Evidence map›Paper›PMID 40676959›Full record

ArticlePrimary health care research & development2025

Understanding primary care provider perspectives of the implementation of an integrated diabetes and mental health care solution.

Carly Whitmore, Janice Forsythe, Alegria Benzaquen, Michelle Domjancic, Osnat C Melamed, Peter Selby, Diana Sherifali

Abstract read
In one paragraph

Article in Primary health care research & development, 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. Review
  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

7 authors.

Carly WhitmoreSchool of Nursing, McMaster University, Hamilton, ON, Canada.ORCID 0000-0002-3974-4854
Janice ForsytheDiabetes Action Canada, Toronto, ON, Canada.
Alegria BenzaquenSchool of Nursing, McMaster University, Hamilton, ON, Canada.
Michelle DomjancicSchool of Nursing, McMaster University, Hamilton, ON, Canada.
Osnat C MelamedINTREPID Lab, Centre for Addiction and Mental Health, Toronto, ON, Canada.ORCID 0000-0002-9663-2226
Peter SelbyINTREPID Lab, Centre for Addiction and Mental Health, Toronto, ON, Canada.ORCID 0000-0001-5401-2996
Diana SherifaliSchool of Nursing, McMaster University, Hamilton, ON, Canada.ORCID 0000-0002-4423-3848

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThis research aimed to explore the perspectives of primary and community care providers on the challenges that hinder the delivery and uptake of personalized type 2 diabetes (T2D) care, with a focus on the integration of mental health support and care.

backgroundThe day-to-day burden and demand of self-managing T2D can negatively impact quality of life and take a toll on mental health and psychological well-being. As a result, there is a need for personalized T2D self-management education and support that integrates mental health care. Despite the need for this personalized care, existing systems remain siloed, hindering access and uptake. In response, innovative, comprehensive, and collaborative models of care have been developed to address fragmentations in care. As individuals living with T2D often receive their care in primary care settings, linking mental health care to existing teams and networks in primary care settings is required. However, there is a need to understand how best to support access, adoption, and engagement with these models in these unique contexts.

methodsA cross-sectional survey was distributed to primary and community providers of an Ontario-based smoking cessation network. Survey data were analyzed descriptively with free text responses thematically reported.

findingsSurvey respondents (n = 85) represented a broad mix of health professions across primary and community care settings. Addressing challenges to the delivery and uptake of personalized T2D care requires comprehensive strategies to address patient-, practice-, and system-level challenges. Findings from this survey identify the need to tailor these models of care to individual needs, clearly addressing mental health needs, and building strong partnership as means of enhancing accessibility and sustainability of integrated care delivery in primary care settings.

Indexed as

Attitude of Health PersonnelDelivery of Health Care, IntegratedDiabetes Mellitus, Type 2Health PersonnelMental Health ServicesPrimary Health CareAdultCross-Sectional StudiesFemaleHumansMaleMiddle AgedOntarioSurveys and QuestionnairesCommunity carecross-sectional surveyDiabetesintegrated caremental healthprimary care

Identifiers

PMID40676959
PMCPMC12281043

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.