SynthesisFrontiers in endocrinology2026
The dynamic interrelationships of diabetes distress uncovered by ecological momentary assessment: a systematic review.
Synthesis in Frontiers in endocrinology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled 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.
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.
Who cites it
1 citing paper in PubMed, 1 synthesis or guideline pooled it.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: This systematic review aimed to synthesize evidence on the application of Ecological Momentary Assessment (EMA) in dynamically monitoring diabetes distress, and to examine the dynamic associations between EMA-measured psychosocial or contextual factors and diabetes distress. Methods: A systematic search of multiple English and Chinese databases was conducted up to January 13, 2026. Studies were eligible if they employed EMA to dynamically monitor diabetes distress and related psychosocial or contextual factors in individuals with diabetes. The methodological quality of included studies was assessed using the Newcastle-Ottawa Scale. Results: Seventeen studies involving a total of 1,807 participants (predominantly with type 1 diabetes) were included. The average EMA completion rate was 84.1%, with lower rates observed among adolescents compared to adults. Subjective glucose perception, the nature of social interactions, sedentary behavior, and physical symptoms showed momentary associations with diabetes distress. Distress was found to prospectively predict subsequent lapses in self-management behaviors and exacerbate negative emotional states. Conclusion: EMA is a feasible tool for assessing diabetes distress, effectively capturing its dynamic nature and real-time links with contextual factors. It provides a reference for developing timely and personalized psychological interventions in diabetes care. Systematic Review Registration: https://www.crd.york.ac.uk/PROSPERO/view/CRD420251156226, identifier CRD420251156226.
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