Evidence map›Paper›PMID 37931702›Full record

ArticleContemporary clinical trials2023

Research design and baseline participant characteristics of the Resilient, Empowered, Active Living with Diabetes - Telehealth (REAL-T) Study: A randomized controlled trial for young adults with type 1 diabetes.

Elizabeth A Pyatak, Aina Ali, Anya R Khurana, Pey-Jiuan Lee, John Sideris, Steven Fox, Jesus Diaz, Gabrielle Granados, Jeanine Blanchard, Riley McGuire and 10 more

Open access · greenAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in Contemporary clinical trials, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.4field-weighted citation impact, top 16% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. 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

20 authors at 4 institutions in 1 country.

Elizabeth A PyatakChan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, CA, United States of America. Electronic address: beth.pyatak@usc.edu.
Aina AliChan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, CA, United States of America.
Anya R KhuranaChan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, CA, United States of America.
Pey-Jiuan LeeChan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, CA, United States of America.
John SiderisChan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, CA, United States of America.
Steven FoxLeonard D. Schaeffer Center for Health Policy and Economics, University of Southern California, Los Angeles, CA, United States of America.
Jesus DiazChan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, CA, United States of America.
Gabrielle GranadosChan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, CA, United States of America.
Jeanine BlanchardChan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, CA, United States of America.
Riley McGuireChan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, CA, United States of America.
Elia Salazar PlascenciaAlpha Clinic, Keck School of Medicine, University of Southern California, Los Angeles, CA, United States of America.
Elizabeth Salcedo-RodriguezChildren's Hospital Los Angeles, Los Angeles, CA, United States of America.
Jaquelin Flores-GarciaChildren's Hospital Los Angeles, Los Angeles, CA, United States of America.
Megan LindermanChan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, CA, United States of America.
Elinor E TaylorChan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, CA, United States of America.
Valerie TapiaChan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, CA, United States of America.
Ngozi NnoliChan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, CA, United States of America.
Paola A SequeiraDepartment of Endocrinology, Los Angeles General Medical Center, Los Angeles, CA, United States of America.
Matthew J FreebyDavid Geffen UCLA School of Medicine, Los Angeles, CA, United States of America.
Jennifer K RaymondAlpha Clinic, Keck School of Medicine, University of Southern California, Los Angeles, CA, United States of America; Department of Pediatrics, Keck School of Medicine, University of Southern California, Los Angeles, CA, United States of America.
University of Southern California · USChildren's Hospital of Los Angeles · USLos Angeles Medical Center · USUniversity of California, Los Angeles · US

Funding

Evaluation of a Complex Behavioral Intervention for Young Adults with Diabetes: The Resilient, Empowered, Active Living-Telehealth (REAL-T) StudyR01DK116719 · NIDDK · UNIVERSITY OF SOUTHERN CALIFORNIA · PI PYATAK, ELIZABETH F · 2019 to 2023
$3.6M
NIDDK NIH HHS R01 DK116719
6 · The paper itself

Abstract

backgroundType 1 diabetes (T1D) is a chronic condition affecting nearly 1.9 million people in the United States. Young adults (YAs) with T1D face unique challenges in managing their condition, experiencing poorer health and well-being than other age groups. The current study is evaluating the Resilient, Empowered, Active Living (REAL) intervention, previously shown to improve glucose levels and quality of life among YAs with diabetes, using telehealth delivery (REAL-T) to expand reach and accessibility. This paper reports on the methodology and baseline participant characteristics of the REAL-T study.

methodsREAL-T is a two-arm randomized controlled trial that recruited 18-30 year olds with T1D via clinics and social media advertising. Data collection, which was adapted to be fully remote due to COVID-19, occurs every three months for one year. Participants receive either usual care or a 6-month telehealth occupational therapy intervention. The primary outcome is glycated hemoglobin (A1c); secondary outcomes include diabetes distress, quality of life, and continuous glucose monitor-derived measures.

resultsThe study enrolled a diverse sample of 209 YAs with T1D. Analysis of baseline data indicates equivalence between the intervention and control groups. Study participants have notably higher diabetes distress and poorer mental well-being than similar populations.

conclusionThe REAL-T study successfully adapted to remote implementation during the COVID-19 pandemic. By examining long-term outcomes, mediating pathways, and cost-effectiveness, the study will contribute knowledge of the impact of tailored interventions for YAs with T1D, designed to reduce disparities and improve health and well-being in this population.

Indexed as

Diabetes Mellitus, Type 1TelemedicineBlood GlucoseHumansPandemicsQuality of LifeRandomized Controlled Trials as TopicResearch DesignYoung AdultBlood GlucoseLifestyle interventionOccupational therapyRandomized controlled trialType 1 diabetesYoung adults

Identifiers

PMID37931702
PMCPMC10846480
OpenAlexW4388337075

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.