Evidence map›Paper›PMID 32273289›Full record

SynthesisBMJ open diabetes research & care2020

Psychological interventions to improve glycemic control in adults with type 2 diabetes: a systematic review and meta-analysis.

Kirsty Winkley, Rebecca Upsher, Daniel Stahl, Daniel Pollard, Alan Brennan, Simon R Heller, Khalida Ismail

Registry-linked trialAbstract readSystematic ReviewNetwork Meta-Analysis
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in BMJ open diabetes research & care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07779044 (Effectiveness of A Mindfulness-Based Cognitive Behavioral Program on Quality of Life and Glycosylated Hemoglobin Control of People With Diabetes), which is not on this map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 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.

NCT07779044 nacompletednot on this mapstarted 2025, after this paper: background citation

Effectiveness of A Mindfulness-Based Cognitive Behavioral Program on Quality of Life and Glycosylated Hemoglobin Control of People With Diabetes: A Randomized Controlled Trial in Damascus, Syria.

TypeinterventionalSponsorCenter for Strategic Studies and Health Training, SyriaRan2025 to 2026Enrolled40ConditionsDiabetes Mellitus, Diabetes Mellitus ( Type 1 and Type 2), Depressive SymptomsArmsMindfulness-Based Cognitive Behavioral Program
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Diabetic neuropathy: cutting-edge research and future directions.Signal transduction and targeted therapy · 2025
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Review
  16. Article
  17. Review
  18. 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

7 authors.

Kirsty WinkleyFlorence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College London, London, UK kirsty.winkley@kcl.ac.uk.ORCID 0000-0002-1725-6040
Rebecca UpsherInstitute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
Daniel StahlDepartment of Biostatistics, King's College London, London, UK.
Daniel PollardSchool of Health and Related Research, Health Economics and Decision Science, University of Sheffield, Sheffield, UK.
Alan BrennanSchool of Health and Related Research, Health Economics and Decision Science, University of Sheffield, Sheffield, UK.
Simon R HellerDepartment of Oncology & Metabolism, University of Sheffield, Sheffield, UK.
Khalida IsmailInstitute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.

Funding

Department of Health HTA/14/213/10
6 · The paper itself

Abstract

The quality of evidence that psychological interventions are effective in improving glycemic control in adults with type 2 diabetes (T2D) is weak.We conducted a systematic review and meta-analysis of psychological interventions in T2D to assess whether their effectiveness in improving glycemic levels has improved over the past 30 years. We applied the protocol of a systematic review and aggregate meta-analysis conducted to January 2003. We added network meta-analysis (NMA) to compare intervention and control group type against usual care. MEDLINE, Cumulative Index to Nursing and Allied Health Literature, PsycINFO, EMBASE, Cochrane Controlled Trials Database, Web of Science, and Dissertation Abstracts International were searched from January 2003 to July 2018. Only randomized controlled trials (RCT) of psychological interventions for adults with T2D reported in any language were included. The primary outcome was change in glycemic control (glycated hemoglobin (HbA1c) in mmol/mol). Data were extracted from study reports and authors were contacted for missing data.94 RCTs were eligible for inclusion in the systematic review since the last review. In 70 RCTs (n=14 796 participants) the pooled mean difference in HbA1c in those randomized to psychological intervention compared with control group was -0.19 (95% CI -0.25 to -0.12), equivalent to a reduction in HbA1c of 3.7 mmol/mol, with moderate heterogeneity across studies (I

Indexed as

Cognitive Behavioral TherapyDiabetes Mellitus, Type 2AdultGlycated HemoglobinGlycemic ControlHumansPsychosocial InterventionGlycated Hemoglobinmeta-analysispsychologyrandomized controlled trialtype 2 diabetes

Identifiers

PMID32273289
PMCPMC7254106

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.