ArticleJournal of the American Medical Informatics Association : JAMIA2021
Integrating family and friend support, information technology, and diabetes education in community-centric diabetes self-management.
Article in Journal of the American Medical Informatics Association : JAMIA, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled 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.
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
27 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Communication Strategies to Promote Patient Engagement in Telemedicine: Systematic Review.Journal of medical Internet research · 2026Pooled it
- Centering Equity During Health Technology Innovation: Scoping Review of Methods and Research Adjustments to Promote Inclusive Coproduction.Journal of medical Internet research · 2026Article
- Knowledge, Attitudes, and Practices Related to Diabetes Mellitus Among Hospital Outpatients and Their Companions in Herat, Afghanistan: A Cross-Sectional Study.Public health challenges · 2026Article
- Patients' Perspectives on Telemedicine for Type 2 Diabetes in Primary Care: Systematic Review and Thematic Synthesis.Mayo Clinic proceedings. Digital health · 2026Review
- Lifestyle Medicine Perspectives from Nursing in Community Care Setting: A Narrative Review.Nursing reports (Pavia, Italy) · 2026Review
- Four night eating behavior subtypes in young and middle-aged adults with type 2 diabetes: insights for targeted public health interventions.Frontiers in public health · 2026Article
- A Qualitative Study Exploring the Mechanisms Underlying Self-Management Behaviours Among Community-Dwelling Type 2 Diabetes Mellitus Patients in Nanjing, China.Health expectations : an international journal of public participation in health care and health policy · 2025Article
- Family dyad-focused diabetes self-management intervention (FDSMI) for African American adults with type 2 diabetes: Study protocol.Contemporary clinical trials · 2025Article
- The effect of a family health nurse model on blood sugar control in middle-aged prediabetics: a randomized clinical trial (RCT).BMC nursing · 2025Article
- Article
- Emerging phenotype: Maturity-onset diabetes of the young type 5 (MODY-5) - mechanisms, clinical spectrum, and unmet needs.Diabetology & metabolic syndrome · 2025Review
- Invisible Struggle: Diabetes Self-Management Through the Eyes of Diabetic Individuals With Retinopathy.Nursing & health sciences · 2025Article
- Caring Under Constraints: A Qualitative Study of Parental Needs in Pediatric Diabetes in Zabol.Pediatric diabetes · 2025Article
- Predictors of self-care performance in patients with unruptured intracranial aneurysms.Scientific reports · 2024Article
- Social support, self-efficacy, self-esteem, and self-management behaviors among people living with HIV/AIDS in China: a structural equation modeling analysis.BMC public health · 2024Article
- Racial Disparities in Selected Complications and Comorbidities among People with Type 2 Diabetes.Healthcare (Basel, Switzerland) · 2024Article
- Addressing health challenges in rural Japan: a thematic analysis of social isolation and community solutions.BMC primary care · 2024Article
- Contribution of Disease-Specific Distress, Social Support, and Self-Efficacy to Diabetes Self-Management Behaviors in Saudi Adults: A Path Analysis.Diabetes, metabolic syndrome and obesity : targets and therapy · 2024Article
- Social support via Internet communication technology for diabetes self-management: a scoping review.mHealth · 2024Article
- The urban-rural disparities and factors associated with the utilization of public health services among diabetes patients in China.BMC public health · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveDiabetes self-management (DSM) education, social support, and information technology interventions can improve patient engagement and health. A major challenge is animating, integrating, and accessing resources in under-resourced, rural communities. Set in an island community in Hawai'i, this study piloted a program that integrated friend-and-family support, community health services, telehealth-enabled DSM education, and mobile technologies by activating the community's social capital to support the program. MATERIALS AND
methodsAn action research approach informed the design and implementation of a community-based DSM program that included: friends and family support, telehealth classes, personalized consultations, Bluetooth-enabled blood glucose monitors, and text messaging support. Outcomes were evaluated using biometric data, surveys, interviews, and participant observations.
resultsThe study spanned 9 months with 7 dyads, each with 1 individual with type 2 diabetes and a friend or family member. Six of the 7 participants with diabetes experienced reduced hemoglobin A1c percentages, with 3 reducing by more than 1%. The seventh participant maintained a hemoglobin A1c level within American Diabetes Association recommended ranges. DSM knowledge and self-care behaviors improved overall. Interviews and participant observations highlighted program strengths and social challenges associated with the interpersonal relationships between the members of the dyads.
conclusionsA community-centric diabetes program can enhance understanding of diabetes etiology, DSM activities, and communication skills for effective disease management support in under-resourced rural communities. Social capital among community members, leveraged with health information technology, can catalyze and integrate limited health system resources for DSM and social support as a cost-effective strategy to develop community-centric chronic healthcare management initiatives.
Indexed as
Identifiers
What OpenQuestion holds
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.