Evidence map›Paper›PMID 37166961›Full record

ArticleJMIR diabetes2023

Psychological Support Strategies for Adults With Type 2 Diabetes in a Very Low-Carbohydrate Web-Based Program: Randomized Controlled Trial.

Laura R Saslow, Amanda L Missel, Alison O'Brien, Sarah Kim, Frederick M Hecht, Judith T Moskowitz, Hovig Bayandorian, Martha Pietrucha, Kate Raymond, Blair Richards and 4 more

Registry-linked trialOpen access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in JMIR diabetes, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03037528 (Examination of Psychological Tools and Tracking in an Online Intervention for Type 2 Diabetes), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.2field-weighted citation impact, top 21% 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.

NCT03037528 nacompletednot on this map

Examination of Psychological Tools and Tracking in an Online Intervention for Type 2 Diabetes

TypeinterventionalSponsorUniversity of MichiganRan2017 to 2021Enrolled112ConditionsDiabetes Mellitus, Type 2Armsdiet and lifestyle program, positive affect informational materials, mindfulness informational materials, dietary tracking
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Adherence to Behavioral Weight Management: A Scoping Review of Definitions, Measurement, and Components.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
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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

14 authors at 6 institutions in 1 country.

Laura R SaslowDepartment of Health Behavior and Biological Sciences, School of Nursing, University of Michigan, Ann Arbor, MI, United States.ORCID https://orcid.org/0000-0003-3991-3205
Amanda L MisselDepartment of Health Behavior and Biological Sciences, School of Nursing, University of Michigan, Ann Arbor, MI, United States.ORCID https://orcid.org/0000-0003-3991-3205
Alison O'BrienDepartment of Health Behavior and Biological Sciences, School of Nursing, University of Michigan, Ann Arbor, MI, United States.ORCID https://orcid.org/0000-0002-8185-8118
Sarah KimDivision of Endocrinology, Diabetes and Metabolism, Department of Medicine, San Francisco General Hospital, San Francisco, CA, United States.ORCID https://orcid.org/0000-0002-3599-5509
Frederick M HechtOsher Center for Integrative Health, University of California San Francisco, San Francisco, CA, United States.ORCID https://orcid.org/0000-0002-5782-1171
Judith T MoskowitzFeinberg School of Medicine, Northwestern University, Chicago, IL, United States.ORCID https://orcid.org/0000-0002-1399-3318
Hovig BayandorianORCID https://orcid.org/0000-0003-4596-0323
Martha PietruchaDepartment of Health Behavior and Biological Sciences, School of Nursing, University of Michigan, Ann Arbor, MI, United States.ORCID https://orcid.org/0009-0006-9861-9910
Kate RaymondDepartment of Health Behavior and Biological Sciences, School of Nursing, University of Michigan, Ann Arbor, MI, United States.ORCID https://orcid.org/0009-0007-0134-623X
Blair RichardsMichigan Institute for Clinical and Health Research, University of Michigan, Ann Arbor, MI, United States.ORCID https://orcid.org/0009-0009-1440-7040
Bradley LiestenfeltzDepartment of Health Behavior and Biological Sciences, School of Nursing, University of Michigan, Ann Arbor, MI, United States.ORCID https://orcid.org/0000-0001-9203-5881
Ashley E MasonOsher Center for Integrative Health, University of California San Francisco, San Francisco, CA, United States.ORCID https://orcid.org/0000-0002-8744-0185
Jennifer DaubenmierInstitute of Holistic Health Studies, San Francisco State University, San Francisco, CA, United States.ORCID https://orcid.org/0000-0001-5678-4068
James E AikensDepartment of Family Medicine, University of Michigan Medical School, Ann Arbor, MI, United States.ORCID https://orcid.org/0000-0002-3795-9018
University of Michigan · USCalifornia Institute of Integral Studies · USNorthwestern University · USSan Francisco General Hospital · USSan Francisco State University · USUniversity of California, San Francisco · US

Funding

Regional Pilot And Feasibility Study Grants ProgramP30DK020572 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Mehboob A Hussain · 2013 to 2026
$24.3M
Mentoring and Research in Integrative MedicineK24AT007827 · NCCIH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HECHT, FREDERICK M · 2013 to 2022
$1.8M
NCCIH NIH HHS K24 AT007827NIDDK NIH HHS P30 DK020572
6 · The paper itself

Abstract

backgroundA very low-carbohydrate (VLC) nutritional strategy may improve glycemic control and weight loss in adults with type 2 diabetes (T2D). However, the supplementary behavioral strategies that might be able to improve outcomes using this nutritional strategy are uncertain.

objectiveThis study aims to compare the impact of adding 3 different supplementary behavioral strategies to a web-based VLC diet intervention. To our knowledge, this is the first trial to randomize participants to different frequencies of dietary self-monitoring.

methodsThe study included 112 overweight adults with T2D (hemoglobin A

resultsOverall, the VLC intervention led to statistically significant improvements in glycemic control (-0.70%, 95% CI -1.04% to -0.35%; P<.001), weight loss (-6.82%, 95% CI -8.57% to -5.08%; P<.001), and depressive symptom severity (Cohen d -0.67, 95% CI -0.92 to -0.41; P<.001). Furthermore, 30% (25/83) of the participants taking metformin at baseline reduced or discontinued their metformin. Only 1 Cohen d point estimate reached 0.5; daily (vs monthly) dietary self-monitoring had a worse impact on depressive symptoms severity (Cohen d=0.47, 95% CI -0.02 to 0.95; P=.06). None of the strategies had a statistically significant effect on outcomes. For changes in our primary outcome, hemoglobin A

conclusionsOverall, our results support the use of a VLC diet intervention in adults with T2D. The addition of monthly (not daily) dietary self-monitoring, mindful eating, and positive affect skills training did not show a definitive benefit, but it is worth further testing.

trial registrationClinicalTrials.gov NCT03037528; https://clinicaltrials.gov/ct2/show/NCT03037528.

Indexed as

eHealthglycemic controlself-monitoringT2Dtext messagestype 2 diabetesvery low–carbohydrate dietweight loss

Identifiers

PMID37166961
PMCPMC10214122
OpenAlexW4376131947

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.