Evidence map›Paper›PMID 17762000›Full record

Trial reportBMJ (Clinical research ed.)2007

Patients' experiences of screening for type 2 diabetes: prospective qualitative study embedded in the ADDITION (Cambridge) randomised controlled trial.

Helen Eborall, Richard Davies, Ann-Louise Kinmonth, Simon Griffin, Julia Lawton

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMJ (Clinical research ed.), 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing 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

27 citing papers in PubMed.

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  11. Nutrients · 2019
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Helen EborallGeneral Practice and Primary Care Research Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge CB2 0SR. hce21@medschl.cam.ac.uk
Richard Davies
Ann-Louise Kinmonth
Simon Griffin
Julia Lawton

Funding

Medical Research Council G0001164Medical Research Council MC_U106179474Wellcome Trust G0000753
6 · The paper itself

Abstract

objectivesTo provide insight into factors that contribute to the anxiety reported in a quantitative study of the psychological effect of screening for type 2 diabetes. To explore expectations of and reactions to the screening experience of patients with positive, negative, and intermediate results.

designProspective qualitative interview study of patients attending a screening programme for type 2 diabetes.

settingSeven general practices in the ADDITION (Cambridge) trial in the east of England.

participants23 participants (aged 50-69) attending different stages in the screening process.

resultsParticipants' perceptions changed as they progressed through the screening programme; the stepwise process seemed to help them adjust psychologically. The first screening test was typically considered unimportant and was attended with no thought about its implications. By the final diagnostic test, type 2 diabetes was considered a strong possibility, albeit a "mild" form. After diagnosis, people with screen detected type 2 diabetes tended to downplay its importance and talked confidently about their plans to control it. Participants with intermediate results seemed uncertain about their diagnosis, and those who screened negative were largely unaware of their remaining high risk.

conclusionsThis study helps in understanding the limited psychological impact of screening for type 2 diabetes quantified previously, in particular by the quantitative substudy of ADDITION (Cambridge). The findings have implications for implementing such a screening programme in terms of timing and content.

Indexed as

Attitude to HealthAdultAgedDiabetes Mellitus, Type 2FemaleHumansMaleMass ScreeningMiddle AgedProspective Studies

Identifiers

PMID17762000
PMCPMC1971165

What OpenQuestion 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 OpenQuestion graph.