Evidence map›Paper›PMID 30840084›Full record

Trial reportJournal of pediatric psychology2019

Randomized Trial of a Positive Psychology Intervention for Adolescents With Type 1 Diabetes.

Sarah S Jaser, Robin Whittemore, Leena Choi, Samuel Nwosu, William E Russell

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of pediatric psychology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. THR1VE!: Randomized controlled trial to reduce diabetes distress in adolescents with type 1 diabetes.Diabetic medicine : a journal of the British Diabetic Association · 2025
    Trial
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  11. Profiles of patients' self-reported health after acute stroke.Neurological research and practice · 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

5 authors.

Sarah S JaserDepartment of Pediatrics, Vanderbilt University Medical Center.
Robin WhittemoreSchool of Nursing, Yale University.
Leena ChoiDepartment of Biostatistics, Vanderbilt University Medical Center.
Samuel NwosuDepartment of Biostatistics, Vanderbilt University Medical Center.
William E RussellDepartment of Pediatrics, Vanderbilt University Medical Center.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Vanderbilt Center for Diabetes Translation ResearchP30DK092986 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI OSBORN, CHANDRA Y. · 2011 to 2020
$6.7M
Positive Psychology to Promote Adherence in Adolescents with Type 1 DiabetesDP3DK097678 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI JASER, SARAH SANDERS · 2013 to 2015
$1.3M
NCATS NIH HHS UL1 TR001863NIDDK NIH HHS DP3 DK097678NIDDK NIH HHS P30 DK092986
6 · The paper itself

Abstract

objectiveTo evaluate the effects of a positive psychology intervention for adolescents with type 1 diabetes (T1D) on adherence, glycemic control, and quality of life.

methodsAdolescents with T1D (n = 120) and their caregivers were randomized to either an Education (EDU) (n = 60) or Positive Affect (PA) intervention (n = 60). Adolescents in the PA group received the intervention reminders (gratitude, self-affirmation, parental affirmation, and small gifts) via text messages or phone calls over 8 weeks. Questionnaires were completed by adolescents and caregivers and clinical data (glucometer and HbA1c) were collected at baseline 3 and 6 months. Data were analyzed using generalized linear modeling.

resultsAfter adjusting for covariates, adolescents in the PA group demonstrated significant improvement in quality of life at 3 months, compared to the EDU group, but this was not sustained at 6 months. Similarly, the PA group showed a significant decrease in disengagement coping at 3 months but not at 6 months. There was no significant intervention effect on blood glucose monitoring, but the odds of clinically significantly improvement (checking at least one more time/day) were about twice as high in the PA group as the EDU group. No significant effects were found for glycemic control.

conclusionsA positive psychology intervention had initial significant, positive effects on coping and quality of life in adolescents with T1D. A more intensive or longer-lasting intervention may be needed to sustain these effects and to improve adherence and glycemic control.

Indexed as

Adaptation, PsychologicalAdolescentBlood GlucoseBlood Glucose Self-MonitoringCaregiversDiabetes Mellitus, Type 1FemaleFollow-Up StudiesHumansMalePatient Outcome AssessmentPsychology, PositiveQuality of LifeSurveys and QuestionnairesBlood Glucoseadherencecoping skills and adjustmentdiabetesintervention outcomequality of life

Identifiers

PMID30840084
PMCPMC6681471

What OpenQuestion holds

Textmetadata
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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.