Evidence map›Paper›PMID 32168342›Full record

ArticlePloS one2020

Does social support effect knowledge and diabetes self-management practices in older persons with Type 2 diabetes attending primary care clinics in Cape Town, South Africa?

Mahmoud M Werfalli, Sebastiana Z Kalula, Kathryn Manning, Naomi S Levitt

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05336019 (Effectiveness of the Diabetes Self-management Coaching Program on the Clinical and Behavioral Parameters for Individuals With Type 2 Diabetes in the Ethiopian PC Setting), which is not on this map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
3.3field-weighted citation impact, top 7% 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.

NCT05336019 nacompletednot on this mapstarted 2022, after this paper: background citation

Effectiveness of the Diabetes Self-management Coaching Program on the Clinical and Behavioral Parameters for Individuals With Type 2 Diabetes in the Ethiopian PC Setting: Mixed-methods Feasibility Randomized Controlled Trial

TypeinterventionalSponsorQueen's UniversityRan2022 to 2023Enrolled40ConditionsType 2 Diabetes, Diabetes Mellitus, Type 2ArmsDiabetes self-management Coaching, Usual care
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 47 citations in OpenAlex.

  1. Trial
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  3. Perceived Discrimination in Medical Care Settings on A1c Data From theHealth education & behavior : the official publication of the Society for Public Health Education · 2025
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  5. Review
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  7. Self-management knowledge, attitudes and practices among persons with type 2 diabetes in Ghana.African journal of primary health care & family medicine · 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

4 authors at 1 institution in 1 country.

Mahmoud M WerfalliChronic Disease Initiative for Africa, Cape Town, Western Cape, South Africa.
Sebastiana Z KalulaDivision of Geriatric Medicine, Department of Medicine, Faculty of Health Sciences, The Albertina and Walter Sisulu Institute of Ageing in Africa, Cape Town, South Africa.ORCID 0000-0002-5371-0204
Kathryn ManningDivision of Endocrinology and Diabetic Medicine, Department of Medicine, Faculty of Health Science, University of Cape Town, Cape Town, Western Cape, South Africa.
Naomi S LevittChronic Disease Initiative for Africa, Cape Town, Western Cape, South Africa.
University of Cape Town · ZA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn South Africa with one of the most rapidly ageing populations in Africa despite the demographic impact of the HIV/AIDS epidemic, diabetes is a major cause of morbidity and mortality. Self-management is challenging for all those with the condition but is likely to create a higher demand for those who may have existing co-morbidities associated with age, and long-standing chronic diseases.

objectiveTo determine the relationship of social support, especially that of family and friends with their self-management.

methodsThis cross-sectional study was undertaken in the Cape Town metropole primary care clinics. The sample comprised 406 people drawn from four community health centres (CHC) that are served by Groote Schuur Hospital at the tertiary level.

resultsOf the 406 participants, 68.5% were females, 60.5% were living with a family member, and almost half were married. The mean duration of diabetes from diagnosis was eight years. More than half (57.4%) had no or only primary education. Half the participants (50.2%) had poor knowledge level in relation to symptoms and complications of diabetes. Multivariable linear regression showed older age was associated with poor knowledge (®: -1.893, 95% CI-3.754; -0.031) and higher income was associated with self-management practice (®: 3.434, 95% CI 0.797; 6.070). Most participants received family support to follow aspects of diabetes self-management. The ordinal logistic regression indicated that family support was positively associated with the self-management practice score for following a diabetic meal plan, taking care of feet, physical activity, testing blood sugar and handling participants' feelings about being diabetic, but not for taking medication.

conclusionsConsideration needs to be given to developing and testing education programmes that focus on needs of older people with diabetes and emphases the role of family and friends.

Indexed as

AgedCross-Sectional StudiesDiabetes Mellitus, Type 2FamilyFemaleHealth BehaviorHealth Knowledge, Attitudes, PracticeHumansMaleMiddle AgedPrimary Health CareSelf-ManagementSocial SupportSouth Africa

Identifiers

PMID32168342
PMCPMC7069645
OpenAlexW3012525193

What OpenQuestion holds

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LicenceCC BY
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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.