Evidence map›Paper›PMID 40370006›Full record

ArticleThe science of diabetes self-management and care2025

Chronic Illness Self-Management Latent Profiles in Individuals With Comorbid Type 2 Diabetes and Hypertension.

Donghwan Lee, Qing Yang, Matthew J Crowley, Daniel Hatch, Gina Pennington, Doreen Matters, Ryan J Shaw

Abstract read
In one paragraph

Article in The science of diabetes self-management and care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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.

Donghwan LeeDuke University School of Nursing, Durham, North Carolina.ORCID 0000-0001-7801-7126
Qing YangDuke University School of Nursing, Durham, North Carolina.
Matthew J CrowleyDuke University School of Medicine, Durham, North Carolina.
Daniel HatchDuke University School of Nursing, Durham, North Carolina.
Gina PenningtonDuke University School of Nursing, Durham, North Carolina.
Doreen MattersDuke University School of Nursing, Durham, North Carolina.
Ryan J ShawDuke University School of Nursing, Durham, North Carolina.

Funding

Support for QA/QC for Prior Approval ProcessUL1TR002553 · NCATS · DUKE UNIVERSITY · PI LI, JENNIFER S, MCNAMARA, JAMES O. · 2018 to 2023
$58.5M
EXpanding Technology-Enabled, Nurse-Delivered Chronic Disease Care (EXTEND)R01NR019594 · NINR · DUKE UNIVERSITY · PI CROWLEY, MATTHEW J., SHAW, RYAN JEFFREY · 2021 to 2025
$3.4M
NCATS NIH HHS UL1 TR002553NINR NIH HHS R01 NR019594
6 · The paper itself

Abstract

PurposeThe purpose of the study was to identify chronic illness self-management latent profiles based on health literacy, disease knowledge, self-efficacy, disease distress, perceived self-care, and medication use among individuals with type 2 diabetes and hypertension.MethodsThis cross-sectional study utilized baseline data from 220 participants in the EXTEND trial. Latent profile analysis was employed to identify distinct chronic illness self-management profiles based on attributes such as health literacy, disease knowledge, self-efficacy, disease distress, perceived self-care, and medication use. Sociodemographic and clinical data were analyzed to explore associations with these profiles.ResultsThree profiles were identified: "high distress" (18.1%), characterized by high disease distress and a high medication use score, indicating greater inconsistency in medication-taking behaviors; "high health knowledge" (38.6%), with high health literacy and disease knowledge; and "high self-efficacy" (43.3%), exhibiting high self-efficacy and perceived self-care. Significant differences in A1C levels were observed across profiles, with the high distress group showing the highest A1C levels. Racial identity and socioeconomic factors were significantly associated with profile membership.DiscussionThis study underscores the complexity of chronic illness self-management in individuals with comorbid diabetes and hypertension. Tailored, multifaceted interventions addressing the unique challenges individuals face in managing their illnesses are crucial for improving clinical outcomes and promoting health equity.

Indexed as

Diabetes Mellitus, Type 2HypertensionSelf-ManagementAgedChronic DiseaseComorbidityCross-Sectional StudiesFemaleHealth Knowledge, Attitudes, PracticeHealth LiteracyHumansMaleMiddle AgedSelf CareSelf Efficacy

Identifiers

PMID40370006
PMCPMC12178176

What Socratic holds

Textmetadata
LicenceTDM
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.