Evidence map›Paper›PMID 41890941›Full record

ArticleFrontiers in psychology2026

The influence of fear of hypoglycemia and frailty on self-efficacy in diabetes management among older adults with type 2 diabetes: a cross-sectional study.

Shaimaa Mohamed Amin, Haitham Mokhtar Mohamed Abdallah, Mohamed Ali Zoromba, Esteer Ibrahim Ghayth, Sameer A Alkubati, Nada Alqarawi, Mohamed Hussein Ramadan Atta, Ibrahim Alasqah, Nesreen AbdelMonaem AbdelSataar AbouZeid, Sally Mohammed Farghaly Abdelaliem and 1 more

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Article in Frontiers in psychology, 2026. 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. 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.

Shaimaa Mohamed AminDepartment of Community, Psychiatric, and Mental Health Nursing, College of Nursing, Qassim University, Buraydah, Saudi Arabia.
Haitham Mokhtar Mohamed AbdallahCollege of Nursing, Jouf University, Sakaka, Saudi Arabia.
Mohamed Ali ZorombaNursing Department, College of Nursing, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia.
Esteer Ibrahim GhaythGeriatric Nursing Department, Faculty of Nursing, Sohag University, Sohag, Egypt.
Sameer A AlkubatiDepartment of Medical-Surgical Nursing, College of Nursing, University of Ha'il, Ha'il, Saudi Arabia.
Nada AlqarawiDepartment of Community, Psychiatric, and Mental Health Nursing, College of Nursing, Qassim University, Buraydah, Saudi Arabia.
Mohamed Hussein Ramadan AttaNursing Department, College of Applied Medical Sciences, Prince Sattam Bin Abdulaziz University, Wadi Ad-Dawasir, Saudi Arabia.
Ibrahim AlasqahDepartment of Community, Psychiatric, and Mental Health Nursing, College of Nursing, Qassim University, Buraydah, Saudi Arabia.
Nesreen AbdelMonaem AbdelSataar AbouZeidDepartment of Medical and Surgical Nursing, College of Nursing, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia.
Sally Mohammed Farghaly AbdelaliemDepartment of Nursing, Faculty of Allied Health Sciences, Kuwait University, Kuwait City, Kuwait.
Suebsarn RuksakulpiwatDepartment of Medical Nursing, Faculty of Nursing, Mahidol University, Bangkok, Thailand.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Managing type 2 diabetes mellitus (T2DM) in older adults is challenging, particularly when complicated by fear of hypoglycemia and frailty, both of which can undermine self-efficacy, a key determinant of effective disease control. Aim: To examine the influence of fear of hypoglycemia and frailty on self-efficacy in diabetes management among older adults with T2DM. Methods: A cross-sectional study was conducted at diabetic clinics, with 300 adults aged ≥ 60 years using convenience sampling. Validated tools included the Fear of Hypoglycemia Screener, Chinese Frailty Screening Scale, and Diabetes Management Self-Efficacy Scale. Results: Mean scores for fear of hypoglycemia, frailty, and self-efficacy were 36.13 ± 7.70, 12.93 ± 2.28, and 19.95 ± 3.33, respectively. Fear of hypoglycemia correlated positively with frailty ( Conclusion: Interventions addressing fear of hypoglycemia and frailty are essential to enhance self-efficacy and improve diabetes self-management in older adults.

Indexed as

community empowermentcross-sectional studydiabetes mellitusfrailtyhypoglycemia phobiamanagementolder adultsself-efficacy

Identifiers

PMID41890941
PMCPMC13013289

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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.