Evidence map›Paper›PMID 31465305›Full record

ArticleNursing research

Symptom Experience of Older Adults With Type 2 Diabetes and Diabetes-Related Distress.

Lenore Hernandez, Heather Leutwyler, Janine Cataldo, Alka Kanaya, Arthur Swislocki, Catherine Chesla

Abstract read
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In one paragraph

Article in Nursing research. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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.

Lenore HernandezLenore Hernandez, PhD, RN, CNS, is Graduate Student, Department of Family Health Care Nursing, University of California, San Francisco, and Clinical Nurse Specialist in Diabetes, Medical Service, Veterans Affairs Northern California Health Care System, Martinez, California. Heather Leutwyler, PhD, RN, NP, is Professor, Department of Physiological Nursing, School of Nursing, University of California, San Francisco, specializes in the care of older adults with schizophrenia and Fellow of the Gerontological Society of America. Janine Cataldo, PhD, RN, CNS, is Professor and Department Chair, Department of Physiological Nursing/Gerontology/Oncology, School of Nursing, University of California, San Francisco; Associate Director, John A. Hartford Center of Geriatric Nursing Excellence, School of Nursing, University of California, San Francisco; and Core Faculty, University of California Center for Tobacco Control Research and Education. Alka Kanaya, MD, is Professor, Department of Epidemiology and Biostatistics, School of Medicine, University of California, San Francisco, and General Internist, Medical Clinics, University of California, San Francisco, specializes on clinical research in the field of Type 2 diabetes and obesity. Arthur Swislocki, MD, is Endocrinologist, Martinez Veterans Healthcare Administration, California, and Veterans Healthcare Administration Clinic in Mather Air Force Base in Sacramento, California, and Professor, School of Medicine, University of California, Davis. Catherine Chesla, PhD, RN, is Professor, Family Healthcare Nursing Department, School of Nursing, University of California, San Francisco; Fellow, American Academy of Nursing; and Thelma Shobe Endowed Chair in Ethics and Spirituality, awarded a distinguished contributor to Family Nursing Research by the International Family Nursing Conference, and awarded Excellence in Teaching-Research Mentorship by the University of California, San Francisco School of Nursing and the Helen Nahm Research Lecturer Award by the University of California, San Francisco.
Heather Leutwyler
Janine Cataldo
Alka Kanaya
Arthur Swislocki
Catherine Chesla

Funding

Translational Research Core - Health Engagement & Action Translational (HEAT)P30DK092924 · NIDDK · KAISER FOUNDATION RESEARCH INSTITUTE · PI Alyce Sophia Adams, HILARY Kessler SELIGMAN · 2011 to 2026
$9.2M
NURSING RESEARCH TRAINING IN SYMPTOM MANAGEMENTT32NR007088 · NINR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LEE, KATHRYN · 1996 to 2015
$7.5M
Ectopic fat and atherosclerosis in South AsiansK24HL112827 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KANAYA, ALKA M. · 2013 to 2022
$1.2M
NHLBI NIH HHS K24 HL112827NINR NIH HHS T32 NR007088
6 · The paper itself

Abstract

backgroundAn older, more diverse population and longer life spans are major contributors to the anticipated tripling of Type 2 diabetes prevalence by 2050. Diabetes-related distress affects up to 40% of people diagnosed with Type 2 diabetes and may be a greater risk for older adults due to greater prevalence of comorbidities.

objectiveThe objective of this phenomenological study was to describe how diabetes-related distress in older adults (≥65 years) with Type 2 diabetes might be uniquely experienced.

methodsParticipants were recruited using convenience sampling and snowball sampling. Interpretive phenomenology guided the research design and analysis. With interpretive interviews, we investigated the everyday health, symptoms, and life experiences of living with Type 2 diabetes and elevated diabetes distress.

resultsAmong the older adults in this study, the most prevalent symptoms were fatigue, hypoglycemia, diarrhea, pain, loss of balance, and falling. These diabetes-related symptoms led to substantial loss of independence, decreased quality of life, and constrained social lives due to restricted activities. DISCUSSION: Diabetes-related distress presents with some unique symptoms and responses in older adults. Improving knowledge regarding the symptom experience of older adults with diabetes-related distress may allow healthcare providers to tailor treatment and thus improve outcomes for older adults struggling with diabetes.

Indexed as

AgedAged, 80 and overDiabetes Mellitus, Type 2FemaleHumansMaleQualitative ResearchStress, Psychological

Identifiers

PMID31465305
PMCPMC6716610

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.