Evidence map›Paper›PMID 31542186›Full record

SynthesisPatient education and counseling2020

Effect of diabetes self-management education on glycemic control in Latino adults with type 2 diabetes: A systematic review and meta-analysis.

Janett A Hildebrand, John Billimek, Jung-Ah Lee, Dara H Sorkin, Ellen F Olshansky, Stephen L Clancy, Lorraine S Evangelista

Registry-linked trialOpen access · greenAbstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Patient education and counseling, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05754008 (A Randomized Trial of Care Navigator to Support Younger Latinx Adults Newly Diagnosed With Type 2 Diabetes), which is not on this map. Cited by 59 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 9 pooled it
4.3field-weighted citation impact, top 5% of its field
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.

NCT05754008 naunknown statusnot on this mapstarted 2023, after this paper: background citation

A Randomized Trial of Care Navigator to Support Younger Latinx Adults Newly Diagnosed With Type 2 Diabetes (AURORA)

TypeinterventionalSponsorKaiser PermanenteRan2023 to 2025Enrolled204ConditionsDiabetes Mellitus, Type 2ArmsAURORA Care Strategy
3 · Its place in the literature

Who cites it

59 citing papers in PubMed, 9 syntheses or guidelines pooled it, 90 citations in OpenAlex.

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  3. Effects of Multilevel and Multidomain Interventions on Glycemic Control in U.S. Hispanic Populations.International journal of environmental research and public health · 2025
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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

7 authors at 3 institutions in 1 country.

Janett A HildebrandUniversity of Southern California, Suzanne Dworak-Peck School of Social Work, Department of Nursing. Electronic address: jhildebr@uci.edu.
John BillimekProgram in Medical Education for the Latino Community, Health Policy Research Institute, Departments of Medicine and Family Medicine, University of California, Irvine, USA.
Jung-Ah LeeSue and Bill Gross School of Nursing, University of California, Irvine, USA.
Dara H SorkinDepartment of Medicine, University of California, Irvine, USA.
Ellen F OlshanskySue and Bill Gross School of Nursing, University of California, Irvine, USA.
Stephen L ClancyUCI Science Library, University of California, Irvine, USA.
Lorraine S EvangelistaUniversity of Texas Medical Branch School of Nursing.
University of California, Irvine · USThe University of Texas Medical Branch at Galveston · USUniversity of Southern California · US

Funding

Fitness Intensive Therapy (Get FIT) to Promote Healthy Living in Older AdultsR21AG053162 · NIA · UNIVERSITY OF CALIFORNIA-IRVINE · PI EVANGELISTA, LORRAINE S · 2018 to 2019
$425k
NIA NIH HHS R21 AG053162
6 · The paper itself

Abstract

purposeThis systematic review and meta-analysis evaluated the effectiveness of diabetes self-management education (DSME) in reducing glycosylated hemoglobin (A1C) levels in adult Latinos with type 2 diabetes (T2DM).

methodsFive databases were searched for DSME randomized controlled trials or quasi-experimental trials published between January 1997 and March 2019. A random effects model was utilized to calculate combined effect sizes. Subgroup analyses were performed to explore possible sources of heterogeneity between studies.

resultsTwenty-three unique studies met criteria for this systematic review and of these, 18 were included in the meta-analysis. Pooled estimate effect of DSME on A1C from the random effect model was -0.240 (95% confidence interval = -0.345, -0.135, p <  0.001). There was moderate heterogeneity (Cochrane Q=30.977, P=0.020, I^2 = 45.121) between the studies. Subgroup analyses demonstrated greater A1C reductions in studies with intervention duration ≤6 months, initial A1C baseline values >8.0 [69 mmol/mol], and team-based approach.

conclusionsMeta-analysis results showed that culturally tailored DSME interventions significantly reduce AIC in Latinos with T2DM despite the heterogeneity across the studies. IMPLICATIONS: The heterogeneity in the study methodologies reinforce the need for additional studies to better understand DSME interventions to reduce disparities in Latino adults with T2DM.

Indexed as

AdultBlood GlucoseDiabetes Mellitus, Type 2FemaleGlycated HemoglobinHealth BehaviorHispanic or LatinoHumansMalePatient Education as TopicPatient Outcome AssessmentSelf CareSelf-ManagementBlood GlucoseGlycated HemoglobinDiabetes self-management educationDisparitiesLatino adultsMeta-analysisType 2 diabetes

Identifiers

PMID31542186
PMCPMC8087170
OpenAlexW2972592079

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.