Evidence map›Paper›PMID 31484021›Full record

Trial reportThe American journal of occupational therapy : official publication of the American Occupational Therapy Association

Addressing Diabetes in Primary Care: Hybrid Effectiveness-Implementation Study of Lifestyle Redesign

Elizabeth Pyatak, Maggie King, Cheryl L P Vigen, Elia Salazar, Jesus Diaz, Stacey L Schepens Niemiec, Jeanine Blanchard, Katie Jordan, Josh Banerjee, Jagruti Shukla

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in The American journal of occupational therapy : official publication of the American Occupational Therapy Association. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06975098 (A Journey to Balance), which is not on this map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing 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.

NCT06975098 nacompletednot on this map

A Journey to Balance: Development and Validation of Individualized Life Balance Intervention for Depression

TypeinterventionalSponsorChung Shan Medical UniversityRan2024 to 2025Enrolled11ConditionsDepression DisordersArmsLife balance intervention group program
3 · Its place in the literature

Who cites it

19 citing papers in PubMed.

  1. Primary Care Lifestyle RedesignCanadian journal of occupational therapy. Revue canadienne d'ergotherapie · 2026
    Trial
  2. Trial
  3. Trial
  4. Adapting Lifestyle RedesignCanadian journal of occupational therapy. Revue canadienne d'ergotherapie · 2026
    Article
  5. Facilitators and Barriers to Implementing French-Canadian Lifestyle RedesignCanadian journal of occupational therapy. Revue canadienne d'ergotherapie · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Validity and Reliability of the Occupational Balance Questionnaire (OBQ11) in a U.S. Sample of Adults With Type 1 Diabetes.The American journal of occupational therapy : official publication of the American Occupational Therapy Association · 2023
    Article
  13. Article
  14. Occupational therapy services in primary care: a scoping review.Primary health care research & development · 2023
    Article
  15. Article
  16. Article
  17. Contextualizing the Positive Effects of the Well Elderly 2 Trial: A Response to Schelly and Ohl (2019).The American journal of occupational therapy : official publication of the American Occupational Therapy Association
    Article
  18. Long-Term Follow-Up of a Lifestyle Intervention for Late-Midlife, Rural-Dwelling Latinos in Primary Care.The American journal of occupational therapy : official publication of the American Occupational Therapy Association
    Article
  19. 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

10 authors.

Elizabeth PyatakElizabeth Pyatak, PhD, OTR/L, CDE, is Associate Professor, Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles; beth.pyatak@usc.edu.
Maggie KingMaggie King, MA, OTR/L, is Doctorate of Occupational Therapy Resident, Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles.
Cheryl L P VigenCheryl L. P. Vigen, PhD, is Associate Professor of Research, Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles.
Elia SalazarElia Salazar, MPH, is Project Specialist, Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles.
Jesus DiazJesus Diaz, OTD, OTR/L, is Associate Professor of Research, Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles.
Stacey L Schepens NiemiecStacey L. Schepens Niemiec, PhD, OTR/L, is Assistant Professor of Research, Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles.
Jeanine BlanchardJeanine Blanchard, PhD, OTR/L, is Project Manager, Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles.
Katie JordanKatie Jordan, OTD, OTR/L, is Associate Chair of Occupational Therapy Clinical Services, Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles.
Josh BanerjeeJosh Banerjee, MD, is Associate Medical Director for Transitions of Care, Los Angeles County+University of Southern California Medical Center, Los Angeles County Department of Health Services, Los Angeles, CA.
Jagruti ShuklaJagruti Shukla, MD, is Director of Primary Care, Los Angeles County+University of Southern California Medical Center, Los Angeles County Department of Health Services, Los Angeles, CA.

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
NCATS NIH HHS UL1 TR001855
6 · The paper itself

Abstract

importancePrimary health care is rapidly developing as an occupational therapy practice area. Yet, to date, little evidence supports occupational therapy's feasibility and efficacy in primary care settings.

objectiveTo report on the implementation and preliminary clinical outcomes of a Lifestyle Redesign

designPatients were randomized to be offered LR-OT or to a no-contact comparison group (data not reported). We assessed implementation outcomes using mixed methods.

settingSafety-net primary care clinic.

participantsClinic providers and staff; English- or Spanish-speaking clinic patients ages 18-75 yr with diabetes and a current hemoglobin A1c (HbA1c) ≥ 9.0%.

interventionEight 1-hr individual sessions of LR-OT focused on diabetes management. OUTCOMES AND MEASURES: Clinical and health behavior outcomes were assessed via electronic medical record (EMR) review and self-report surveys of patients receiving LR-OT at initial evaluation and discharge. We assessed implementation outcomes (acceptability, appropriateness, feasibility, fidelity, efficiency, and timeliness) using patient and staff surveys, interviews, focus groups, and observations.

resultsSeventy-three patients were offered LR-OT: 51 completed one or more sessions, and 38 completed the program. Clinical outcomes among program completers indicate beneficial changes in HbA1c, diabetes self-care, and health status. Implementation challenges included a need for patient and staff education, securing adequate workspace, and establishing a referral process. Factors contributing to implementation success included strong buy-in from clinic leadership, colocation, and shared EMR documentation. CONCLUSIONS AND RELEVANCE: LR-OT is a feasible approach to enhancing service delivery and clinical outcomes in primary care. WHAT THIS ARTICLE ADDS: This study provides insight into factors that may create challenges or contribute to the success of implementing occupational therapy services within primary health care settings. In addition, this study provides preliminary evidence of occupational therapy's effectiveness in improving clinical outcomes among ethnically diverse, low-income patients with diabetes in a safety-net primary care setting.

Indexed as

Diabetes MellitusOccupational TherapyAdolescentAdultAgedGlycated HemoglobinHumansLife StyleMiddle AgedPrimary Health CareYoung AdultGlycated Hemoglobin

Identifiers

PMID31484021
PMCPMC9017643

What OpenQuestion holds

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Registered trials

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.