Evidence map›Paper›PMID 40705414›Full record

ArticleJMIR research protocols2025

Promoting Intergenerational Health in Rural Kentuckians With Diabetes (PIHRK'D): Protocol for a Longitudinal Cohort Study.

Brittany L Smalls, Courtney L Ortz, Makenzie Barr-Porter, Heather Norman-Burgdolf, Christopher J McLouth, Brittany Harlow, Oluwatosin Leshi

Registry-linked trialAbstract read
In one paragraph

Article in JMIR research protocols, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06080425 (Addressing Intergenerational Obesity and Promoting Healthy Eating and Physical Activity Among Individuals [PIHRK'D] Living With Diabetes in Rural Kentucky), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT06080425 nacompletednot on this map

Addressing Intergenerational Obesity and Promoting Healthy Eating and Physical Activity Among Individuals [PIHRK'D] Living With Diabetes in Rural Kentucky

TypeinterventionalSponsorThe University of Texas Medical Branch, GalvestonRan2023 to 2026Enrolled48ConditionsDiabetes Mellitus, Type 2ArmsMedical Nutrition Therapy
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
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.

Brittany L SmallsDepartment of Family Medicine, College of Medicine, University of Kentucky HealthCare, Lexington, KY, United States.ORCID 0000-0003-3727-346X
Courtney L OrtzDepartment of Family Medicine, College of Medicine, University of Kentucky HealthCare, Lexington, KY, United States.ORCID 0000-0003-0396-924X
Makenzie Barr-PorterDepartment of Dietetics and Human Nutrition, Martin-Gatton College of Agriculture, Food, and Environment, University of Kentucky, Lexington, KY, United States.ORCID 0000-0002-6332-215X
Heather Norman-BurgdolfDepartment of Dietetics and Human Nutrition, Martin-Gatton College of Agriculture, Food, and Environment, University of Kentucky, Lexington, KY, United States.ORCID 0000-0002-2444-6491
Christopher J McLouthDepartment of Biostatistics, College of Public Health, University of Kentucky, Lexington, KY, United States.ORCID 0000-0002-5434-9748
Brittany HarlowDepartment of Family Medicine, College of Medicine, University of Kentucky HealthCare, Lexington, KY, United States.ORCID 0000-0001-7806-1071
Oluwatosin LeshiDepartment of Family Medicine, College of Medicine, University of Kentucky HealthCare, Lexington, KY, United States.ORCID 0000-0003-2700-8750

Funding

WU P&FP30DK020579 · NIDDK · WASHINGTON UNIVERSITY · PI Jennifer Lynn Powers Carson · 2013 to 2026
$27.1M
NIDDK NIH HHS P30 DK020579
6 · The paper itself

Abstract

backgroundThe prevalence of type 2 diabetes mellitus (T2DM) is steadily increasing and has exceeded 20% in some rural Kentucky counties. In Kentucky, chronic diet-sensitive conditions and unhealthy behaviors are among the highest in the nation, with approximately 36.5% of adults with obesity and 13.3% diagnosed with T2DM, while only 15.3% meet physical activity recommendations, and 4.7% meet fruit and vegetable consumption recommendations. Family-based interventions can be used to promote health in rural communities that often comprise intergenerational households.

objectiveThe purpose of the study is to determine whether leveraging family units as sources of social support promotes nutritional and physical activity changes among those who are overweight or have obesity and are diagnosed with T2DM.

methodsThis study consists of 3 phases (baseline, intervention, and postintervention). An overview of the study will be provided to interested participants, after which their consent will be sought. At baseline, demographic data, social support, physical activity, diabetes knowledge, diabetes self-management, dietary recall, obstructive sleep apnea, and sleep health, as well as social network data, will be collected using validated questionnaires. Anthropometric (weight, height, lean mass, and body fat) and T2DM-related (blood pressure, glycated hemoglobin A

resultsThis study was funded in November 2022 by the American Diabetes Association (ADA). Data collection started on September 1, 2023, and is projected to end in November 2025. We have enrolled a total of 48 participants in the study.

conclusionsT2DM is a growing problem, particularly among vulnerable populations in rural Kentucky. This study plans to leverage family units as sources of social support with MNT and nutrition education through the Dining with Diabetes program. If effective, this approach will inform future family-based interventions in rural communities.

trial registrationClinicalTrials.gov NCT06080425; https://clinicaltrials.gov/study/NCT06080425. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/69301.

Indexed as

Diabetes Mellitus, Type 2Health PromotionAdultAgedClinical Trials as TopicExerciseFemaleHumansKentuckyLongitudinal StudiesMaleMiddle AgedObesityRural PopulationSocial Supportfamily-basedinterventionnutritionphysical activityruralself-caresocial supporttype 2 diabetestype 2 diabetes mellitus

Identifiers

PMID40705414
PMCPMC12332449

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Registered trials

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.