Evidence map›Paper›PMID 34559032›Full record

ArticleThe science of diabetes self-management and care2021

Veterans' Interpretation of Diabetes Distress in Diabetes Self-Management: Findings From Cognitive Interviews.

Allison A Lewinski, Abigail Shapiro, Hayden B Bosworth, Matthew J Crowley, Felicia McCant, Teresa Howard, Amy S Jeffreys, Eleanor McConnell, Paula Tanabe, Susan Barcinas and 2 more

2 registry-linked trialsOpen access · greenAbstract read
In one paragraph

Article in The science of diabetes self-management and care, 2021. 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 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.7field-weighted citation impact, top 27% 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.

NCT04587336 completednot on this map

Tailored Approaches to Reduce Distress and Improve Self-Management for Veterans With Diabetes (TARDIS) - Survey & Qualitative Interview

TypeobservationalSponsorVA Office of Research and DevelopmentRan2020 to 2025Enrolled225ConditionsDiabetes, Diabetes Distress, Self-Management, VeteranArmsCognitive Interview, Baseline Survey, Qualitative Interviews
NCT06972251 nacompletednot on this mapstarted 2022, after this paper: background citation

Tailored Approaches to Reduce Distress and Improve Self-Management for Veterans With Diabetes (TARDIS) - Photo Elicitation and Intervention

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2022 to 2025Enrolled34ConditionsDiabetes Mellitus, Type II, Type 2 Diabetes, Diabetes Distress, Self ManagementArmsTARDIS Photo Elicitation, TARDIS Intervention
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 9 citations in OpenAlex.

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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

12 authors at 3 institutions in 1 country.

Allison A LewinskiCenter of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Health Care System, Durham, North Carolina.ORCID 0000-0002-1356-1857
Abigail ShapiroCenter of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Health Care System, Durham, North Carolina.
Hayden B BosworthCenter of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Health Care System, Durham, North Carolina.
Matthew J CrowleyCenter of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Health Care System, Durham, North Carolina.
Felicia McCantCenter of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Health Care System, Durham, North Carolina.
Teresa HowardCenter of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Health Care System, Durham, North Carolina.
Amy S JeffreysCenter of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Health Care System, Durham, North Carolina.
Eleanor McConnellSchool of Nursing, Duke University, Durham, North Carolina.
Paula TanabeSchool of Nursing, Duke University, Durham, North Carolina.
Susan BarcinasCollege of Education, Raleigh, North Carolina.
Cynthia J CoffmanCenter of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Health Care System, Durham, North Carolina.
Heather A KingCenter of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Health Care System, Durham, North Carolina.
Duke University · USDurham VA Health Care System · USNorth Carolina School of Science and Mathematics · US

Funding

HSRD VA IK3 HX002815HSRD VA IK6 HX003161
6 · The paper itself

Abstract

purposeThe purpose of this project was to identify additional facets of diabetes distress (DD) in veterans that may be present due to the veteran's military-related experience.

methodsThe study team completed cognitive interviews with veterans with type 2 diabetes mellitus (T2DM) to examine how they answered the Diabetes Distress Scale (DD Scale), a tool that assesses DD. The DD Scale was used because of its strong associations with self-management challenges, physician-related distress, and clinical outcomes.

resultsThe veterans sample (n= 15) was 73% male, mean age of 61 (SD = 8.6), 53% Black, 53% with glycosylated hemoglobin level <9%, and 67% with prescribed insulin. The DD Scale is readily understood by veterans and interpreted. Thematic analysis indicated additional domains affecting DD and T2DM self-management, including access to care, comorbidities, disruptions in routine, fluctuations in emotions and behaviors, interactions with providers, lifelong nature of diabetes, mental health concerns, military as culture, personal characteristics, physical limitations, physical pain, sources of information and support, spirituality, and stigma.

conclusionsThis study describes how a veteran's military experience may contribute to DD in the context of T2DM self-management. Findings indicate clinicians and researchers should account for additional domains when developing self-management interventions and discussing self-management behaviors with individuals with T2DM.

Indexed as

Diabetes Mellitus, Type 2Self-ManagementVeteransCognitionFemaleHumansInsulinMaleMiddle AgedInsulin

Identifiers

PMID34559032
PMCPMC9494356
OpenAlexW3201640810

What OpenQuestion holds

Textmetadata
LicenceTDM
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.