Evidence map›Paper›PMID 37700288›Full record

Trial reportThe international journal of behavioral nutrition and physical activity2023

Secondary analysis of a randomized trial testing community health educator interventions for diabetes prevention among refugees with depression: effects on nutrition, physical activity and sleep.

Julie A Wagner, Angela Bermúdez-Millán, Thomas E Buckley, Orfeu M Buxton, Richard S Feinn, Sengly Kong, Theanvy Kuoch, Lindsay Master, Mary F Scully

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

Trial report in The international journal of behavioral nutrition and physical activity, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02502929 (Lifestyle and Medication Management to Lower Diabetes Risk in Severe Mental Illness), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
3.4field-weighted citation impact, top 7% 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.

NCT02502929 nacompletednot on this map

Lifestyle and Medication Management to Lower Diabetes Risk in Severe Mental Illness

TypeinterventionalSponsorUConn HealthRan2015 to 2020Enrolled182ConditionsDiabetes, DepressionArmsSocial Services, Lifestyle, Lifestyle Plus Medication Therapy Management
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 11 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. 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

9 authors at 5 institutions in 1 country.

Julie A WagnerUConn Health, 263 Farmington Ave., Farmington, CT, 06030, USA. juwagner@uchc.edu.ORCID http://orcid.org/0000-0002-1439-8940
Angela Bermúdez-MillánUniversity of Connecticut School of Medicine, Farmington, CT, USA.
Thomas E BuckleyUniversity of Connecticut School of Pharmacy, Storrs, CT, USA.
Orfeu M BuxtonPennsylvania State University, University Park, PA, USA.
Richard S FeinnQuinnipiac University, Hamden, CT, USA.
Sengly KongKhmer Health Advocates, West Hartford, CT, USA.
Theanvy KuochKhmer Health Advocates, West Hartford, CT, USA.
Lindsay MasterPennsylvania State University, University Park, PA, USA.
Mary F ScullyKhmer Health Advocates, West Hartford, CT, USA.
Advocates for Youth · USPennsylvania State University · USUniversity of Connecticut · USQuinnipiac University · USUConn Health · US

Funding

Lifestyle and Medication Management to Lower Diabetes Risk in Severe Mental IllnessR01DK103663 · NIDDK · UNIVERSITY OF CONNECTICUT SCH OF MED/DNT · PI WAGNER, JULIE A · 2015 to 2019
$3.0M
Business and regulatory development for Integrating sleep enhancement technology into clinical practiceR44AG056250 · NIA · PROACTIVE LIFE, INC. · PI GARTENBERG, DANIEL · 2020 to 2022
$2.5M
Non-pharmacological improvement of sleep structure in older peopleR43AG056250 · NIA · MOBILE SLEEP TECHNOLOGIES, LLC · PI GARTENBERG, DANIEL, GERASHCHENKO, DMITRY · 2017 to 2018
$696k
NIA NIH HHS R43 AG056250NIA NIH HHS R44 AG056250NIDDK NIH HHS DK103663NIDDK NIH HHS R01 DK103663
6 · The paper itself

Abstract

backgroundRefugees have high levels of psychological distress that hamper lifestyle change efforts. We previously reported that community health educator (CHE) diabetes prevention interventions decreased HbA1c and depressive symptoms among Cambodian-American refugees with depression; this paper reports health behavior outcomes of those interventions.

methodsParticipants were aged 35-75, Khmer speaking, at risk for diabetes, and met study criteria for likely depression by either a) antidepressant medication and/or b) prolonged elevated depressive symptoms. Participants were randomized to one of three CHE interventions: 1) lifestyle intervention called Eat, Walk, Sleep (EWS), 2) EWS plus medication therapy management with a pharmacist/CHE team (EWS + MTM), or, 3) social services (SS; control). Physical activity and sleep were measured with 7 days of actigraphy. Nutrition was measured as carbohydrates as reported in a culturally tailored food frequency questionnaire. Assessments were at baseline, end point (12 months), and follow-up (15 months).

resultsThe n = 188 participants were 78% female, average age of 55 years, half had a household income < $20,000, and modal education was 7.0 years. Individuals in the two treatment groups that received the EWS intervention significantly increased their brown rice consumption (p < .001, Cohen's d = 0.76) and their moderate-to-vigorous activity (p = .039, d = 0.32). No intervention changed sleep duration, timing, efficiency or wake after sleep onset. Across groups, individuals who increased brown rice consumption, increased vigorous activity and decreased total sleep time variability showed decreased HbA1c, with small effect sizes.

conclusionsCHEs may improve nutrition and physical activity in refugees with depression but more intensive interventions may be required to impact sleep. Improvements in all three behaviors appear to be associated with HbA1c lowering

trial registrationClinicalTrials.gov identifier NCT02502929.

Indexed as

Diabetes MellitusRefugeesDepressionExerciseFemaleGlycated HemoglobinHumansMaleMiddle AgedPublic HealthSleepGlycated HemoglobinDepressionNutritionPhysical activityRefugeeSleep

Identifiers

PMID37700288
PMCPMC10496245
OpenAlexW4386686764

What OpenQuestion holds

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LicenceCC BY
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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.