Evidence map›Paper›PMID 31608798›Full record

ArticleThe Diabetes educator2019

The Reach of an Urban Hospital System-Based Diabetes Prevention Program: Patient Engagement and Weight Loss Characteristics.

Earle C Chambers, Jeffrey S Gonzalez, Melinda E Marquez, Amanda Parsons, Colin D Rehm

Open access · greenAbstract read
In one paragraph

Article in The Diabetes educator, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.5field-weighted citation impact, top 31% 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.

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

9 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
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

5 authors at 2 institutions in 1 country.

Earle C ChambersDepartment of Family and Social Medicine, Albert Einstein College of Medicine, Bronx, New York.ORCID 0000-0001-8940-0884
Jeffrey S GonzalezDepartment of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, New York.
Melinda E MarquezOffice of Community and Population Health, Montefiore Health System, Bronx, New York.
Amanda ParsonsOffice of Community and Population Health, Montefiore Health System, Bronx, New York.
Colin D RehmDepartment of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, New York.
Albert Einstein College of Medicine · USMontefiore Health System · US

Funding

Translational Research CoreP30DK020541 · NIDDK · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI STREAMSON C CHUA · 2015 to 2026
$27.7M
New York Regional Center for Diabetes Translation Research - Translational Intervention Methodology CoreP30DK111022 · NIDDK · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI JEFFREY GONZALEZ · 2016 to 2026
$7.8M
Power-Up Study Administrative Supplement to Promote DiversityR01DK121896 · NIDDK · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI CHAMBERS, EARLE C, GONZALEZ, JEFFREY S · 2019 to 2023
$3.6M
Emotional Distress in a Comparative Effectiveness Trial of Diabetes TreatmentsR01DK104845 · NIDDK · GEORGE WASHINGTON UNIVERSITY · PI CHERRINGTON, ANDREA L, GONZALEZ, JEFFREY S · 2015 to 2019
$3.4M
Translating telephonic diabetes self-management support to primary care practiceR18DK098742 · NIDDK · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI GONZALEZ, JEFFREY S, WU, WINFRED YOUNG · 2013 to 2017
$2.6M
Urban public housing, neighborhood, and cardiovascular disease in primary careK01HL125466 · NHLBI · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI CHAMBERS, EARLE C · 2015 to 2019
$775k
Housing mobility, hypertension self-management, and healthcare utilization among Bronx LatinosR03HL140265 · NHLBI · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI CHAMBERS, EARLE C · 2017 to 2018
$240k
NHLBI NIH HHS K01 HL125466NHLBI NIH HHS R03 HL140265NIDDK NIH HHS P30 DK020541NIDDK NIH HHS P30 DK111022NIDDK NIH HHS R01 DK104845NIDDK NIH HHS R01 DK121896NIDDK NIH HHS R18 DK098742
6 · The paper itself

Abstract

purposeThe purpose of this study was to identify patient and program delivery characteristics associated with engagement and weight loss in a Diabetes Prevention Program (DPP) implemented in an urban hospital system.

methodsPatient and program delivery data were collected between July 2015 and December 2017. DPP eligibility was determined based on age, body mass index (BMI), and hemoglobin A1C data via the electronic health record. Engagement was measured at 3 levels: ≤3 sessions, 4 to 8 sessions, and ≥9 sessions. Weight was measured at each DPP session.

resultsAmong the eligible patients (N = 31 524), referrals and engagement were lower in men than women, in Spanish speakers than English speakers, in younger (18-34 years) and middle-aged (35-54 years) than older adults, and in patients receiving Medicaid than other patients. Referral and engagement were higher in patients with higher BMIs and those prescribed ≥5 medications. Current smokers were less frequently engaged. Prior health care provider contact was associated with higher engagement. Overall, 28% of DPP participants achieved ≥5% weight loss; younger and middle-aged patients and those who gained weight in the prior 2 years were less likely to lose weight.

conclusionThis assessment identified characteristics of patients with lower levels of referral and engagement. The DPP staff may need to increase outreach to address barriers to referral and during all points of engagement among men, younger patients, and Spanish speakers. Future research is needed to increase understanding with regard to why referrals and engagement are lower among these groups.

Indexed as

AdolescentAdultBody Mass IndexDiabetes Mellitus, Type 2FemaleGlycated HemoglobinHealth PromotionHospitals, UrbanHumansMaleMiddle AgedPatient ParticipationProgram EvaluationReferral and ConsultationWeight LossYoung AdultGlycated Hemoglobin

Identifiers

PMID31608798
PMCPMC7328524
OpenAlexW2981219898

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.