.

Allison A Lewinski, Ruth A Anderson, Allison A Vorderstrasse, Edwin B Fisher, Wei Pan, Constance M Johnson

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of medical Internet research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06972251 (Tailored Approaches to Reduce Distress and Improve Self-Management for Veterans With Diabetes), which is not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.5field-weighted citation impact, top 17% 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.

NCT06972251 nacompletednot on this mapstarted 2022, after this paper: background citation

Tailored Approaches to Reduce Distress and Improve Self-Management for Veterans With Diabetes (TARDIS) - Photo Elicitation and Intervention

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2022 to 2025Enrolled34ConditionsDiabetes Mellitus, Type II, Type 2 Diabetes, Diabetes Distress, Self ManagementArmsTARDIS Photo Elicitation, TARDIS Intervention
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 21 citations in OpenAlex.

  1. Perceptions of Using Multiple Mobile Health Devices to Support Self-Management Among Adults With Type 2 Diabetes: A Qualitative Descriptive Study.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2021
    Trial
  2. Do Peer Support Groups Facilitate Nutrition Information Practice and Nutritional Self-Management in People Living With Type 2 Diabetes?Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2025
    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

6 authors at 4 institutions in 1 country.

Allison A Lewinski *Durham Center for Health Services Research in Primary Care, Durham Veterans Affairs Health Care System, Durham, NC, United States.ORCID 0000-0002-1356-1857
Ruth A Anderson *School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.ORCID 0000-0001-6640-644X
Allison A Vorderstrasse *Rory Meyers College of Nursing, New York University, New York, NY, United States.ORCID 0000-0001-8770-1851
Edwin B Fisher *Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.ORCID 0000-0003-0234-7465
Wei Pan *School of Nursing, Duke University, Durham, NC, United States.ORCID 0000-0003-2410-9935
Constance M Johnson *School of Nursing, Duke University, Durham, NC, United States.ORCID 0000-0003-3162-3932
Duke University · USUniversity of North Carolina at Chapel Hill · USDurham VA Health Care System · USNew York University · US

Funding

Research BaseP30DK092926 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MARY ELLEN MICHELE HEISLER, ADESUWA B OLOMU · 2011 to 2026
$10.0M
eHealth: Second Life Impacts Diabetes Education & Self-Management (SLIDES)R21LM010727 · NLM · DUKE UNIVERSITY · PI JOHNSON, CONSTANCE MARGARET · 2010 to 2011
$421k
Social Interaction and Support in a Type-2 Diabetes Computer Mediated EnvironmentF31NR016622 · NINR · DUKE UNIVERSITY · PI LEWINSKI, ALLISON · 2016 to 2017
$35k
HSRD VA CIN 13-410NIDDK NIH HHS P30 DK092926NINR NIH HHS F31 NR016622NLM NIH HHS R21 LM010727
6 · The paper itself

Abstract

backgroundVirtual environments (VEs) facilitate interaction and support among individuals with chronic illness, yet the characteristics of these VE interactions remain unknown.

objectiveThe objective of this study was to describe social interaction and support among individuals with type 2 diabetes (T2D) who interacted in a VE.

methodsData included VE-mediated synchronous conversations and text-chat and asynchronous emails and discussion board posts from a study that facilitated interaction among individuals with T2D and diabetes educators (N=24) in 2 types of sessions: education and support.

resultsVE interactions consisted of communication techniques (how individuals interact in the VE), expressions of self-management (T2D-related topics), depth (personalization of topics), and breadth (number of topics discussed). Individuals exchanged support more often in the education (723/1170, 61.79%) than in the support (406/1170, 34.70%) sessions or outside session time (41/1170, 3.50%). Of all support exchanges, 535/1170 (45.73%) were informational, 377/1170 (32.22%) were emotional, 217/1170 (18.55%) were appraisal, and 41/1170 (3.50%) were instrumental. When comparing session types, education sessions predominately provided informational support (357/723, 49.4%), and the support sessions predominately provided emotional (159/406, 39.2%) and informational (159/406, 39.2%) support.

conclusionsVE-mediated interactions resemble those in face-to-face environments, as individuals in VEs engage in bidirectional exchanges with others to obtain self-management education and support. Similar to face-to-face environments, individuals in the VE revealed personal information, sought information, and exchanged support during the moderated education sessions and unstructured support sessions. With this versatility, VEs are able to contribute substantially to support for those with diabetes and, very likely, other chronic diseases.

Indexed as

Interpersonal RelationsSocial SupportAdultDiabetes Mellitus, Type 2FemaleHealth EducationHumansMaleVirtual Realityself-managementsocial interactionsocial supporttype 2 diabetesvirtual reality

Identifiers

PMID29467118
PMCPMC5842323
OpenAlexW2789227390

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.