Evidence mapPaperPMID 38340345Full record

Trial reportTranslational behavioral medicine2024

Randomized trial of an integrated care intervention among Latino adults: Sustained effects on diabetes management.

Carlos E Rosas, Gregory A Talavera, Scott C Roesch, Heidy Mendez-Rodriguez, Fatima Muñoz, Sheila F Castañeda, Paulina M Mendoza, Linda C Gallo

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Translational behavioral medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

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. Review
  2. Review
  3. Review
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

8 authors.

Carlos E RosasSouth Bay Latino Research Center, Chula Vista, CA, USA.ORCID 0000-0003-1468-5242
Gregory A TalaveraSouth Bay Latino Research Center, Chula Vista, CA, USA.ORCID 0000-0001-5360-1107
Scott C RoeschDepartment of Psychology, San Diego State University, San Diego, CA, USA.
Heidy Mendez-RodriguezSouth Bay Latino Research Center, Chula Vista, CA, USA.
Fatima MuñozDepartment of Research, San Ysidro Health, San Diego, CA, USA.
Sheila F CastañedaSouth Bay Latino Research Center, Chula Vista, CA, USA.ORCID 0000-0003-2856-7685
Paulina M MendozaSouth Bay Latino Research Center, Chula Vista, CA, USA.
Linda C GalloSouth Bay Latino Research Center, Chula Vista, CA, USA.ORCID 0000-0002-3678-5888

Funding

New York Regional Center for Diabetes Translation ResearchP30DK111022 · ALBERT EINSTEIN COLLEGE OF MEDICINE · 2025 to 2025
$810k
UCSD Integrated Cardiovascular Epidemiology FellowshipT32HL079891 · UNIVERSITY OF CALIFORNIA, SAN DIEGO · 2025 to 2025
$390k
NCATS NIH HHS 5 U54 TR002550NCATS NIH HHS UL1 TR002550NHLBI NIH HHS T32 HL079891NHLBI NIH HHS T32HL079891NIA NIH HHS 5T32AG058529-04NIA NIH HHS T32 AG058529NIDDK NIH HHS P30 DK111022NIH HHSNINR NIH HHS
6 · The paper itself

Abstract

We examined the 12-month maintenance effects of a previously successful integrated model of diabetes care at improving glycemic management and psychological well-being among Latino adults with type 2 diabetes (T2D). A randomized controlled trial (2015-19) compared an integrated care intervention (ICI) with usual care among 456 adults with T2D. The ICI included integrated medical and behavioral care and health education over 6 months. Assessments were completed at baseline, 3, 6, 9, and 12 months. Most participants were female (63.7%) with a mean age of 55.7 years. In multilevel models, significant Group × Time (quadratic) interaction effects were found for HbA1c [Bint = 0.10, 95% confidence interval (CI) 0.02, 0.17, P < .01] and anxiety symptoms (Bint = 0.20, 95% CI 0.05, 0.35, P < .009), but not depression symptoms (Bint = 0.15, 95% CI -0.01, 0.31, P < .07). Analyses of instantaneous rate of change in the ICI group showed significant decreases at 3 and 6 months for both HbAc1 (B = -0.31 at 3 months; B = -0.12 at 6 months) and anxiety symptoms (B = -0.92 at 3 months; B = -0.46 at 6 months), and no significant instantaneous changes at 9 or 12 months, suggesting that initial improvements were largely maintained. The usual care group showed a small decrease in anxiety symptoms at 6 months (B = -0.17), but no other significant changes at any time-point for anxiety or HbA1c (all Ps > .05). This culturally tailored integrated care model shows potential in producing and sustaining positive effects on clinical and psychological outcomes above standard care.

Indexed as

AnxietyDelivery of Health Care, IntegratedDiabetes Mellitus, Type 2Glycated HemoglobinHispanic or LatinoDepressionFemaleHumansMaleMiddle AgedGlycated HemoglobinHispanic/Latinointegrated caremental health symptomsprimary caretype 2 diabetes

Identifiers

PMID38340345
PMCPMC11056888

What Socratic holds

Textmetadata
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Registered trials

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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.