Evidence map›Paper›PMID 34903389›Full record

ArticlePatient education and counseling2022

Using path analysis to model the process of change in HbA1c among African Americans and Latinos in a community health worker diabetes intervention.

Alana M W LeBrón, Nicolaus R Espitia, Edith C Kieffer, Brandy R Sinco, Jaclynn M Hawkins, Emily J Nicklett, Gloria Palmisano, Michele Heisler, Michael S Spencer

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Patient education and counseling, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 30% 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.

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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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

9 authors at 5 institutions in 1 country.

Alana M W LeBrónDepartment of Health, Society, and Behavior, University of California, Irvine, Irvine, CA, USA; Department of Chicano/Latino Studies, University of California, Irvine, Irvine, CA, USA. Electronic address: alebron@uci.edu.
Nicolaus R EspitiaSchool of Social Work, University of Michigan, Ann Arbor, MI, USA.
Edith C KiefferSchool of Social Work, University of Michigan, Ann Arbor, MI, USA.
Brandy R SincoSchool of Medicine, University of Michigan, Ann Arbor, MI, USA.
Jaclynn M HawkinsSchool of Social Work, University of Michigan, Ann Arbor, MI, USA.
Emily J NicklettDepartment of Social Work, University of Texas San Antonio, San Antonio, TX, USA.
Gloria PalmisanoCommunity Health and Social Services Inc. (CHASS), Detroit, MI, USA.
Michele HeislerSchool of Medicine, University of Michigan, Ann Arbor, MI, USA; Department of Health Education and Behavior, University of Michigan, Ann Arbor, MI, USA; Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, MI, USA.
Michael S SpencerSchool of Social Work, University of Washington, Seattle, WA, USA.
University of Michigan–Ann Arbor · USHealth Services Center · USThe University of Texas at San Antonio · USUniversity of California, Irvine · USUniversity of Washington · US

Funding

Pilot and Feasibility ProgramP30DK092926 · UNIVERSITY OF MICHIGAN AT ANN ARBOR · 2025 to 2025
$779k
NIDDK NIH HHS P30 DK092926NIDDK NIH HHS R18 DK078558NIMHD NIH HHS L60 MD000807
6 · The paper itself

Abstract

objectiveTo examine which components of a culturally tailored community health worker (CHW) intervention improved glycemic control and intermediate outcomes among Latina/o and African American participants with diabetes.

methodsThe sample included 326 African American and Latina/o adults with type 2 diabetes in Detroit, MI. CHWs provided interactive group diabetes self-management classes and home visits, and accompanied clients to a clinic visit during the 6-month intervention period. We used path analysis to model the processes by which each intervention component affected change in diabetes self-efficacy, diabetes-related distress, knowledge of diabetes management, and HbA1c.

resultsThe group-based healthy lifestyle component was significantly associated with improved knowledge. The group-based self-management section was significantly associated with reduced diabetes-related distress. Intervention class attendance was positively associated with self-efficacy. Diabetes self-management mediated the reductions in HbA1c associated with reductions in diabetes distress.

conclusionsPath analysis allowed each potential pathway of change in the intervention to be simultaneously analyzed to identify which aspects of the CHW intervention contributed to changes in diabetes-related behaviors and outcomes among African Americans and Latinas/os. PRACTICE IMPLICATIONS: Findings reinforce the importance of interactive group sessions in efforts to improve diabetes management and outcomes among Latina/o and African American adults with diabetes.

Indexed as

Community Health WorkersDiabetes Mellitus, Type 2AdultBlack or African AmericanGlycated HemoglobinHispanic or LatinoHumansSelf CareGlycated Hemoglobin

Identifiers

PMID34903389
PMCPMC12344738
OpenAlexW3216300073

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.