Evidence map›Paper›PMID 34610761›Full record

ArticleThe science of diabetes self-management and care2021

Barriers to Type 2 Diabetes Management Among Older Adult Haitian Immigrants.

Cherlie Magny-Normilus, Robin Whittemore, Deborah J Wexler, Jefferey L Schnipper, Marcella Nunez-Smith, Mei R Fu

Registry-linked trialOpen 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 trial NCT04949568 (Self-Management and Glycemic Control in Adult Haitian Immigrants With Type 2 Diabetes), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 14% 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.

NCT04949568 naactive not recruitingnot on this mapstarted 2023, after this paper: background citation

Self-Management and Glycemic Control in Adult Haitian Immigrants With Type 2 Diabetes: A Pilot Randomized Study

TypeinterventionalSponsorNew York UniversityRan2023 to 2025Enrolled40ConditionsDiabetes Mellitus, Type 2, Patient Engagement, Patient EducationArmsDiabetes Self-Management Behaviors
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
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  5. Review
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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

6 authors at 4 institutions in 1 country.

Cherlie Magny-NormilusBoston College William F. Connell School of Nursing, Chestnut Hill, Massachusetts.ORCID 0000-0002-5514-7996
Robin WhittemoreYale School of Nursing, Orange, Connecticut.
Deborah J WexlerMassachusetts General Hospital Diabetes Unit, Boston, Massachusetts.
Jefferey L SchnipperHarvard Medical School, Boston, Massachusetts.
Marcella Nunez-SmithYale School of Medicine, New Haven, Connecticut.
Mei R FuBoston College William F. Connell School of Nursing, Chestnut Hill, Massachusetts.
Boston College · USYale University · USBrigham and Women's Hospital · USHarvard University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Yale Transdisciplinary Collaborative Center for Health Disparities Research (YALE-TCC)U54MD010711 · NIMHD · YALE UNIVERSITY · PI NUNEZ-SMITH, MARCELLA · 2016 to 2021
$14.4M
Research Training: Self and Family ManagementT32NR008346 · NINR · YALE UNIVERSITY · PI GREY, MARGARET · 2003 to 2018
$4.7M
Self-Management and Glycemic Control in Adult Haitian Immigrants with Type 2 DiabetesR00NR019325 · NINR · NEW YORK UNIVERSITY · PI MAGNY-NORMILUS, CHERLIE · 2022 to 2024
$742k
Self-Management and Glycemic Control in Adult Haitian Immigrants with Type 2 DiabetesK99NR019325 · NINR · BOSTON COLLEGE · PI MAGNY-NORMILUS, CHERLIE · 2020 to 2021
$184k
NCATS NIH HHS UL1 TR001863NIMHD NIH HHS U54 MD010711NINR NIH HHS K99 NR019325NINR NIH HHS R00 NR019325NINR NIH HHS T32 NR008346
6 · The paper itself

Abstract

purposeThe purpose of this study was to describe the experiences of older adult Haitian immigrants in managing type 2 diabetes mellitus (T2DM).

methodsA descriptive qualitative approach using semistructured interviews was conducted with 20 older adult Haitian immigrants with T2DM. Interviews were transcribed verbatim and categorized using NVivo. An iterative descriptive data analysis method was used to examine the data, compare codes, challenge interpretations, and develop themes inductively.

resultsOlder adult Haitian immigrants reported that T2DM affected every aspect of their lives. Financial hardship and social isolation were described as the major barriers to T2DM management, which forced them to choose between basic needs and health care, and at times, they had to forgo medications or avoid seeking medical care. They recognized that creating and maintaining good community support was the key to self-management of T2DM.

conclusionsFinancial hardship and social isolation have a tremendous impact on the ability of older Haitian immigrants to manage T2DM effectively. It is challenging to modify these barriers through individual efforts, and clinical, research, and public efforts may be necessary to address these concerns.

Indexed as

Diabetes Mellitus, Type 2Emigrants and ImmigrantsSelf-ManagementAgedHaitiHumansQualitative Research

Identifiers

PMID34610761
PMCPMC8939501
OpenAlexW3204799716

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.