Evidence map›Paper›PMID 18276664›Full record

Trial reportBMJ (Clinical research ed.)2008

Effectiveness of the diabetes education and self management for ongoing and newly diagnosed (DESMOND) programme for people with newly diagnosed type 2 diabetes: cluster randomised controlled trial.

M J Davies, S Heller, T C Skinner, M J Campbell, M E Carey, S Cradock, H M Dallosso, H Daly, Y Doherty, S Eaton and 6 more

Erratum issued Registry-linked trialOpen access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMJ (Clinical research ed.), 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT03711682 (Hypoglycemic Effect of Cinnamomum Verum in Type 2 Diabetic Patients in the Municipality of Comasagua), which is not on this map. Cited by 297 papers, 19 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
297citing papers in PubMed, 19 pooled it
24.4field-weighted citation impact, top 1% of its field
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.

NCT03711682 phase2 / phase3completednot on this mapstarted 2018, after this paper: background citation

Hypoglycemic Effect of Cinnamomum Verum in Type 2 Diabetic Patients in the Municipality of Comasagua

TypeinterventionalSponsorUniversidad Dr. José Matías DelgadoRan2018 to 2018Enrolled30ConditionsType 2 Diabetes MellitusArmsCinnamon, Wheat Flour
3 · Its place in the literature

Who cites it

297 citing papers in PubMed, 19 syntheses or guidelines pooled it, 760 citations in OpenAlex.

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  3. Effective Education Methods to Improve Glycemic Control in Type 2 Diabetes Mellitus Patients: A Systematic Review.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2025
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  19. A systematic review of research into black and ethnic minority patients' views on self-management of type 2 diabetes.Health expectations : an international journal of public participation in health care and health policy · 2015
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  20. Trial

237 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 8 institutions in 2 countries.

M J DaviesDepartment of Cardiovascular Sciences, University of Leicester, Leicester LE1 5WW. melanie.davies@uhl-tr.nhs.uk
S Heller
T C Skinner
M J Campbell
M E Carey
S Cradock
H M Dallosso
H Daly
Y Doherty
S Eaton
C Fox
L Oliver
K Rantell
G Rayman
K Khunti
Diabetes Education and Self Management for Ongoing and Newly Diagnosed Collaborative
Northumbria Healthcare NHS Foundation Trust · GBUniversity Hospitals of Leicester NHS Trust · GBUniversity of Sheffield · GBUniversity of Leicester · GBIpswich Hospital · GBNorthampton General Hospital · GBQueen Alexandra Hospital · GBUniversity of Wollongong · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the effectiveness of a structured group education programme on biomedical, psychosocial, and lifestyle measures in people with newly diagnosed type 2 diabetes.

designMulticentre cluster randomised controlled trial in primary care with randomisation at practice level.

setting207 general practices in 13 primary care sites in the United Kingdom.

participants824 adults (55% men, mean age 59.5 years).

interventionA structured group education programme for six hours delivered in the community by two trained healthcare professional educators compared with usual care.

main outcome measuresHaemoglobin A(1c) levels, blood pressure, weight, blood lipid levels, smoking status, physical activity, quality of life, beliefs about illness, depression, and emotional impact of diabetes at baseline and up to 12 months. MAIN

resultsHaemoglobin A(1c) levels at 12 months had decreased by 1.49% in the intervention group compared with 1.21% in the control group. After adjusting for baseline and cluster, the difference was not significant: 0.05% (95% confidence interval -0.10% to 0.20%). The intervention group showed a greater weight loss: -2.98 kg (95% confidence interval -3.54 to -2.41) compared with 1.86 kg (-2.44 to -1.28), P=0.027 at 12 months. The odds of not smoking were 3.56 (95% confidence interval 1.11 to 11.45), P=0.033 higher in the intervention group at 12 months. The intervention group showed significantly greater changes in illness belief scores (P=0.001); directions of change were positive indicating greater understanding of diabetes. The intervention group had a lower depression score at 12 months: mean difference was -0.50 (95% confidence interval -0.96 to -0.04); P=0.032. A positive association was found between change in perceived personal responsibility and weight loss at 12 months (beta=0.12; P=0.008).

conclusionA structured group education programme for patients with newly diagnosed type 2 diabetes resulted in greater improvements in weight loss and smoking cessation and positive improvements in beliefs about illness but no difference in haemoglobin A(1c) levels up to 12 months after diagnosis.

trial registrationCurrent Controlled Trials ISRCTN17844016 [controlled-trials.com].

Indexed as

Attitude to HealthBody WeightCluster AnalysisDiabetes Mellitus, Type 2Diabetic AngiopathiesFemaleGlycated HemoglobinHumansHypoglycemic AgentsLife StyleMaleMiddle AgedPatient Education as TopicRisk FactorsTreatment OutcomeGlycated HemoglobinHypoglycemic Agents

Identifiers

PMID18276664
PMCPMC2258400
OpenAlexW2136012322

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.