Evidence map›Paper›PMID 30373734›Full record

Trial reportDiabetes care2018

Impact of Peer Support on Acute Care Visits and Hospitalizations for Individuals With Diabetes and Depressive Symptoms: A Cluster-Randomized Controlled Trial.

Andrea L Cherrington, Yulia Khodneva, Joshua S Richman, Susan J Andreae, Christopher Gamboa, Monika M Safford

Registry-linked trialOpen access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Diabetes care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06398561 (Peer-led Intervention for Individuals With Major Depression.), which is not on this map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
1.8field-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.

NCT06398561 nacompletednot on this mapstarted 2024, after this paper: background citation

Peer-led Intervention for Individuals With Major Depression.

TypeinterventionalSponsorUniversity of the Balearic IslandsRan2024 to 2026Enrolled81ConditionsDepressive Disorder, MajorArmsActive Patient Program
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Here for You: A Review of Social Support Research in Young Adults With Diabetes.Diabetes spectrum : a publication of the American Diabetes Association · 2021
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. 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.

Andrea L CherringtonDivision of Preventive Medicine, University of Alabama at Birmingham, Birmingham, AL acherrington@uabmc.edu.ORCID 0000-0002-8321-3567
Yulia KhodnevaDivision of Preventive Medicine, University of Alabama at Birmingham, Birmingham, AL.
Joshua S RichmanDivision of Gastrointestinal Surgery, University of Alabama at Birmingham, Birmingham, AL.
Susan J AndreaeDivision of Preventive Medicine, University of Alabama at Birmingham, Birmingham, AL.ORCID 0000-0002-1336-7720
Christopher GamboaDivision of Preventive Medicine, University of Alabama at Birmingham, Birmingham, AL.
Monika M SaffordInternal Medicine, Weill Cornell Medical College, New York, NY.
University of Alabama at Birmingham · USCornell University · US

Funding

Zevalin Radioimmunotherapy Using a Modified TreatmentM01RR000032 · NCRR · UNIVERSITY OF SOUTHERN CALIFORNIA · PI RICH, ROBERT R. · 1985 to 2008
$23.6M
University of Alabama at Birmingham's Diabetes Research CenterP30DK079626 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Kirk Michael Habegger · 2013 to 2026
$19.5M
UAB Health Services Research (HSR) Training ProgramT32HS013852 · AHRQ · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI LEVITAN, EMILY B, MUGAVERO, MICHAEL J · 2003 to 2024
$8.0M
AHRQ HHS T32 HS013852NCRR NIH HHS M01 RR000032NIDDK NIH HHS P30 DK079626
6 · The paper itself

Abstract

objectiveComorbid depression is associated with increased health care utilization and cost. We examined the effects of peer support on acute care (AC) and hospital utilization in individuals with diabetes with or without depressive symptoms. RESEARCH DESIGN AND

methodsThis was a cluster-randomized controlled trial conducted in 2010-2012, with the clusters being practices and their surrounding communities. Adults with type 2 diabetes who wanted help with self-management were eligible to participate. Those without a doctor, with limited life expectancy, with plans to move within the next year, and with an unwillingness to work with a peer advisor were excluded. Intervention participants received 1 year of peer support. Control participants received usual care. The Patient Health Questionnaire (PHQ-8) (range 0-24; 5 indicates mild and 10 indicates moderate depressive symptoms) assessed depressive symptoms. AC and hospital utilization were measured by self-report. Data were collected at baseline, 6 months, and 12 months. Quasi-Poisson regression using generalized estimating equations examined differences in utilization per year attributable to the intervention for those with and without mild depressive symptoms (and separately, moderate depressive symptoms), controlling for imbalance across treatment arms.

resultsAt baseline, half of the sample reported mild depressive symptoms (52% intervention and 48% control,

conclusionsPeer support lowered AC visits and hospitalizations for individuals with depressive symptoms but not for those without depressive symptoms; these findings can guide resource allocation for population health management.

Indexed as

Peer GroupSelf-Help GroupsAcute DiseaseAgedAmbulatory CareCluster AnalysisComorbidityDepressionDepressive DisorderDiabetes Mellitus, Type 2EmergenciesEmergency Medical ServicesFemaleHospitalizationHumansMale

Identifiers

PMID30373734
PMCPMC6463553
OpenAlexW2899292999

What OpenQuestion holds

Textmetadata
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.