Evidence map›Paper›PMID 40823599›Full record

ArticleDiabetes spectrum : a publication of the American Diabetes Association2025

The Role of Diabetes Distress and Self-Efficacy as Mediators of Barriers to Diabetes Self-Management in Young Adults With Type 1 Diabetes: A Cross-Sectional Study.

Ngozi D Nnoli, John Sideris, Pey-Jiuan Lee, Steven Fox, Jennifer K Raymond, Elizabeth A Pyatak

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Diabetes spectrum : a publication of the American Diabetes Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

1 citing paper in PubMed.

  1. Embedding psychological care in diabetes services: Why it's time to innovate and integrate.Diabetic medicine : a journal of the British Diabetic Association · 2026
    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

6 authors.

Ngozi D NnoliChan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, CA.ORCID https://orcid.org/0000-0003-4626-7491
John SiderisChan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, CA.
Pey-Jiuan LeeCenter for Economic and Social Research, Dornsife College of Letters, Arts and Sciences, University of Southern California, Los Angeles, CA.
Steven FoxLeonard D. Schaeffer Center for Health Policy & Economics, University of Southern California, Los Angeles, CA.
Jennifer K RaymondDivision of Endocrinology, Children's Hospital of Los Angeles, Los Angeles, CA.
Elizabeth A PyatakChan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, CA.ORCID https://orcid.org/0000-0003-3280-8912

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

objectiveThis study examined how structural and contextual barriers, including social needs and gender, influence diabetes self-management (DSM) through psychosocial pathways, particularly diabetes distress (DD) and self-efficacy (SE). Although these barriers are well documented, their interactions with psychosocial factors remain underexplored. RESEARCH DESIGN AND

methodsWe analyzed cross-sectional baseline data from the REAL-T (Resilient, Empowered, Active Living-Telehealth) study (

resultsUnmet social needs, as well as female and nonconforming genders, were found likely to increase DSM challenges. All selected predictors became nonsignificant when accounting for all psychosocial variables. DD mediated all tested relationships, and SE partially mediated the relationship between unmet social needs and DSM.

conclusionThe proposed model suggests the need for targeted interventions addressing psychosocial pathways, particularly DD and SE, to mitigate the downstream effects of structural barriers to DSM. Inclusive gender-specific care models and systemic reforms to reduce social inequities are crucial for improving DSM outcomes and overall well-being.

Identifiers

PMID40823599
PMCPMC12357216

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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.