Evidence map›Paper›PMID 39264007›Full record

Trial reportJournal of diabetes2024

Effect of patient-centered self-management intervention on glycemic control, self-efficacy, and self-care behaviors in South Asian adults with type 2 diabetes mellitus: A multicenter randomized controlled trial.

Kainat Asmat, Erika Sivarajan Froelicher, Khairunnisa Aziz Dhamani, Raisa Gul, Nazeer Khan

Abstract readRandomized Controlled TrialMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of diabetes, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 3 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

11 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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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

5 authors.

Kainat AsmatFaculty of Nursing and Midwifery, Shifa Tameer-e-Millat University, Islamabad, Pakistan.ORCID https://orcid.org/0000-0003-0576-2066
Erika Sivarajan FroelicherFaculty of Nursing and Midwifery, Shifa Tameer-e-Millat University, Islamabad, Pakistan.
Khairunnisa Aziz DhamaniFaculty of Nursing and Midwifery, Shifa Tameer-e-Millat University, Islamabad, Pakistan.
Raisa GulFaculty of Nursing and Midwifery, Shifa Tameer-e-Millat University, Islamabad, Pakistan.
Nazeer KhanThe Office of Research, Innovation and Commercialization (ORIC), Shifa Tameer-e-Millat University, Islamabad, Pakistan.

Funding

Shifa Tameer e Millat University 15270
6 · The paper itself

Abstract

backgroundThis study aimed to test the efficacy of patient-centered self-management intervention (PACE-SMI) to improve HbA1c, self-efficacy, and self-care behaviors in adults with type 2 diabetes mellitus (T2DM).

methodsIn this multicenter, parallel two-arm randomized controlled trial, 612 adults with T2DM and HbA1c ≥ 7% were enrolled and assigned to the control group (n = 310) and the intervention group (n = 302) using stratified permuted block randomization. The control group received usual care, whereas the intervention group received usual care plus nurse-led, theory-driven, culturally tailored PACE-SMI, comprising eight weekly sessions of individualized education, counseling, behavioral training, and home visit. Outcomes were assessed at baseline, postintervention, and 3 months follow-up.

resultsData at 3 months were provided by 583 participants (control: n = 295, intervention: n = 288). Per-protocol analysis showed that the intervention group had a lower mean HbA1c (8.49% [standard deviation (SD), 1.58]) than the control group (8.74% [SD, 1.62]), with small yet statistically significant mean difference of 0.25% (95% confidence interval [CI], -0.01 to 0.51; Cohen's d = 0.16; p = 0.03). Self-efficacy and self-care behaviors significantly improved in the intervention group (116.89 [SD, 25.50] and 70.01 [SD, 17.97]) compared to the control group (75.43 [SD, 18.99] and 51.54 [SD, 12.04]), with mean differences of 41.48 (95% CI, 37.83-45.13; Cohen's d = 1.84; p < 0.0001) and 18.56 (95% CI, 16.08-21.04; Cohen's d = 1.22; p < 0.0001), respectively. Linear regression analysis indicated the effect of PACE-SMI on HbA1c was significantly mediated by improvements in self-efficacy and self-care behaviors (R

conclusionPACE-SMI led to modest but significant improvement in HbA1c and substantial enhancements in self-efficacy and self-care behaviors in adults with T2DM.

Indexed as

Diabetes Mellitus, Type 2Glycemic ControlPatient-Centered CareSelf CareSelf EfficacySelf-ManagementAdultAgedBlood GlucoseFemaleGlycated HemoglobinHealth BehaviorHumansMaleMiddle AgedPatient Education as TopicBlood GlucoseGlycated Hemoglobinhemoglobin A1c protein, humanbehavioral trainingcounselingglycemic controlpatient‐centered carerandomized controlled trialself‐managementtype 2 diabetes mellitus

Identifiers

PMID39264007
PMCPMC11391380

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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.