Evidence map›Paper›PMID 33044495›Full record

Trial reportAnnals of behavioral medicine : a publication of the Society of Behavioral Medicine2021

Diabetes Distress Among Dyads of Patients and Their Health Supporters: Links With Functional Support, Metabolic Outcomes, and Cardiac Risk.

Aaron A Lee, Michele Heisler, Ranak Trivedi, D Scott Obrosky, Maria K Mor, John D Piette, Ann-Marie Rosland

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.3field-weighted citation impact, top 18% 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

6 citing papers in PubMed, 16 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
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 5 institutions in 1 country.

Aaron A LeeDepartment of Psychology, University of Mississippi, MS.ORCID 0000-0003-0493-8509
Michele HeislerVA Center for Clinical Management Research, Ann Arbor, MI.
Ranak TrivediVA Center for Innovation to Implementation, VA Palo Alto Health Care System, Palo Alto, CA.
D Scott ObroskyVA Center for Health Equity Research and Promotion, Pittsburgh, PA.
Maria K MorVA Center for Health Equity Research and Promotion, Pittsburgh, PA.
John D PietteVA Center for Clinical Management Research, Ann Arbor, MI.
Ann-Marie RoslandVA Center for Health Equity Research and Promotion, Pittsburgh, PA.
University of Michigan · USUniversity of Pittsburgh · USUniversity of Mississippi · USVA Palo Alto Health Care System · USVA Pittsburgh Healthcare System · US

Funding

Research Education CoreP30AG024824 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Neil Alexander · 2004 to 2026
$29.2M
Research BaseP30DK092926 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MARY ELLEN MICHELE HEISLER, ADESUWA B OLOMU · 2011 to 2026
$10.0M
Engaging Veterans and Family Supporters in PACT to Improve Diabetes ManagementI01HX001618 · VA · VETERANS HEALTH ADMINISTRATION · PI ROSLAND, ANN-MARIE · 2015 to 2020
–
HSRD VA I01 HX001618Michigan Center for Diabetes Translational Research P30DK092926NIA NIH HHS P30 AG024824NIDDK NIH HHS P30 DK092926VA HSR&D IIR14-074
6 · The paper itself

Abstract

backgroundPatients with diabetes (PWD) often experience diabetes distress which is associated with worse self-management and glycemic control. In contrast, PWD who receive support from family and friends (supporters) have better diabetes outcomes. PURPOSE: To examine the associations of PWD diabetes distress and supporters' distress about PWDs' diabetes with supporters' roles and PWD cardiometabolic outcomes.

methodsWe used baseline data from 239 adults with Type 2 diabetes and their supporters participating in a longitudinal trial. PWD and supporter diabetes distress (high vs. low) were determined using the Problem Areas in Diabetes Scale-5. Outcomes included PWD-reported help from supporters with self-care activities, supporter-reported strain, PWD metabolic outcomes (glycemic control [HbA1c], systolic blood pressure [SBP], and non-HDL cholesterol) and 5 and 10 year risk of cardiac event (calculated using the United Kingdom Prospective Diabetes Study algorithm).

resultsPWDs with high diabetes distress were more likely to report that their supporters helped with taking medications, coordinating medical care, and home glucose testing (p's < .05), but not more likely to report help with diet or exercise. High supporter distress was associated with greater supporter strain (p < .001). High supporter diabetes distress was associated with higher PWD HbA1c (p = .045), non-HDL cholesterol (p = .011), and 5 (p = .002) and 10 year (p = .001) cardiac risk.

conclusionsAdults with high diabetes distress report more supporter help with medically focused self-management but not with diet and exercise. Supporter distress about PWD diabetes was consistently associated with worse outcomes. PWD diabetes distress had mixed associations with their diabetes outcomes.

Indexed as

Diabetes Mellitus, Type 2AdultBlood GlucoseHumansProspective StudiesSelf CareSocial SupportBlood GlucoseCardiac riskDiabetes distressHemoglobin A1cInformal support personsSystolic blood pressureType 2 diabetes

Identifiers

PMID33044495
PMCPMC8677591
OpenAlexW3092282897

What OpenQuestion holds

Textmetadata
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.