Evidence map›Paper›PMID 39854891›Full record

ArticlePatient education and counseling2025

Patient and family engagement in culturally-tailored diabetes self-management education in a Hispanic community.

Denise J Deverts, Margaret F Zupa, Edith C Kieffer, Stephanie Gonzalez, Claudia Guajardo, Felix Valbuena, Gretchen A Piatt, Jonathan G Yabes, Christina Lalama, Michele Heisler and 1 more

Abstract read
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In one paragraph

Article in Patient education and counseling, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Trial
  2. 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

11 authors.

Denise J DevertsDepartment of Internal Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA; Caring for Complex Chronic Conditions Research Center, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Margaret F ZupaDepartment of Internal Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA; Caring for Complex Chronic Conditions Research Center, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Edith C KiefferUniversity of Michigan Ann Arbor, Ann Arbor, MI, USA.
Stephanie GonzalezCommunity Health and Social Services (CHASS) Center, Inc., Detroit, MI, USA.
Claudia GuajardoCommunity Health and Social Services (CHASS) Center, Inc., Detroit, MI, USA.
Felix ValbuenaCommunity Health and Social Services (CHASS) Center, Inc., Detroit, MI, USA.
Gretchen A PiattUniversity of Michigan Ann Arbor, Ann Arbor, MI, USA.
Jonathan G YabesDepartment of Internal Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Christina LalamaDepartment of Internal Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Michele HeislerUniversity of Michigan Ann Arbor, Ann Arbor, MI, USA.
Ann-Marie RoslandDepartment of Internal Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA; Caring for Complex Chronic Conditions Research Center, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA; VA Center for Health Equity Research and Promotion, VA Pittsburgh Health Care System, Pittsburgh, PA, USA. Electronic address: roslandam@pitt.edu.

Funding

Comparative Effectiveness of Adding Family Supporter Training and Engagement to a CHW-Led Intervention to Improve Behavioral Management of Multiple Risk Factors for Diabetes ComplicationsR01DK116733 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI ROSLAND, ANN-MARIE · 2018 to 2022
$2.8M
NIDDK NIH HHS R01 DK116733
6 · The paper itself

Abstract

objectivesDiabetes self-management education (DSME) is effective in improving outcomes among adults with diabetes (AWD); but engagement in DSME has been lower among Hispanic AWD. We examined factors predicting engagement of Hispanic AWD in culturally tailored DSME that included a family/friend 'support person'.

methods222 predominantly Hispanic AWD enrolled in DSME with a support person (SP), half of the AWD-SP pairs participated in pair-focused ('FAM-ACT') DSME and the others in patient-focused DSME. Enrollment survey and health record-based participant characteristics were compared to program attendance data.

resultsOn average, AWD completed 3.8 of 6 and SPs 2.6 of 6 sessions. Engaged AWD (attended ≥4/6 DSME sessions) were more likely to live apart from their SP, have HbA1c ≥ 9 % (11.8 mmol/L), and currently prioritize diabetes among other competing demands. Engaged AWD in FAM-ACT were more likely to have SPs who also met engagement criteria (attended ≥3 DSME sessions), and SPs with pre-diabetes and high 'patient activation'.

conclusionsHispanic AWD who co-attended with family supporters, had higher glycemic levels, and ability to prioritize diabetes management were more engaged in culturally-tailored DSME. PRACTICE IMPLICATIONS: Engaging family supporters and focusing on those with current health and personal motivation may increase Hispanic adult engagement in DSME.

Indexed as

Diabetes MellitusDiabetes Mellitus, Type 2FamilyHispanic or LatinoPatient Education as TopicPatient ParticipationSelf CareSelf-ManagementAdultAgedCulturally Competent CareFemaleHumansMaleMiddle AgedSocial SupportDiabetes selfmanagementDSMEFamily supportFederally qualified health centerFQHCHispanic/LatinoSupport personType 2 diabetes

Identifiers

PMID39854891
PMCPMC11913575

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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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.