Evidence map›Paper›PMID 33632205›Full record

ArticleBMC health services research2021

Mental health and diabetes self-management: assessing stakeholder perspectives from health centers in Northern Mexico.

Benjamín Aceves, Manuel Ruiz, Maia Ingram, Catalina Denman, David O Garcia, Purnima Madhivanan, Cecilia Rosales

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02804698 (Tools And Practices To Decrease CVD And Complications In The Diabetic Population Of Mexico), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 33% 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.

NCT02804698 nacompletednot on this map

Tools And Practices To Decrease CVD And Complications In The Diabetic Population Of Mexico

TypeinterventionalSponsorUniversity of ArizonaRan2016 to 2020Enrolled518ConditionsDiabetes, Cardiovascular DiseaseArmsEducation intervention
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. 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 at 2 institutions in 3 countries.

Benjamín AcevesDepartment of Health Promotion Sciences, Mel and Enid Zuckerman College of Public Health, University of Arizona, 1295 N Martin, Tucson, AZ, 85724, USA. benjaminaceves@email.arizona.edu.ORCID http://orcid.org/0000-0003-1683-5195
Manuel RuizDivision of Public Health Practice and Translational Research, Mel and Enid Zuckerman College of Public Health, University of Arizona, Phoenix, AZ, USA.
Maia IngramDepartment of Health Promotion Sciences, Mel and Enid Zuckerman College of Public Health, University of Arizona, 1295 N Martin, Tucson, AZ, 85724, USA.
Catalina DenmanCenter for Health and Society Studies, El Colegio de Sonora, Hermosillo, Sonora, Mexico.
David O GarciaDepartment of Health Promotion Sciences, Mel and Enid Zuckerman College of Public Health, University of Arizona, 1295 N Martin, Tucson, AZ, 85724, USA.
Purnima MadhivananDepartment of Health Promotion Sciences, Mel and Enid Zuckerman College of Public Health, University of Arizona, 1295 N Martin, Tucson, AZ, 85724, USA.
Cecilia RosalesDivision of Public Health Practice and Translational Research, Mel and Enid Zuckerman College of Public Health, University of Arizona, Phoenix, AZ, USA.
University of Arizona · USEl Colegio de Sonora · MX

Funding

Tools and Practices to Decrease CVD and Complications in the Diabetic Population of MexicoR01HL125996 · NHLBI · UNIVERSITY OF ARIZONA · PI ROSALES, CECILIA BALLESTEROS · 2015 to 2019
$3.7M
NHLBI NIH HHS 5R01HL125996-03NHLBI NIH HHS R01 HL125996
6 · The paper itself

Abstract

backgroundPeople living with diabetes have an increased risk of developing mental health issues. Mexico has observed a high prevalence of people living with diabetes suffering from mental health issues, such as anxiety and depression. Self-management programs have demonstrated promise in helping participants address and prevent not only physiological health complications but mental health issues as well. This qualitative study aimed to understand the mental health benefits of a diabetes self-management intervention for health centers in Northern Mexico and opportunities for improvement through assessing stakeholder perspectives.

methodsTrained research staff used a semi-structured questionnaire guide to conduct all interviews and focus groups from February-May 2018. Individual interviews (n = 16) were conducted face-to-face at four health center sites among all health center directors and key staff located throughout the state of Sonora. One focus group (n = 41) was conducted at each of the four health centers among intervention participants. Directed content analysis was used to establish themes by understanding relationships, identifying similar experiences, and determining patterns across datasets.

resultsIn total 57 health center directors, health center staff, and intervention participants were involved in the interviews and focus groups across the four health centers. Overall the analysis identified four themes throughout the data, two were categorized as benefits and two as improvements. The primary themes for participant benefits were an increase in self-efficacy and social support to manage their chronic conditions. These were evident from not only participant perspectives, but health staff observations. Conversely, increased family involvement, and increased mental health integration and services within diabetes care were identified themes for opportunities to improve the intervention to be more inclusive and holistic.

conclusionAll stakeholders observed the benefits for intervention participants and opportunities for more inclusivity of the family and integration as well as an increase in mental health services. The themes identified demonstrated a need to more proactively enhance and utilize diabetes self-management as a means to improve mental health outcomes among people living with diabetes in Mexico. This is an opportunity to employ a more comprehensive approach to diabetes self-management, and integrate mental health services into overall diabetes care.

trial registrationwww.ClinicalTrials.gov, identifier: NCT02804698 . Registered on June 17, 2016.

Indexed as

Diabetes MellitusSelf-ManagementHumansMental HealthMexicoQualitative ResearchDiabetesHealth servicesMental healthMexico

Identifiers

PMID33632205
PMCPMC7905926
OpenAlexW3129490107

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.