Evidence map›Paper›PMID 36864267›Full record

ArticleJournal of general internal medicine2023

Evaluation of an Integrated Intervention to Address Clinical Care and Social Needs Among Patients with Type 2 Diabetes.

Sarah E Roth, Ben Gronowski, Kyle G Jones, Rachel A Smith, Sonya Kauffman Smith, Keri B Vartanian, Bill J Wright

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of general internal medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

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

  1. Pooled it
  2. Effective Education Methods to Improve Glycemic Control in Type 2 Diabetes Mellitus Patients: A Systematic Review.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2025
    Pooled it
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Review
  12. Observational
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.

Sarah E RothCenter for Outcomes Research & Education (CORE), Providence St. Joseph Health, 5251 NE Glisan Street, Portland, OR, 97213, USA. Sarah.Roth@providence.org.ORCID 0000-0002-6110-3738
Ben GronowskiCenter for Outcomes Research & Education (CORE), Providence St. Joseph Health, 5251 NE Glisan Street, Portland, OR, 97213, USA.
Kyle G JonesCenter for Outcomes Research & Education (CORE), Providence St. Joseph Health, 5251 NE Glisan Street, Portland, OR, 97213, USA.
Rachel A SmithCommunity Health Division, Providence Health and Services, Portland, OR, USA.
Sonya Kauffman SmithCommunity Health Division, Providence Health and Services, Portland, OR, USA.
Keri B VartanianCenter for Outcomes Research & Education (CORE), Providence St. Joseph Health, 5251 NE Glisan Street, Portland, OR, 97213, USA.
Bill J Wright, Providence, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Providence Diabetes Collective Impact Initiative (DCII) was designed to address the clinical challenges of type 2 diabetes and the social determinants of health (SDoH) challenges that exacerbate disease impact.

objectiveWe assessed the impact of the DCII, a multifaceted intervention approach to diabetes treatment that employed both clinical and SDoH strategies, on access to medical and social services.

designThe evaluation employed a cohort design and used an adjusted difference-in-difference model to compare treatment and control groups.

participantsOur study population consisted of 1220 people (740 treatment, 480 control), aged 18-65 years old with a pre-existing type 2 diabetes diagnosis who visited one of the seven Providence clinics (three treatment and four control) in the tri-county area of Portland, Oregon, between August 2019 and November 2020.

interventionsThe DCII threaded together clinical approaches such as outreach, standardized protocols, and diabetes self-management education and SDoH strategies including social needs screening, referral to a community resource desk, and social needs support (e.g., transportation) to create a comprehensive, multi-sector intervention. MAIN MEASURES: Outcome measures included SDoH screens, diabetes education participation, HbA1c, blood pressure, and virtual and in-person primary care utilization, as well as inpatient and emergency department hospitalization. KEY

resultsCompared to patients at the control clinics, patients at DCII clinics saw an increase in diabetes education (15.5%, p<0.001), were modestly more likely to receive SDoH screening (4.4%, p<0.087), and had an increase in the average number of virtual primary care visits of 0.35 per member, per year (p<0.001). No differences in HbA1c, blood pressure, or hospitalization were observed.

conclusionsDCII participation was associated with improvements in diabetes education use, SDoH screening, and some measures of care utilization.

Indexed as

Diabetes Mellitus, Type 2AdolescentAdultAgedBlood PressureGlycated HemoglobinHumansMass ScreeningMiddle AgedPatientsSocial Determinants of HealthYoung AdultGlycated HemoglobinDiabetes mellitusHealth disparitiesSocial determinants of health

Identifiers

PMID36864267
PMCPMC9980858

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.