Evidence mapPaperPMID 29227155Full record

Trial reportDiabetes technology & therapeutics2018

Using Mobile Health to Improve Social Support for Low-Income Latino Patients with Diabetes: A Mixed-Methods Analysis of the Feasibility Trial of TExT-MED + FANS.

Elizabeth Burner, Chun Nok Lam, Rebecca DeRoss, Marjorie Kagawa-Singer, Michael Menchine, Sanjay Arora

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Diabetes technology & therapeutics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 6 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.

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

34 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Effects of Multilevel and Multidomain Interventions on Glycemic Control in U.S. Hispanic Populations.International journal of environmental research and public health · 2025
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  11. Social Needs and Type 2 Diabetes in Latinos: An Integrative Review.Journal of racial and ethnic health disparities · 2026
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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.

Elizabeth Burner1 Department of Emergency Medicine, Keck School of Medicine of the University of Southern California , Los Angeles, California.
Chun Nok Lam1 Department of Emergency Medicine, Keck School of Medicine of the University of Southern California , Los Angeles, California.
Rebecca DeRoss1 Department of Emergency Medicine, Keck School of Medicine of the University of Southern California , Los Angeles, California.
Marjorie Kagawa-Singer2 Department of Community Health Sciences, University of California Los Angeles Jonathan and Karin Fielding School of Public Health , Los Angeles, California.
Michael Menchine1 Department of Emergency Medicine, Keck School of Medicine of the University of Southern California , Los Angeles, California.
Sanjay Arora1 Department of Emergency Medicine, Keck School of Medicine of the University of Southern California , Los Angeles, California.

Funding

Southern California Clinical and Translational Science InstituteUL1TR001855 · UNIVERSITY OF SOUTHERN CALIFORNIA · 2025 to 2025
$9.1M
NCATS NIH HHS KL2 TR000131NCATS NIH HHS UL1 TR001855NIDDK NIH HHS K23 DK106538
6 · The paper itself

Abstract

backgroundSocial support interventions can improve diabetes self-care, particularly for Latinos, but are time and resource intensive. Mobile health may overcome these barriers by engaging and training supporters remotely.

methodsWe conducted a randomized controlled feasibility trial of emergency department patients with diabetes to determine the feasibility of enrolling patients and supporters, acceptability of the intervention, and preliminary efficacy results to power a larger trial. All patients received an existing mHealth curriculum (TExT-MED). After identifying a supporter, patients were randomized to intervention: supporters receiving FANS (family and friends network support), a text message support curriculum synchronized to patient messages, or control: supporters receiving a mailed pamphlet of the same information. Participants followed up at 3 months. FANS intervention participants came to postintervention interviews as part of a qualitative analysis.

resultsWe enrolled 44 patients (22 per arm) and followed up 36 at 3 months. Participants were positive about the program. FANS intervention improved HbA1c (intervention mean decreased from 10.4% to 9.0% vs. from 10.1% to 9.5%, delta -0.8%, confidence interval [CI] -0.4 to 2, P = 0.30), self-monitoring of glucose (intervention increased 1.6 days/week vs. control decreased 2 days/week, delta 2.3 days/week, CI 4-0.6, P = 0.02), and physical activity (mean Godin leisure time activity score improved 16.1 vs. decreased 9.6 for control, delta 25.7, CI 49.2-2.3, P = 0.10). In qualitative analysis, patients reported improved motivation, behaviors, and relationships. Supporters reported making healthier decisions for themselves.

conclusionsmHealth is a feasible, acceptable, and promising avenue to improve social support and diabetes outcomes.

Indexed as

Social SupportDiabetes MellitusFeasibility StudiesFemaleHispanic or LatinoHumansMalePovertySelf-ManagementTelemedicineText MessagingDiabetes mellitusDisease management.LatinosSocial supportText messaging

Identifiers

PMID29227155
PMCPMC5770080

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.