Evidence mapPaperPMID 31923472Full record

ArticleContemporary clinical trials2020

Study protocol: CareAvenue program to improve unmet social risk factors and diabetes outcomes- A randomized controlled trial.

Minal R Patel, Michele Heisler, John D Piette, Kenneth Resnicow, Peter X K Song, Hae Mi Choe, Xu Shi, Julie Tobi, Alyssa Smith

Erratum issued Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in Contemporary clinical trials, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT03950973 (Improving Diabetes Outcomes and Health Disparities Through a Patient Activation Intervention Addressing Unmet Resource Needs), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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.

NCT03950973 nacompletednot on this map

Improving Diabetes Outcomes and Health Disparities Through a Patient Activation Intervention Addressing Unmet Resource Needs

TypeinterventionalSponsorUniversity of MichiganRan2019 to 2023Enrolled667ConditionsDiabetesArmsCareAvenue, Guest Assistance Program
3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. The Association Between Cost-Related Non-Adherence Behaviors and Diabetes Outcomes.Journal of the American Board of Family Medicine : JABFM · 2023
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Minal R PatelDepartment of Health Behavior & Health Education, University of Michigan School of Public Health, United States of America. Electronic address: minalrp@umich.edu.
Michele HeislerDepartment of Health Behavior & Health Education, University of Michigan School of Public Health, United States of America; Department of Internal Medicine, Michigan Medicine, United States of America; U.S. Department of Veterans Affairs VA, Ann Arbor Healthcare System, United States of America.
John D PietteDepartment of Health Behavior & Health Education, University of Michigan School of Public Health, United States of America; U.S. Department of Veterans Affairs VA, Ann Arbor Healthcare System, United States of America.
Kenneth ResnicowDepartment of Health Behavior & Health Education, University of Michigan School of Public Health, United States of America.
Peter X K SongDepartment of Biostatistics, University of Michigan School of Public Health, United States of America.
Hae Mi ChoeCollege of Pharmacy, University of Michigan, United States of America; University of Michigan Medical Group, United States of America.
Xu ShiDepartment of Biostatistics, University of Michigan School of Public Health, United States of America.
Julie TobiDepartment of Health Behavior & Health Education, University of Michigan School of Public Health, United States of America.
Alyssa SmithDepartment of Health Behavior & Health Education, University of Michigan School of Public Health, United States of America.

Funding

Pilot and Feasibility ProgramP30DK020572 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · 2022 to 2025
$4.9M
Pilot and Feasibility ProgramP30DK092926 · UNIVERSITY OF MICHIGAN AT ANN ARBOR · 2025 to 2025
$779k
NIDDK NIH HHS P30 DK020572NIDDK NIH HHS P30 DK092926NIDDK NIH HHS R01 DK116715
6 · The paper itself

Abstract

Despite the burdens costs can place on adults with diabetes, few evidence-based, scalable interventions have been identified that address prevalent health-related financial burdens and unmet social risk factors that serve as major obstacles to effective diabetes management. In this study, we will test the effectiveness of CareAvenue - an automated e-health tool that screens for unmet social risk factors and informs and activates individuals to take steps to connect to resources and engage in self-care. We will determine the effectiveness of CareAvenue relative to standard care with respect to improving glycemic control and patient-centered outcomes such as cost-related non-adherence (CRN) behaviors and perceived financial burden. We will also examine the role of patient risk factors (moderators) and behavioral factors (mediators) on the effectiveness of CareAvenue in improving outcomes. We will recruit 720 patients in a large health system with uncontrolled Type 1 diabetes mellitus (T1DM) or Type 2 diabetes mellitus (T2DM) who engage in CRN or perceive financial burden. Participants will be randomized to one of two arms: 1) receipt of a 15-20 min web-based program with routine follow-up (CareAvenue); or 2) receipt of contact information for existing health system assistance services. Outcomes will be assessed at baseline and 6- and 12-month follow-up. Clinical Trial Registration: ClinicalTrials.gov ID NCT03950973, May 2019.

Indexed as

Patient ComplianceCost-Benefit AnalysisDiabetes Mellitus, Type 1Diabetes Mellitus, Type 2DietHumansPatient-Centered CarePatient Education as TopicRandomized Controlled Trials as TopicResearch DesignRisk FactorsSelf CareTelemedicineCost-related non-adherenceDiabetesSelf-managementSocial determinants of health

Identifiers

PMID31923472
PMCPMC7242130

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.