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Record W4411627177 · doi:10.1016/j.diabres.2025.112343

Impact of cardiovascular risk visualization on motivation to self-manage young-onset type 2 diabetes

2025· article· en· W4411627177 on OpenAlexafffund
M Abraha, Joyeuse Senga, Michael Vallis, Lorraine L. Lipscombe, Catherine Yu, Ian Zenlea, Jennifer Xiao, Cheryl Barnet, Tara Galitz, Savita Bajja, Keddone Dias, Sundeep Banwatt, Amish Parikh, Terence Tang, Baiju R. Shah, Jing Yi Xie, Nuzha Hafleen, Calvin Ke

Bibliographic record

VenueDiabetes Research and Clinical Practice · 2025
Typearticle
Languageen
FieldMedicine
TopicDiabetes Management and Education
Canadian institutionsSunnybrook Health Science CentreDuPont (Canada)Research CanadaTrillium Health CentrePublic Health OntarioLakeshore General HospitalUniversity of TorontoDalhousie UniversityMcMaster UniversityToronto General HospitalUniversity Health NetworkWomen's College Hospital
FundersNovo NordiskUniversity of TorontoDiabetes CanadaCanadian Society of Endocrinology and MetabolismAmerican Diabetes Association
KeywordsMedicineType 2 diabetesDiabetes mellitusVisualizationInternal medicineEndocrinologyData mining

Abstract

fetched live from OpenAlex

AIMS: To investigate the accessibility, credibility, emotional responses, and impacts of cardiovascular risk visualizations in motivating self-management of young-onset type 2 diabetes (YOD). METHODS: We conducted a mixed-methods study among adults with YOD (age at diagnosis < 40 years, disease duration < 10 years) in Ontario, Canada. We created 6 visualizations (5-year risk: linear scale, icon array, bar graph; lifetime risk: bar graph, icon array; cardiovascular age). We measured numeracy, graph literacy, accessibility, credibility, and emotional responses. We used linear regression to measure associations among these variables. We conducted semi-structured interviews to explore impacts on motivation. RESULTS: We included 31 participants (54.8% women, mean age 37.5 years). The lifetime risk bar graph and icon array received the highest accessibility (P = 0.008), similarly high credibility (P = 0.1), the highest negative emotion (P = 0.004), and similar positive emotion (P = 0.6) scores compared to the other visualizations. The lifetime risk visualizations evoked feelings of urgency or fear, which strongly enhanced motivation. Only the lifetime risk bar graph had high accessibility and credibility scores across all levels of numeracy and graph literacy. Graph literacy was negatively associated with positive emotion. CONCLUSIONS: Lifetime risk visualizations, especially bar graphs, are more accessible and emotionally evocative in potentially motivating self-management of YOD than other visualizations.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.014
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.007
Threshold uncertainty score0.022

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0010.014
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.001
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0010.001
Open science0.0000.001
Research integrity0.0010.001
Insufficient payload (model declined to judge)0.0070.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.064
GPT teacher head0.484
Teacher spread0.420 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

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Citations0
Published2025
Admission routes2
Has abstractno

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