Evidence map›Paper›PMID 37742801›Full record

Trial reportDiabetes research and clinical practice2023

Well-being outcomes of a family-focused intervention for persons with type 2 diabetes and support persons: Main, mediated, and subgroup effects from the FAMS 2.0 RCT.

McKenzie K Roddy, Andrew J Spieker, Lyndsay A Nelson, Robert A Greevy, Lauren M LeStourgeon, Erin M Bergner, Merna El-Rifai, Tom A Elasy, James E Aikens, Ruth Q Wolever and 1 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Diabetes research and clinical practice, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.2field-weighted citation impact, top 11% 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.

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, 11 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

McKenzie K RoddyDepartment of Medicine, Vanderbilt University Medical Center, Nashville, TN, United States; Center for Health Behavior and Health Education, Vanderbilt University Medical Center, Nashville, TN, United States.
Andrew J SpiekerDepartment of Biostatistics, Vanderbilt University Medical Center, Nashville, TN, United States.
Lyndsay A NelsonDepartment of Medicine, Vanderbilt University Medical Center, Nashville, TN, United States; Center for Health Behavior and Health Education, Vanderbilt University Medical Center, Nashville, TN, United States.
Robert A GreevyDepartment of Biostatistics, Vanderbilt University Medical Center, Nashville, TN, United States.
Lauren M LeStourgeonDepartment of Medicine, Vanderbilt University Medical Center, Nashville, TN, United States; Center for Health Behavior and Health Education, Vanderbilt University Medical Center, Nashville, TN, United States.
Erin M BergnerDepartment of Medicine, Vanderbilt University Medical Center, Nashville, TN, United States; Center for Health Behavior and Health Education, Vanderbilt University Medical Center, Nashville, TN, United States.
Merna El-RifaiDepartment of Medicine, Vanderbilt University Medical Center, Nashville, TN, United States; Center for Health Behavior and Health Education, Vanderbilt University Medical Center, Nashville, TN, United States.
Tom A ElasyDepartment of Medicine, Vanderbilt University Medical Center, Nashville, TN, United States; Center for Health Behavior and Health Education, Vanderbilt University Medical Center, Nashville, TN, United States.
James E AikensDepartment of Family Medicine, University of Michigan, Ann Arbor, MI, United States.
Ruth Q WoleverDepartment of Physical Medicine and Rehabilitation, Vanderbilt University Medical Center, Nashville, TN, United States; Osher Center for Integrative Health at Vanderbilt, Vanderbilt University Medical Center, Nashville, TN, United States.
Lindsay S MayberryDepartment of Medicine, Vanderbilt University Medical Center, Nashville, TN, United States; Center for Health Behavior and Health Education, Vanderbilt University Medical Center, Nashville, TN, United States; Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN, United States. Electronic address: lindsay.mayberry@vumc.org.
Vanderbilt University Medical Center · USUniversity of Michigan · US

Funding

Regional Pilot And Feasibility Study Grants ProgramP30DK020572 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI DAVID P OLSON · 2013 to 2026
$24.3M
Mobile Phone Support for Adults and Support Persons to Live Well with DiabetesR01DK119282 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI MAYBERRY, LINDSAY S. · 2019 to 2022
$2.7M
NIDDK NIH HHS P30 DK020572NIDDK NIH HHS R01 DK119282
6 · The paper itself

Abstract

aimsType 2 diabetes self-management occurs within social contexts. We sought to test the effects of Family/friend Activation to Motivate Self-care (FAMS), a self-care support intervention delivered via mobile phones, on psychosocial outcomes for persons with diabetes (PWDs) and their support persons.

methodsPWDs had the option to enroll with a friend/family member as a support person in a 15-month RCT to evaluate FAMS versus enhanced usual care. FAMS included 9 months of monthly phone coaching and text message support for PWDs, and text message support for enrolled support persons.

resultsPWDs (N = 329) were 52% male and 39% reported minoritized race or ethnicity ; 50% enrolled with elevated diabetes distress. Support persons (N = 294) were 26% male and 33% reported minoritized race or ethnicity. FAMS improved PWDs' diabetes distress (d = -0.19) and global well-being (d = 0.21) during the intervention, with patterns of larger effects among minoritized groups. Post-intervention (9-month) and sustained (15-month) improvements were driven by changes in PWDs' self-efficacy, self-care behaviors, and autonomy support. Among support persons, FAMS improved helpful involvement without increasing burden or harmful involvement.

conclusionsFAMS improved PWDs' psychosocial well-being, with post-intervention and sustained improvements driven by improved self-efficacy, self-care, and autonomy support. Support persons increased helpful involvement without adverse effects.

Indexed as

Cell PhoneDiabetes Mellitus, Type 2FamilyFemaleFriendsHumansMaleSelf CareDiabetes distressDigital deliveryFamily interventionMediationSupport personType 2 diabetes mellitus

Identifiers

PMID37742801
PMCPMC10617415
OpenAlexW4386955345

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.