Evidence map›Paper›PMID 30952482›Full record

ArticlePatient education and counseling2019

Toward effective interventions to reduce diabetes distress among adults with type 1 diabetes: Enhancing Emotion regulation and cognitive skills.

Lawrence Fisher, Danielle Hessler, William Polonsky, Lisa Strycker, Vicky Bowyer, Umesh Masharani

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Patient education and counseling, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

  1. Trial
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  3. Review
  4. Article
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  8. Article
  9. The role of diabetes distress in Diabulimia.Journal of eating disorders · 2023
    Review
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  11. Article
  12. Article
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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

6 authors.

Lawrence FisherDepartment of Family & Community Medicine, University of California, San Francisco, CA, USA. Electronic address: larry.fisher@ucsf.edu.
Danielle HesslerDepartment of Family & Community Medicine, University of California, San Francisco, CA, USA. Electronic address: danielle.hessler@ucsf.edu.
William PolonskyBehavioral Diabetes Institute, Department of Psychiatry, University of California, San Diego, CA, USA. Electronic address: whp@behavioraldiabetes.org.
Lisa StryckerOregon Research Institute, Eugene, OR, USA. Electronic address: lisas@ori.org.
Vicky BowyerDepartment of Family & Community Medicine, University of California, San Francisco, CA, USA. Electronic address: vicky.bowyer@ucsf.edu.
Umesh MasharaniDepartment of Medicine, University of California, San Francisco, CA, USA. Electronic address: umesh.masharani@ucsf.edu.

Funding

Reducing Distress And Improving Glycemic Control In Adults With Type 1 Diabetes.R01DK094863 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI FISHER, LAWRENCE · 2013 to 2017
$3.1M
NIDDK NIH HHS R01 DK094863
6 · The paper itself

Abstract

objectiveWe tested three models to determine how improvements in emotion regulation (ER) and cognitive skills (CS) as a result of intervention operate to affect reductions in diabetes distress DD.

methodsChange data were drawn from the baseline and 9-month T1-REDEEM trial. Adults with type 1 diabetes were recruited from several U.S. states and Toronto, Canada. A primary and two alternative structural equation models were tested to explore the directionality of effect: primary model - changes in ER and CS drive changes in DD; reverse model - changes in DD drive changes in ER and CS; and bidirectional model - changes in ER, CS and DD occur together with no directionality.

resultsAll three models displayed a good fit to the data. The primary model indicated 7 significant directional pathways: improvements in ER and CS operate together to drive reductions in DD. The reverse model only indicated that reductions in DD affected changes in one CS variable; and the bidirectional model indicated only that these results were bidirectional. Reductions in all tested domains of DD occurred together.

conclusionsImprovements in ER and CS drive reductions in DD. PRACTICE IMPLICATIONS: Interventions to reduce high DD should focus on improving ER and CS.

Indexed as

CognitionEmotional RegulationAdultCanadaDiabetes Mellitus, Type 1FemaleHumansMaleMiddle AgedModels, PsychologicalStress, PsychologicalUnited StatesCognitionDiabetesDiabetes distressEmotion regulation

Identifiers

PMID30952482
PMCPMC6565487

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.