Evidence map›Paper›PMID 30878623›Full record

ArticleContemporary clinical trials2019

Design and patient characteristics of the randomized controlled trial TExT-MED + FANS A test of mHealth augmented social support added to a patient-focused text-messaging intervention for emergency department patients with poorly controlled diabetes.

Elizabeth Burner, Janisse Mercado, Antonio Hernandez-Saenz, Anne Peters, Wendy Mack, Lourdes Baezconde-Garbanati, Sanjay Arora, Shinyi Wu

Abstract readClinical Trial Protocol
In one paragraph

Article in Contemporary clinical trials, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Diabetes Technology Meeting 2020.Journal of diabetes science and technology · 2021
    Article
  5. 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

8 authors.

Elizabeth BurnerDepartment of Emergency Medicine, Keck School of Medicine of the University of Southern California, United States. Electronic address: elizabeth.burner@med.usc.edu.
Janisse MercadoDepartment of Emergency Medicine, Keck School of Medicine of the University of Southern California, United States.
Antonio Hernandez-SaenzKeck School of Medicine of the University of Southern California, United States.
Anne PetersDivision of Endocrinology, Keck School of Medicine of the University of Southern California, United States.
Wendy MackDepartment of Preventive Medicine, Keck School of Medicine of the University of Southern California, United States.
Lourdes Baezconde-GarbanatiDepartment of Preventive Medicine, Keck School of Medicine of the University of Southern California, United States.
Sanjay AroraDepartment of Emergency Medicine, Keck School of Medicine of the University of Southern California, United States.
Shinyi WuSchool of Social Work, University of Southern California, United States.

Funding

Southern California Clinical and Translational Science InstituteUL1TR001855 · NCATS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Thomas A Buchanan, Michele D. Kipke · 2016 to 2026
$81.3M
Southern California Clinical and Translational Science InstituteUL1TR000130 · NCATS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI BUCHANAN, THOMAS A · 2012 to 2015
$36.0M
Trial to Examine Text Message-based mHealth in Emergency department patients with Diabetes with Family And friends Network Supporters (TExT-MED+FANS)K23DK106538 · NIDDK · UNIVERSITY OF SOUTHERN CALIFORNIA · PI BURNER, ELIZABETH RHEA ERWIN · 2016 to 2019
$772k
NCATS NIH HHS UL1 TR000130NCATS NIH HHS UL1 TR001855NIDDK NIH HHS K23 DK106538
6 · The paper itself

Abstract

Although diabetes is a nationwide epidemic, US Latinos are a particularly vulnerable population. Culturally appropriate interventions can combat this disparity, especially those that increase social support. However, these interventions face significant cost and time barriers, which mHealth (mobile health) may overcome. This trial examines the benefit of adding social support to an existing text-message based, patient-focused mHealth intervention for emergency department patients with poorly controlled diabetes. Family members and friends of patients were randomized to mHealth augmented social support training (daily text-messages that synchronize with the patient messages) or a pamphlet based training (the same content mailed to their house.) We hypothesize that patients who received mHealth augmented social support will have a larger improvement in diabetes management (glycosylated hemoglobin or A1C) than those receiving standard support at six-months, and that improvement will be sustained at twelve-months. Secondary patient outcomes are clinical (weight, blood pressure), behavioral (medication adherence, self-care activities) and psychosocial (general and diabetes-specific social support, self-efficacy, diabetes-related distress, depression, fatalism and quality of life). We screened 2004 patients and enrolled 166 patient/supporter dyads. 70% of patients are Spanish-speaking, 51% female, with a mean A1C of 10.8. We employed innovative measures to remotely enroll family members and support a bilingual population, which will assist other investigators in design of similar trials. The findings of our trial will have real-world applicability for clinicians, health system administrators, health educators and mHealth developers who aim to improve the health of this vulnerable population.

Indexed as

Diabetes MellitusEmergency Service, HospitalHispanic or LatinoInternet-Based InterventionSelf CareText MessagingAdultFemaleGlycated HemoglobinHealth BehaviorHumansMaleRandomized Controlled Trials as TopicResearch DesignSocial SupportUnited StatesGlycated HemoglobinDiabetesEmergency departmentLatinosmHealthSocial support

Identifiers

PMID30878623
PMCPMC6488230

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.