Evidence map›Paper›PMID 35759702›Full record

SynthesisHealth affairs (Project Hope)2022

Nonmedical Interventions For Type 2 Diabetes: Evidence, Actionable Strategies, And Policy Opportunities.

Leonard E Egede, Rebekah J Walker, Sebastian Linde, Jennifer A Campbell, Aprill Z Dawson, Joni S Williams, Mukoso N Ozieh

Abstract readSystematic Review
In one paragraph

Synthesis in Health affairs (Project Hope), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  20. Advancing Health Equity in Diabetes: Tools to Help Remove Barriers to Health.Journal of the Academy of Nutrition and Dietetics · 2023
    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.

Leonard E EgedeLeonard E. Egede (legede@mcw.edu), Medical College of Wisconsin, Milwaukee, Wisconsin.
Rebekah J WalkerRebekah J. Walker, Medical College of Wisconsin.
Sebastian LindeSebastian Linde, Medical College of Wisconsin.
Jennifer A CampbellJennifer A. Campbell, Medical College of Wisconsin.
Aprill Z DawsonAprill Z. Dawson, Medical College of Wisconsin.
Joni S WilliamsJoni S. Williams, Medical College of Wisconsin.
Mukoso N OziehMukoso N. Ozieh, Medical College of Wisconsin.

Funding

HOME DM-BAT: Home-based Diabetes-Modified Behavioral Activation Treatment for Low Income Seniors with T2DM Diversity SupplementR01DK118038 · NIDDK · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI EGEDE, LEONARD E. · 2019 to 2023
$3.5M
Financial Incentives And Nurse Coaching to Enhance Diabetes Outcomes (FINANCE-DM) - Diversity SupplementR01DK120861 · NIDDK · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI EGEDE, LEONARD E. · 2019 to 2023
$3.4M
Lowering the Impact of Food insecurity in African American Adults with Type 2 Diabetes Mellitus (LIFT-DM) - Diversity SupplementR01MD013826 · NIMHD · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI EGEDE, LEONARD E., WALKER, REBEKAH J · 2019 to 2023
$3.4M
Technology Intensified Diabetes Education Study in AA with T2DM (TIDES)K24DK093699 · NIDDK · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI EGEDE, LEONARD E. · 2011 to 2020
$1.5M
Conditional Cash Transfer Intervention to Improve Health Outcomes among Inner-City African Americans with T2DMK01DK131319 · NIDDK · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI Jennifer Annette Campbell · 2022 to 2026
$682k
Community-Based Intervention to Improve Diabetes Outcomes in Older African American Women with Multi-Caregiving BurdenR21DK123720 · NIDDK · MEDICAL COLLEGE OF WISCONSIN · PI WILLIAMS, JONI STROM · 2020 to 2022
$595k
Basic Needs Navigation Intervention to Address Multidimensional Adversity in African Americans with Diabetic Kidney DiseaseR21DK131356 · NIDDK · MEDICAL COLLEGE OF WISCONSIN · PI OZIEH, MUKOSO N · 2021 to 2023
$574k
NIDDK NIH HHS K01 DK131319NIDDK NIH HHS K24 DK093699NIDDK NIH HHS R01 DK118038NIDDK NIH HHS R01 DK120861NIDDK NIH HHS R21 DK123720NIDDK NIH HHS R21 DK131356NIMHD NIH HHS R01 MD013826
6 · The paper itself

Abstract

This systematic review identified studies of nonmedical interventions designed to reduce risk for and improve clinical outcomes for type 2 diabetes. Specifically, this review sought to identify interventions that target structural racism and social determinants of health. To be included, studies were published in English; published between database initiation and January 2022; conducted in the United States; measured an intervention effect using a clinical trial, quasi-experimental, or pre-post design; included a population of adults at risk for or with type 2 diabetes; and targeted hemoglobin A1c levels, blood pressure, lipids, self-care, or quality of life as outcomes. The findings of our review indicate that interventions with targeted, multicomponent designs that combine both medical and nonmedical approaches can reduce risk for and improve clinical outcomes for type 2 diabetes. HbA1c levels improved significantly with the use of food supplementation with referral and diabetes support; the use of financial incentives with education and skills training; the use of housing relocation with counseling support; and the integration of nonmedical interventions into medical care using the electronic medical record. Our findings demonstrate that the literature on nonmedical interventions designed to address relevant social factors and target structural racism is limited. The article offers actionable strategies and identifies policy opportunities for targeting structural inequalities and decreasing social risk among adults with type 2 diabetes.

Indexed as

Diabetes Mellitus, Type 2AdultHousingHumansPolicyQuality of LifeSelf CareUnited States

Identifiers

PMID35759702
PMCPMC9563395

What OpenQuestion holds

Textmetadata
LicenceTDM
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.