Evidence map›Paper›PMID 42234497›Full record

ArticleEndocrinology, diabetes & metabolism2026

Preliminary Outcomes of a Brief Values-Guided Self-Management Intervention to Improve Glucose Levels Among Emerging Adults With Type 1 Diabetes and Above-Recommended HbA

Sara E Styles, Jillian J Haszard, Zuzana Oravcova-Wheeler, Anna Campbell, Bruce Arroll, Joseph Ciarrochi, Louise Hayes, Jim Lemon, Miriama Ketu-McKenzie, Benjamin J Wheeler

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In one paragraph

Article in Endocrinology, diabetes & metabolism, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Sara E StylesDepartment of Human Nutrition, University of Otago, Dunedin, New Zealand.ORCID https://orcid.org/0000-0002-8358-881X
Jillian J HaszardHaszard Biostatistics, Balclutha, New Zealand.
Zuzana Oravcova-WheelerZivio Health, Dunedin, New Zealand.
Anna CampbellTe Whatu Ora - Health New Zealand (Southern), Dunedin, New Zealand.
Bruce ArrollGeneral Practice and Primary Healthcare, University of Auckland, Auckland, New Zealand.
Joseph CiarrochiInstitute for Positive Psychology and Education, the Australian Catholic University, North Sydney, New South Wales, Australia.
Louise HayesLa Trobe University, Melbourne, Victoria, Australia.
Jim LemonDepartment of Psychological Services and Research, Mountainhall Treatment Centre, Dumfries, UK.
Miriama Ketu-McKenzieNgāti Tūwharetoa and Ngāti Raukawa (Ki Horowhenua), Dunedin, New Zealand.
Benjamin J WheelerTe Whatu Ora - Health New Zealand (Southern), Dunedin, New Zealand.ORCID https://orcid.org/0000-0003-3348-5238

Funding

Healthcare Otago Charitable Trust
6 · The paper itself

Abstract

introductionA minority of young adults with type 1 diabetes achieve > 70% time in range (TIR; 70-180 mg/dL [3.9-10 mmol/L]), as recommended. Self-management goals based on self-chosen values (whatever is most important to an individual) may motivate engagement in self-management tasks that could improve TIR. This study explored the acceptability, feasibility, and potential outcomes of values-guided self-management.

methodsA single-arm quasi-experimental pilot study was conducted with 14 participants aged 18-25 years and HbA

resultsFourteen participants received the intervention. The intervention was acceptable and feasible to implement. The mean change (95% CI) between pre- and post-intervention TIR was an increase of 2.2 (-1.2, 5.7) percentage points, mostly through a decrease in time above range. The standardized mean change (95% CI) in progress towards valued living was 0.72 (0.27, 1.16) with small improvements in diabetes-specific acceptance and carrying out valued actions.

conclusionsA brief values-guided self-management intervention shows promise to improve time in range among emerging adults with type 1 diabetes and above recommended HbA

trial registrationAustralian New Zealand Clinical Trials Registry (ACTRN12620000200987; https://www.anzctr.org.au/ACTRN12620000200987.aspx).

Indexed as

Blood GlucoseDiabetes Mellitus, Type 1Glycated HemoglobinSelf-ManagementAcceptance and Commitment TherapyAdherence InterventionsAdolescentAdultBlood Glucose Self-MonitoringContinuous Glucose MonitoringFeasibility StudiesFemaleHumansMalePatient CompliancePilot ProjectsBlood GlucoseGlycated Hemoglobinhemoglobin A1c protein, humanacceptance and commitment therapypilot studyself‐managementtype 1 diabetes mellitusyoung adult

Identifiers

PMID42234497
PMCPMC13239978

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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.