Evidence map›Paper›PMID 31937528›Full record

Trial reportAnnals of family medicine2020

Peer-Delivered Cognitive Behavioral Training to Improve Functioning in Patients With Diabetes: A Cluster-Randomized Trial.

Susan J Andreae, Lynn J Andreae, Joshua S Richman, Andrea L Cherrington, Monika M Safford

2 registry-linked trialsOpen access · diamondAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Annals of family medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
4.1field-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.

NCT05637437 nacompletednot on this mapstarted 2025, after this paper: background citation

Peer-Supported Diabetes Self-Care Intervention to Improve Health-Related Quality of Life (HRQoL) and Diabetes Management in the Elderly With Type 2 Diabetes (T2DM): A Randomized Controlled Trial

TypeinterventionalSponsorUniversiti Putra MalaysiaRan2025 to 2026Enrolled90ConditionsType 2 Diabetes MellitusArmsPeer supported diabetes self-care intervention, Usual care
NCT07222696 narecruitingnot on this mapstarted 2026, after this paper: background citation

Pilot Randomized Trial of Health Coaching for People With Rheumatoid Arthritis to Improve Mental Well-Being

TypeinterventionalSponsorWeill Medical College of Cornell UniversityRan2026 to 2030Enrolled250ConditionsRheumatoid Arthritis (RAArmsPeer Coach, Healthy Horizons
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 48 citations in OpenAlex.

  1. Pooled it
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  10. An Overview on Diabetic Neuropathy.Current diabetes reviews · 2025
    Review
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  20. Peer Support Intervention Improves Pain-Related Outcomes Among Rural Adults With Diabetes and Chronic Pain at 12-Month Follow-Up.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2021
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Susan J AndreaeDepartment of Kinesiology, University of Wisconsin-Madison, Madison, Wisconsin.
Lynn J AndreaeDepartment of Medicine, University of Alabama at Birmingham, Birmingham, Alabama.
Joshua S RichmanDepartment of Surgery, University of Alabama at Birmingham, Birmingham, Alabama.
Andrea L CherringtonDepartment of Medicine, University of Alabama at Birmingham, Birmingham, Alabama.
Monika M SaffordDepartment of Medicine, Weill Cornell Medicine, New York, New York mms9024@med.cornell.edu.
University of Alabama at Birmingham · USCornell University · USUniversity of Wisconsin–Madison · US

Funding

University of Alabama at Birmingham's Diabetes Research CenterP30DK079626 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI BARBARA A GOWER · 2013 to 2026
$19.5M
Using CERs to Optimize Quality of Life for Persons with Diabetes and Chronic PainR18HS019239 · AHRQ · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI SAFFORD, MONIKA M · 2010 to 2010
$1.5M
AHRQ HHS R18 HS019239NIDDK NIH HHS P30 DK079626
6 · The paper itself

Abstract

purposeCognitive behavioral therapy (CBT)-based programs delivered by trained community members could improve functioning and pain in individuals who lack access to such programs. We tested the effectiveness of a peer-delivered diabetes self-management program integrating CBT principles in improving physical activity, functional status, pain, quality of life (QOL), and health outcomes in individuals with diabetes and chronic pain.

methodsIn this community-based, cluster-randomized controlled trial, intervention participants received a 3-month, peer-delivered, telephone-administered program. Attention control participants received a peer-delivered general health advice program. Outcomes were changes in functional status and pain (Western Ontario and McMaster Universities Osteoarthritis Index), QOL (Short Form 12), and physiologic measures (hemoglobin A

resultsOf 195 participants with follow-up data, 80% were women, 96% African Americans, 74% had annual income <$20,000, and 64% had high school education or less. At follow-up, compared with controls, intervention participants had greater improvement in functional status (-10 ± 13 vs -5 ± 18,

conclusionThis peer-delivered CBT-based intervention improved functioning, pain, QOL, and self-reported physical activity despite pain in individuals with diabetes and chronic pain. Trained community members can deliver effective CBT-based interventions in rural and under-resourced communities.

Indexed as

MentoringAgedChronic PainCluster AnalysisCognitive Behavioral TherapyDiabetes MellitusFemaleHumansMaleMiddle AgedPain ManagementPhysical Functional PerformanceQuality of LifeRural PopulationSelf-Managementchronic paincognitive behavioral therapycommunity health workerscommunity peer coachesdiabetes

Identifiers

PMID31937528
PMCPMC7227468
OpenAlexW3000666243

What OpenQuestion holds

Textmetadata
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.