Última actualización 16 de agosto de 2026
Key finding
The Diabetes Distress Scale demonstrated decreased distress overall.
This pilot study evaluated a culturally tailored cognitive behavioral therapy/motivational interviewing intervention for managing type 2 diabetes in African American adults, showing improvements in HbA1c and reduced distress and anxiety.
Quick read
The essential study design details in one scan.
EvidenceScore™
Moderate
Study type
RCTs
Follow-up
Medium-Term (3–12 mo)
Risk of bias
Some Concerns
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Plain-language summary
A plain-language read of the study’s main message and where it applies.
Study focus
This pilot study evaluated a culturally tailored cognitive behavioral therapy/motivational interviewing intervention for managing type 2 diabetes in African American adults, showing improvements in HbA1c and reduced distress and anxiety.
This study highlights the importance of culturally tailored interventions in managing chronic conditions like type 2 diabetes, particularly in underserved populations. By addressing the unique cultural and psychological needs of African American adults, healthcare providers can enhance treatment adherence and improve overall health outcomes, ultimately reducing health disparities.
Small sample size limits generalizability. Short duration may not capture long-term effects. Effectiveness remains unclear due to p-values near significance.
Published in
Publication details and source links for this paper.
Ronald MC, Vinita S, Ashley O, Robin EM, Ambar K. A culturally tailored cognitive behavioral therapy/motivational interviewing intervention for type 2 diabetes management in African American adults: a pilot study. Pilot and Feasibility Studies. 2022;8:107. doi:10.1186/s40814-022-01066-4
Mean HbA1c improved from 10.0% to 8.9%, indicating better blood sugar control (p=0.06).
Diabetes Distress Scale showed decreased distress overall (decrease of 0.51 scale points, p=0.02).
Generalized Anxiety Disorder Scale demonstrated decreased anxiety for all participants (decrease of 2.15 scale points, p=0.04).
Evidence network
Understand where this research contributes within the broader evidence network.
This study contributes evidence to Culturally tailored CBT/MI intervention and Change in generalized anxiety levels measured by GAD-7, Diabetes Distress Scale score, HbA1c.
This study contributes evidence to
Primary intervention
Culturally tailored CBT/MI intervention
Primary outcomes
Evidence topics
Primary intervention
Intervention and outcome relationships this study adds to the evidence network.
Editorial context
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Evidence network role
This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.
2
Related topics
3
Evidence pairs
643
Related studies
Evidence topic
Contributes evidence
Evidence topic
Contributes evidence
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Evidencia principal
Tema de evidencia
matched_outcome
Evidencia relacionada
Tema de evidencia
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Core evidence
The primary outcomes reported in this study.
Culturally tailored CBT/MI intervention → Change in generalized anxiety levels measured by GAD-7
Culturally tailored CBT/MI intervention → Change in generalized anxiety levels measured by GAD-7
Culturally tailored CBT/MI intervention → Diabetes Distress Scale score
Culturally tailored CBT/MI intervention → Diabetes Distress Scale score
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Relationships organized using the Dediabetes Evidence Intelligence™ framework.
This study contributes to evidence on Culturally tailored CBT/MI intervention and Diabetes Distress Measures, Culturally tailored CBT/MI intervention and Change in generalized anxiety levels measured by GAD-7.
This study contributes to the evidence on the following intervention-outcome relationships.
Behavioral & Lifestyle
Behavioral & Lifestyle
Curated evidence collections and hubs this study is part of.
All studies measuring Change in generalized anxiety levels measured by GAD-7
Measures Change in generalized anxiety levels measured by GAD-7 as a key outcome.
All studies on Culturally tailored CBT/MI intervention
Contributes to Culturally tailored CBT/MI intervention evidence base.
All studies measuring Diabetes Distress Measures
Measures Diabetes Distress Measures as a key outcome.
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1 results
1 results
1 results
1 results
1 results
Generated from the study's connected evidence using Evidence Intelligence™.
Culturally tailored CBT/MI intervention appears to improve change in generalized anxiety levels measured by gad-7.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Change in generalized anxiety levels measured by GAD-7
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
Culturally tailored CBT/MI intervention appears to improve diabetes distress scale score.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Diabetes Distress Scale score
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
Culturally tailored CBT/MI intervention appears to lower HbA1c.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
HbA1c
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
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