Evidence map›Paper›PMID 28665946›Full record

SynthesisPloS one2017

Psycho-educational interventions for children and young people with Type 1 Diabetes in the UK: How effective are they? A systematic review and meta-analysis.

Dimitrios Charalampopoulos, Kathryn R Hesketh, Rakesh Amin, Veena Mazarello Paes, Russell M Viner, Terence Stephenson

Registry-linked trialOpen access · goldAbstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04888780 (Gaziantep Islamic University of Science and Technology), which is not on this map. Cited by 21 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 6 pooled it
2.3field-weighted citation impact, top 11% of its field
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.

NCT04888780 nacompletednot on this map

Gaziantep Islamic University of Science and Technology

TypeinterventionalSponsorGaziantep Islam Science and Technology UniversityRan2017 to 2018Enrolled30ConditionsMental Disorder in Adolescence, Behavioral Symptoms, Problem BehaviorArmsThe web-based Watson's Human Care Theory oriented training
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 6 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Trial
  8. Trial
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Focus on the Positive: A Qualitative Study of Positive Experiences Living With Type 1 or Type 2 Diabetes.Clinical diabetes : a publication of the American Diabetes Association · 2021
    Article
  18. How can we support children, adolescents and young adults in managing chronic health challenges? A scoping review on the effects of patient education interventions.Health expectations : an international journal of public participation in health care and health policy · 2019
    Article
  19. Article
  20. 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

6 authors at 1 institution in 1 country.

Dimitrios CharalampopoulosGreat Ormond Street Institute of Child Health, University College London, London, United Kingdom.ORCID http://orcid.org/0000-0002-3763-3130
Kathryn R HeskethGreat Ormond Street Institute of Child Health, University College London, London, United Kingdom.
Rakesh AminGreat Ormond Street Institute of Child Health, University College London, London, United Kingdom.
Veena Mazarello PaesGreat Ormond Street Institute of Child Health, University College London, London, United Kingdom.
Russell M VinerGreat Ormond Street Institute of Child Health, University College London, London, United Kingdom.
Terence StephensonGreat Ormond Street Institute of Child Health, University College London, London, United Kingdom.
Great Ormond Street Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo synthesise evidence from UK-based randomised trials of psycho-educational interventions in children and young people (CYP) with Type 1 Diabetes (T1D) to inform the evidence-base for adoption of such interventions into the NHS.

methodsWe searched Medline, Embase, Cochrane, PsycINFO, CINAHL, and Web of Science up to March 2016. Two reviewers independently selected UK-based randomised trials comparing psycho-educational interventions for improving management of T1D for CYP with a control group of usual care or attention control. The main outcome was glycaemic control measured by percentage of glycated haemoglobin (HbA1c); secondary outcomes included psychosocial functioning, diabetes knowledge, adverse and other clinical outcomes. A narrative synthesis and meta-analysis were conducted. Pooled effect sizes of standardised mean difference (SMD) were calculated.

resultsTen eligible trials of three educational and seven psycho-educational interventions were identified. Most interventions were delivered by non-psychologists and targeted adolescents with more than one year duration of diabetes. Meta-analysis of nine of these trials (N = 1,838 participants) showed a non-significant reduction in HbA1c attributable to the intervention (pooled SMD = -0.06, 95% CI: -0.21 to 0.09). Psycho-educational interventions aiming to increase children's self-efficacy had a moderate, beneficial effect (SMD = 0.50, 95% CI: 0.13 to 0.87). No benefits on diabetes knowledge and other indicators of psychosocial functioning were identified.

conclusionsThere is insufficient evidence to recommend the use of particular psycho-educational programme for CYP with T1D in the UK. Further trials with sufficient power and reporting standards are needed. Future trials could consider active involvement of psychological specialists in the delivery of psychologically informed interventions and implementation of psycho-educational interventions earlier in the course of the disease. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42015010701.

Indexed as

AdolescentAdultChildDiabetes Mellitus, Type 1Evidence-Based MedicineFemaleHumansMalePatient Education as TopicPsychotherapyRandomized Controlled Trials as TopicUnited KingdomYoung Adult

Identifiers

PMID28665946
PMCPMC5493302
OpenAlexW2729816329

What Socratic holds

Textmetadata
LicenceCC BY
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.