Evidence map›Paper›PMID 30552747›Full record

Trial reportPediatric diabetes2019

Efficacy of mindfulness-based stress reduction in emerging adults with poorly controlled, type 1 diabetes: A pilot randomized controlled trial.

Deborah A Ellis, April I Carcone, Richard Slatcher, Sylvie Naar-King, Anthony Hains, Amy Graham, Erica Sibinga

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Pediatric diabetes, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

20 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Mindfulness-based interventions among people of color: A systematic review and meta-analysis.Psychotherapy research : journal of the Society for Psychotherapy Research · 2022
    Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Article
  7. Meta-Analytic Insights Into Mindfulness Approaches for Depression and Diabetes Comorbidity Care.Diabetes spectrum : a publication of the American Diabetes Association · 2025
    Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Health system responses for type 1 diabetes: A scoping review.Diabetic medicine : a journal of the British Diabetic Association · 2022
    Article
  16. Article
  17. Utilization of Mind-Body Intervention for Integrative Health Care of COVID-19 Patients and Survivors.International journal of environmental research and public health · 2022
    Review
  18. Article
  19. Mindfulness and Behavior Change.Harvard review of psychiatry
    Review
  20. 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.

Deborah A EllisDepartment of Family Medicine and Public Health Sciences, Wayne State University, Detroit, Michigan.ORCID 0000-0002-4879-6971
April I CarconeDepartment of Family Medicine and Public Health Sciences, Wayne State University, Detroit, Michigan.
Richard SlatcherDepartment of Psychology, Wayne State University, Detroit, Michigan.
Sylvie Naar-KingCenter for Translational Behavioral Research, Florida State University, Tallahassee, Florida.
Anthony HainsDepartment of Psychology, University of Wisconsin-Milwaukee, Milwaukee, Wisconsin.
Amy GrahamDepartment of Psychology, Wayne State University, Detroit, Michigan.
Erica SibingaCenter for Mind-Body Research, Johns Hopkins University, Baltimore, Maryland.

Funding

Interventionist Procedures for Adherence to Weight Loss Recs in Black AdolescentsU01HL097889 · NHLBI · WAYNE STATE UNIVERSITY · PI JEN, KAI-LIN CATHERINE, NAAR, SYLVIE · 2009 to 2013
$5.5M
Reducing Stress in Adolescents and Young Adults with T1D to Improve Diabetes CareDP3DK097717 · NIDDK · WAYNE STATE UNIVERSITY · PI ELLIS, DEBORAH A. · 2012 to 2012
$2.3M
NHLBI NIH HHS U01 HL097889NIDDK NIH HHS DP3 DK097717NIDDK NIH HHS DP3 DK097717-01
6 · The paper itself

Abstract

BACKGROUND/

objectiveThe negative effects of stress on persons with type 1 diabetes (T1D) are well-established, but effective interventions to reduce stress among emerging adults with T1D are limited. The study objective was to conduct a pilot randomized controlled trial (RCT) to obtain preliminary data on the efficacy of mindfulness-based stress reduction (MBSR) to reduce stress and improve diabetes health outcomes in a population of high-risk, urban emerging adults with poorly controlled diabetes.

methodsForty-eight participants aged 16 to 20 years of age with T1D (mean duration = 8 years) were randomly assigned to one of three conditions: MSBR, cognitive-behavioral stress management (CBSM), or a diabetes support group. Data were collected at baseline, end of treatment, and 3 months after treatment completion. Measures of self-reported stress and depressive symptoms, diabetes management, and glycemic control were obtained.

resultsMBSR was found to reduce self-reported stress at end of treatment (P = 0.03, d = -0.49) and 3-month follow-up (P = 0.01, d = -0.67), but no effects on diabetes management or glycemic control were found. Diabetes support group participants had improved glycemic control at the end of treatment (P = 0.01, d = -0.62) as well as reduced depressive symptoms at 3-month follow-up (P = 0.01, d = -0.71).

conclusionsResults provide preliminary support for the efficacy of MBSR to improve psychosocial adjustment in emerging adults with poorly controlled T1D but require replication in adequately powered studies. Findings also support the value of peer support in improving health outcomes in this age group.

Indexed as

MindfulnessAdolescentAdultAnxietyBlood GlucoseCognitive Behavioral TherapyDepressionDiabetes Mellitus, Type 1FemaleHumansMalePilot ProjectsPsychosocial Support SystemsSelf-Help GroupsStress, PsychologicalTreatment OutcomeBlood Glucoseinterventionstresstype 1 diabetes

Identifiers

PMID30552747
PMCPMC13181570

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.