Evidence mapPaperPMID 41424192Full record

Observational studyJournal of clinical nursing2026

Dyadic Patterns of Patient and Caregiver Engagement in Type 2 Diabetes Mellitus Care: A Multicenter Observational Study.

Diletta Fabrizi, Paola Rebora, Maria Grazia Valsecchi, Stefania Di Mauro, Michela Luciani, Davide Ausili

Abstract readObservational StudyMulticenter Study
In one paragraph

Observational study in Journal of clinical nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

6 authors.

Diletta FabriziSchool of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy.ORCID 0000-0002-5152-8804
Paola ReboraBicocca Center of Bioinformatics, Biostatistics and Bioimaging (B4 Centre), School of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy.
Maria Grazia ValsecchiBicocca Center of Bioinformatics, Biostatistics and Bioimaging (B4 Centre), School of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy.
Stefania Di MauroSchool of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy.
Michela LucianiSchool of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy.
Davide AusiliSchool of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo identify patterns of dyadic engagement in type 2 diabetes care, describe their characteristics, and explore their association with glycated haemoglobin.

backgroundIn chronic conditions, patient self-care and caregiver contribution should be considered a dyadic phenomenon. However, patterns of dyadic engagement in type 2 diabetes care have not yet been identified.

designMulticentre observational cross-sectional study.

methodsPatient self-care and caregiver contribution were assessed using the Self-Care of Diabetes Inventory and the Caregiver Contribution to Self-Care of Diabetes Inventory. Patterns of dyadic engagement in type 2 diabetes care were identified by latent class analysis. Associations between patient-caregiver characteristics and class membership were estimated using multinomial regression. The association between classes and glycated haemoglobin levels was assessed using linear regression.

results251 dyads of patients with type 2 diabetes and their primary informal caregivers were enrolled. Patients were mostly male (55%, median age 72) and caregivers mostly female (71%, median age 64). Three patterns of dyadic engagement were identified: 'equally engaged-low care' (14%), 'mostly patient engaged-middling care' (25%), and 'equally engaged-high care' (61%). Patient characteristics (sex, education, self-efficacy) and caregiver characteristics (burden, chronic diseases) were associated with pattern membership. Membership in the 'mostly patient engaged-middling care' and 'equally engaged-high care' patterns was associated with decreased glycated haemoglobin compared to 'equally engaged-low care'.

conclusionThe three identified patterns of dyadic engagement in type 2 diabetes showed differences in patient and caregiver characteristics and were associated with glycated haemoglobin. IMPACT: The study identified and described patterns of dyadic engagement in type 2 diabetes care. The three identified patterns showed differences in characteristics and in patient glycemic control. Healthcare professionals should consider these patterns for tailoring interventions focused on both dyad members. REPORTING

methodSTROBE checklist was followed. PATIENT CONTRIBUTION: Patients and their informal caregivers were recruited to participate in the study.

Indexed as

CaregiversDiabetes Mellitus, Type 2Self CareAgedCross-Sectional StudiesFemaleGlycated HemoglobinHumansMaleMiddle AgedGlycated Hemoglobincaregiverchronic illnessglycated haemoglobinlatent class analysisself caretype 2 diabetes mellitus

Identifiers

PMID41424192
PMCPMC13068177

What Socratic holds

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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.