Trial reportPublic health nursing (Boston, Mass.)2020
Impact of a community-based approach to patient engagement in rural, low-income adults with type 2 diabetes.
Trial report in Public health nursing (Boston, Mass.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
18 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Promoting community engagement in type 2 diabetes management: a systematic review and meta-analysis of community-based participatory research interventions.BMC public health · 2026Pooled it
- Pooled it
- Impact of Community Health Workers on Access to Care for Rural Populations in the United States: A Systematic Review.Journal of community health · 2022Pooled it
- Patient Activation and Diabetes Outcomes Among Jordanian Patients With Type 2 Diabetes: Longitudinal Evidence on Adherence and Glycemic Control With Linear Mixed Model Analysis.Research in nursing & health · 2026Article
- From Knowledge to Action: Community-Based Strategies that Transform Diabetes Self-Management Among Black Adults with Type 2 Diabetes.Journal of racial and ethnic health disparities · 2026Review
- Adapting the NIMHD Research Framework for Type 2 Diabetes-Related Disparities.Current diabetes reports · 2025Review
- A Two-Way Text Messaging Intervention to Narrow Disparities in Patients With Type 2 Diabetes and Poor Glycemic Control.Diabetes spectrum : a publication of the American Diabetes Association · 2025Article
- Community-engaged Systems for Population Health Improvement: A Novel Approach to Improve Diabetes Outcomes in Rural Communities.Journal of community health · 2024Article
- The relationship of health activation with risk of future cardiovascular disease among rural family caregivers of patients with chronic illnesses.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2024Article
- Predictors of participation in online self-management programs: A longitudinal observational study.Rehabilitation psychology · 2024Observational
- Knowledge, Attitudes, and Practices Among Elderly CHD Patients Towards Self-Perceived Health Abilities.Journal of multidisciplinary healthcare · 2024Article
- Self-management of chronic, non-communicable diseases in South Asian settings: A systematic mixed-studies review.PLOS global public health · 2024Article
- Role of community-based health clubs in promoting patients' health education for diabetes self-care management: an interventional qualitative study in a Ugandan urban setting.BMJ open quality · 2023Article
- Development, Feasibility, Impact and Acceptability of a Community Pharmacy-Based Diabetes Care Plan in a Low-Middle-Income Country.Pharmacy (Basel, Switzerland) · 2023Article
- Improving Diabetes Care Through Population Health Innovations and Payments: Lessons from Western Maryland.Journal of general internal medicine · 2023Observational
- Health Extension for Diabetes: Impact of a Community-Based Diabetes Self-Management Support Program on Older Adults' Activation.Diabetes spectrum : a publication of the American Diabetes Association · 2023Article
- Burden and management of type 2 diabetes in rural United States.Diabetes/metabolism research and reviews · 2021Review
- Identifying Barriers to and Facilitators of Health Service Access Encountered by Individuals with Multiple Sclerosis.International journal of MS careArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
objectiveThis secondary analysis examined the relationships between Patient Activation Measure (PAM) scores, use of health services, and HgA1C.
designA feasibility study was conducted for a community-based intervention for high-risk adults with uncontrolled diabetes. Data were collected at baseline and monthly, including PAM and modified Diabetes Self-Management Assessment Report Tool.
interventionParticipants (n = 58) were randomized to a 3-month nurse (RN) telephone management or community health worker (CHW) in-home intervention, focusing on medication adherence, timely follow-up, diabetes self-management coaching, and linkage to resources.
resultsSample was mostly female (73%), African-American (90%), low income (75%), high school education or less (80%), and mean age of 59 years. A positive association between PAM score and self-reported diabetes care recommendations was found (r = .356, p = .014) and significant correlation between baseline PAM score and HgA1C levels (r = -.306, p = .029). A paired samples t test showed statistically significant increases in PAM scores in the CHW intervention group (mean increase +8.5, CI [+2.49 to +14.65]); baseline (M = 60.31, SD = 13.3) to end of study ([M = 68.89, SD = 16.39], t(22) = 2.924, p = .008 [two-tailed]).
conclusionA community-based approach to diabetes management demonstrated a positive effect on patient activation. Although disparities in health care access among rural, low-income populations exist, community-based interventions show potential for improving patient engagement in diabetes management and recommended health services.
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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.