Evidence map›Paper›PMID 30569831›Full record

SynthesisThe Diabetes educator2019

Effectiveness of Diabetes Self-Management Education Programs for US Latinos at Improving Emotional Distress: A Systematic Review.

Angela P Gutierrez, Addie L Fortmann, Kimberly Savin, Taylor L Clark, Linda C Gallo

Registry-linked trialOpen access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in The Diabetes educator, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07145983 (Peer Support Intervention Effect on Medication Adherence, Self-care and Knowledge Among Patients With Diabetes), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 16% 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.

NCT07145983 nacompletednot on this mapstarted 2024, after this paper: background citation

Peer Support Intervention Effect on Medication Adherence, Self-care and Knowledge Among Patients With Diabetes: A Randomized Control Trial

TypeinterventionalSponsorAddis Ababa UniversityRan2024 to 2025Enrolled120ConditionsPeer Influence, Medication Adherence, Self CareArmsStructured Diabetes Education on medication Adherence and self care
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Review
  6. Article
  7. Review
  8. Article
  9. Innovative Diabetes Interventions in the U.S. Hispanic Population.Diabetes spectrum : a publication of the American Diabetes Association · 2019
    Article
  10. 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

5 authors at 2 institutions in 1 country.

Angela P GutierrezSan Diego State University/University of California, San Diego, Joint Doctoral Program in Clinical Psychology, San Diego, CA.ORCID 0000-0002-9033-2847
Addie L FortmannScripps Whittier Diabetes Institute, Scripps Health, San Diego, CA.
Kimberly SavinSan Diego State University/University of California, San Diego, Joint Doctoral Program in Clinical Psychology, San Diego, CA.
Taylor L ClarkSan Diego State University/University of California, San Diego, Joint Doctoral Program in Clinical Psychology, San Diego, CA.
Linda C GalloDepartment of Psychology, San Diego State University, San Diego, CA.
San Diego State University · USScripps Health · US

Funding

Scripps Translational Science InstituteUL1TR001114 · NCATS · SCRIPPS RESEARCH INSTITUTE, THE · PI TOPOL, ERIC JEFFREY · 2013 to 2017
$24.0M
New York Regional Center for Diabetes Translation Research - Translational Intervention Methodology CoreP30DK111022 · NIDDK · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI JEFFREY GONZALEZ · 2016 to 2026
$7.8M
Dulce Digital-Me: An Adaptive mHealth Intervention for Underserved Hispanics with DiabetesR01DK112322 · NIDDK · SCRIPPS HEALTH · PI GALLO, LINDA C, PHILIS-TSIMIKAS, ATHENA · 2016 to 2020
$3.2M
Latinos Understanding the Need for Adherence in DiabetesR01NR014866 · NINR · SAN DIEGO STATE UNIVERSITY · PI TALAVERA, GREGORY A · 2014 to 2018
$2.9M
Mi Puente: My Bridge to Better Cardiometabolic Health and Well-beingR01NR015754 · NINR · SCRIPPS HEALTH · PI GALLO, LINDA C, PHILIS-TSIMIKAS, ATHENA · 2015 to 2019
$2.4M
Medical Assistant Health Coaching for Diabetes in Diverse Primary Care SettingsR18DK104250 · NIDDK · SCRIPPS HEALTH · PI GALLO, LINDA C, PHILIS-TSIMIKAS, ATHENA · 2015 to 2019
$2.3M
NCATS NIH HHS UL1 TR001114NIDDK NIH HHS P30 DK111022NIDDK NIH HHS R01 DK112322NIDDK NIH HHS R18 DK104250NINR NIH HHS R01 NR014866NINR NIH HHS R01 NR015754
6 · The paper itself

Abstract

purposeThis systematic review examined whether diabetes self-management education (DSME) interventions for US Latino adults improve general emotional distress (eg, depression symptoms) and/or health-specific emotional distress (eg, diabetes distress). The topic is important given the high prevalence of type 2 diabetes (T2DM), concomitant distress, and worse health outcomes among Latinos and considering the barriers that distress poses for effective diabetes self-management.

methodsFollowing PRISMA guidelines, a search of the online databases PsycINFO, CINAHL, PubMed, and CENTRAL was conducted from database inception through April 2018. A comprehensive search strategy identified trials testing DSME interventions for US Latinos with T2DM that reported on changes in general or health-specific emotional distress. Risk of bias was assessed using the EPHPP Quality Assessment Tool. Raw mean differences ( D) and effect sizes ( d) were computed where possible.

resultsFifteen studies were included in the review. Six of 8 studies that examined depression symptoms reported significant symptom reduction. Of 10 studies that examined health-specific emotional distress, 6 reported significant symptom reduction. Effect sizes ranged from -0.20 to -3.85. Null findings were more readily found among studies with very small sample sizes (n < 30) and studies testing interventions without specific psychosocial content, with little cultural tailoring, with less frequent intervention sessions, and with support sessions lacking concurrent diabetes education. Most studies (11) received a weak rating of evidence quality.

conclusionsThere is an absence of strong evidence to support that DSME programs tailored for Latino adults with T2DM are beneficial for improving emotional distress. Methodologically robust studies are needed.

Indexed as

AdultDiabetes Mellitus, Type 2FemaleHispanic or LatinoHumansMaleMiddle AgedPatient Education as TopicProgram EvaluationSelf-ManagementStress, PsychologicalUnited States

Identifiers

PMID30569831
PMCPMC6391176
OpenAlexW2906141387

What Socratic holds

Textmetadata
LicenceTDM
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.