Evidence map›Paper›PMID 30114958›Full record

Trial reportInternational journal of psychiatry in medicine2019

A positive psychology-motivational interviewing intervention for patients with type 2 diabetes: Proof-of-concept trial.

Christopher M Celano, Taylor A Gianangelo, Rachel A Millstein, Wei-Jean Chung, Deborah J Wexler, Elyse R Park, Jeff C Huffman

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in International journal of psychiatry in medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05174975 (Tri-Service General Hospital, Department of Internal Medicine), which is not on this map. Cited by 24 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 4 pooled it
1.9field-weighted citation impact, top 14% 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.

NCT05174975 nacompletednot on this mapstarted 2021, after this paper: background citation

Tri-Service General Hospital, Department of Internal Medicine

TypeinterventionalSponsorTri-Service General Hospital (TSGH)Ran2021 to 2023Enrolled100ConditionsDiabetes Mellitus, Type 2ArmsApp-based Positive Psychological Intervention
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 4 syntheses or guidelines pooled it, 39 citations in OpenAlex.

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  3. Efficacy of eHealth Interventions for Adults with Diabetes: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2021
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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 at 2 institutions in 1 country.

Christopher M Celano1 Massachusetts General Hospital, Boston, MA, USA.
Taylor A Gianangelo2 Massachusetts General Hospital Institute for Patient Care, Boston, MA, USA.
Rachel A Millstein2 Massachusetts General Hospital Institute for Patient Care, Boston, MA, USA.
Wei-Jean Chung2 Massachusetts General Hospital Institute for Patient Care, Boston, MA, USA.
Deborah J Wexler3 Harvard Medical School, Boston, MA, USA.
Elyse R Park2 Massachusetts General Hospital Institute for Patient Care, Boston, MA, USA.
Jeff C Huffman2 Massachusetts General Hospital Institute for Patient Care, Boston, MA, USA.
Massachusetts General Hospital · USHarvard University · US

Funding

A positive psychology intervention to promote health behaviors in heart failureK23HL123607 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI CELANO, CHRISTOPHER M · 2015 to 2019
$859k
Testing the feasibility and preliminary efficacy of a multilevel intervention to promote physical activity among patients with metabolic syndromeK23HL135277 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI MILLSTEIN, RACHEL A. · 2017 to 2021
$834k
A psychological-behavioral intervention for physical activity in type 2 diabetesR21DK109313 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI HUFFMAN, JEFF C · 2016 to 2018
$470k
NHLBI NIH HHS K23 HL123607NHLBI NIH HHS K23 HL135277NIDDK NIH HHS R21 DK109313
6 · The paper itself

Abstract

objectiveEighteen million Americans with type 2 diabetes (T2D) do not follow recommended guidelines for physical activity. Motivational interviewing (MI) has had modest effects on activity and related behaviors in T2D. Positive psychological attributes (e.g., optimism) are associated with superior medical outcomes in T2D, and positive psychology (PP) interventions promote such attributes. There had been no study in T2D of a combined PP-MI intervention to promote well-being and health behavior adherence. We developed a novel, telephone-delivered, 16-week PP-MI intervention and explored its feasibility and impact in T2D patients in a single-arm, proof-of-concept trial.

methodParticipants completed PP-based exercises and MI-based physical activity goal-setting activities and reviewed these activities weekly with a study trainer for 16 weeks. Feasibility and acceptability were assessed via exercise completion rates and post-exercise ratings of ease/utility (0-10 scales). Impact was explored by examining changes in physical activity (via accelerometers and self-report), other health behaviors, psychological measures, and medical outcomes (e.g., hemoglobin A1c (A1C)) from baseline to 16 weeks, using paired t tests.

resultsTwelve participants enrolled, and 10 provided follow-up data. Seventy-eight percent of PP-MI activities were completed, and participants rated the PP-MI content and sessions as easy (mean = 8.2/10, standard deviation (SD) = 1.9) and useful (mean = 9.1/10, SD = 1.5). PP-MI was associated with improved adherence to health behaviors and overall self-care, variable effects on accelerometer-measured activity and psychological outcomes, and modest beneficial effects on body mass index and A1C.

conclusionFurther testing of this intervention is warranted in a larger, controlled trial to assess its effects on important health outcomes.

Indexed as

Health BehaviorPatient ComplianceAdultDiabetes Mellitus, Type 2ExerciseFemaleHumansMaleMiddle AgedMotivational InterviewingOptimismProof of Concept StudyPsychotherapydiabeteshealth behaviormotivational interviewingoptimismphysical activitypositive affectpositive psychology

Identifiers

PMID30114958
PMCPMC6370502
OpenAlexW2885597705

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.