Evidence map›Paper›PMID 20587726›Full record

SynthesisDiabetes care2010

Interventions with adherence-promoting components in pediatric type 1 diabetes: meta-analysis of their impact on glycemic control.

Korey K Hood, Jennifer M Rohan, Claire M Peterson, Dennis Drotar

3 registry-linked trialsAbstract readMeta-Analysis
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Diabetes care, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 85 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
85citing papers in PubMed, 9 pooled it
–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.

NCT02530450 completednot on this mapstarted 2011, after this paper: background citation

iPro Continuous Glucose Monitor in Children With Poorly Controlled Diabetes: A 6-Month, Randomized, Interventional Pilot Study

TypeobservationalSponsorThe University of Texas Health Science Center at San AntonioRan2011 to 2013Enrolled30ConditionsType 1 Diabetes MellitusArmscontinuous glucose monitoring (CGM)
NCT04878419 nacompletednot on this mapstarted 2021, after this paper: background citation

Acceptability of a Virtual Educational Intervention Targeted Towards Improving Diabetes Self- Efficacy and Glycemic Control in Adolescents and Young Adults With Type 1 Diabetes Mellitus (T1DM): a Pilot Study

TypeinterventionalSponsorUniversity Hospitals Cleveland Medical CenterRan2021 to 2022Enrolled10ConditionsDiabetes Mellitus, Type 1ArmsVirtual Educational Program
NCT05319600 nacompletednot on this mapstarted 2022, after this paper: background citation

Does a Behavior Change Skills and Physical Activity Program Improve Self-regulation and Health Outcomes in Adolescents With Type 1 Diabetes?

TypeinterventionalSponsorUniversity of VermontRan2022 to 2024Enrolled31ConditionsType 1 DiabetesArmsDiabetes behavior change skills training, Physical activity promotion program
3 · Its place in the literature

Who cites it

85 citing papers in PubMed, 9 syntheses or guidelines pooled it.

  1. Pooled it
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  4. American Association of Clinical Endocrinology Clinical Practice Guideline: Developing a Diabetes Mellitus Comprehensive Care Plan-2022 Update.Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists · 2022
    Guideline
  5. Pooled it
  6. Pooled it
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  10. An RCT of a family intervention for adolescents living with type 1 diabetes: Who benefits most?Diabetic medicine : a journal of the British Diabetic Association · 2026
    Trial
  11. Trial
  12. Do baseline resilience profiles moderate the effects of a resilience-enhancing intervention for adolescents with type I diabetes?Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2021
    Trial
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  18. A Web-Delivered Multicomponent Intervention for Adolescents with Poorly Controlled Type 1 Diabetes: A Pilot Randomized Controlled Trial.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2018
    Trial
  19. Trial
  20. Trial

25 more citing papers are in PubMed but not listed here.

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

4 authors.

Korey K HoodDepartment of Pediatrics, University of Cincinnati College of Medicine, Center for the Promotion of Treatment Adherence and Self-Management, Cincinnati, Ohio, USA. korey.hood@cchmc.org.
Jennifer M Rohan
Claire M Peterson
Dennis Drotar

Funding

Depression in Children /Adolescents with Type 1 DiabetesK23DK073340 · JOSLIN DIABETES CENTER · 2005 to 2005
$126k
NIDDK NIH HHS K23 DK073340NIDDK NIH HHS K23-DK-073340
6 · The paper itself

Abstract

objectiveTo review interventions with adherence-promoting components and document their impact on glycemic control via meta-analysis. RESEARCH DESIGN AND

methodsData from 15 studies that met the following criteria were subjected to meta-analysis: 1) randomized, controlled trial, 2) study sample included youth aged <19 years, 3) youth had type 1 diabetes, 4) study reported results on glycemic control; and 5) study reported use of adherence- or self-management-promoting components.

resultsThe 15 studies included 997 youth with type 1 diabetes. The mean effect size for pre- to posttreatment change for the intervention versus control group comparison was 0.11 (95% CI -0.01 to 0.23). This is a small effect, demonstrating very modest improvements in glycemic control. However, analysis for the pre- to posttreatment effects for the intervention group alone did show significant variability [Q(14) = 33.11; P < 0.05]. Multicomponent interventions, those that targeted emotional, social, or family processes that facilitate diabetes management, were more potent than interventions just targeting a direct, behavioral process (e.g., increase in blood glucose monitoring frequency).

conclusionsInterventions that focus on direct, behavioral processes and neglect emotional, social, and family processes are unlikely to have an impact on glycemic control; multicomponent interventions showed more robust effects on A1C. Future clinical research should focus on refining interventions and gathering more efficacy and effectiveness data on health outcomes of the pediatric patients treated with these interventions.

Indexed as

Medication AdherenceChildDiabetes Mellitus, Type 1HumansHyperglycemiaHypoglycemic AgentsInsulinSelf CareSocial SupportHypoglycemic AgentsInsulin

Identifiers

PMID20587726
PMCPMC2890378

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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 Socratic graph.