Evidence map›Paper›PMID 31325008›Full record

ArticleJournal of clinical psychology in medical settings2020

Impact and Cost-Effectiveness of Integrated Psychology Services in a Pediatric Endocrinology Clinic.

Laura J Caccavale, Ruth Bernstein, Jessica L Yarbro, Hilary Rushton, Kenneth M Gelfand, Bradley A Schwimmer

Abstract read
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In one paragraph

Article in Journal of clinical psychology in medical settings, 2020. 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. Forty Years of Behavioral Diabetes Research: A Personal Journey.Diabetes spectrum : a publication of the American Diabetes Association · 2023
    Article
  3. Article
  4. 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

6 authors.

Laura J CaccavaleDepartment of Pediatrics, Children's Hospital of Richmond at Virginia Commonwealth University, P.O. Box 980140, Richmond, VA, 23229-0140, USA. laura.caccavale@vcuhealth.org.ORCID 0000-0003-2064-6119
Ruth BernsteinDepartment of Psychology, University of Miami, Coral Gables, FL, USA.
Jessica L YarbroPearson Education, Raleigh, NC, USA.
Hilary RushtonDepartment of Pediatric Psychology and Neuropsychology, Mt. Washington Pediatric Hospital, Baltimore, MD, USA.
Kenneth M GelfandDepartment of Pediatric Psychology and Neuropsychology, Mt. Washington Pediatric Hospital, Baltimore, MD, USA.
Bradley A SchwimmerDepartment of Pediatric Psychology and Neuropsychology, Mt. Washington Pediatric Hospital, Baltimore, MD, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Including psychology services in pediatric endocrinology clinics may improve patients' adherence to diabetes management behaviors, and, subsequently, glycemic control; however, an evaluation of the impact and cost-effectiveness of this integration is needed. The change in HbA1c and cost-effectiveness of integrated psychology services, from the hospital and insurance provider perspectives, were evaluated using a linear effects model and Incremental Cost-Effectiveness Ratios (ICERs). Data from 378 patients with T1D (50% female; 65% Caucasian; M age = 12.0 years) were obtained via medical chart review (2241 appointments). Patients demonstrated significant improvements in HbA1c following clinic visits in which they met with psychology (b = - 0.16, p = 0.006). A larger proportion of the distribution of ICER values fall below the $1000/1% HbA1c threshold from both the insurance (89%) and hospital (94%) perspectives. These results indicate that providing integrated psychology services in the endocrinology clinic is highly beneficial from the patient, hospital, and insurance provider perspectives.

Indexed as

Cost-Benefit AnalysisCounselingDiabetes Mellitus, Type 1AdolescentAppointments and SchedulesChildEndocrinologyFemaleHumansMalePsychologyCost-effectivePediatricPsychologyT1 diabetes

Identifiers

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Registered trials

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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.