Evidence map›Paper›PMID 19092550›Full record

Trial reportNursing research

Translating the diabetes prevention program to primary care: a pilot study.

Robin Whittemore, Gail Melkus, Julie Wagner, James Dziura, Veronika Northrup, Margaret Grey

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Nursing research. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00886340 (A Lifestyle Change Program to Prevent Type 2 Diabetes), which is not on this map. Cited by 86 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
86citing papers in PubMed, 10 pooled it
–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.

NCT00886340 phase2completednot on this map

A Lifestyle Change Program to Prevent Type 2 Diabetes

TypeinterventionalSponsorNational Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)Ran2005 to 2008Enrolled58ConditionsPrediabetesArmsEnhanced standard care, Lifestyle counseling
3 · Its place in the literature

Who cites it

86 citing papers in PubMed, 10 syntheses or guidelines pooled it.

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  4. A systematic review of motivational interviewing for weight loss among adults in primary care.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2015
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  7. Effectiveness of physical activity and dietary interventions in South Asian populations: a systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2013
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  9. Nurse delivered lifestyle interventions in primary health care to treat chronic disease risk factors associated with obesity: a systematic review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2012
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26 more citing papers are in PubMed but not listed here.

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.

Robin WhittemoreYale School of Nursing, New Haven, Connecticut 06536-0740, USA. robin.whittemore@yale.edu
Gail Melkus
Julie Wagner
James Dziura
Veronika Northrup
Margaret Grey

Funding

YALE UNIVERSITY CLINICAL AND TRANSLATIONAL SCIENCE AWARD PROGRAMUL1RR024139 · NCRR · YALE UNIVERSITY · PI SHERWIN, ROBERT S · 2006 to 2011
$56.8M
A Lifestyle Change Program to Prevent Type 2 DiabetesR34DK070594 · NIDDK · YALE UNIVERSITY · PI WHITTEMORE, ROBIN G · 2005 to 2006
$485k
NCRR NIH HHS UL1 RR024139NIDDK NIH HHS R34 DK070594NIDDK NIH HHS R34DK070594
6 · The paper itself

Abstract

backgroundResearch on the translation of efficacious lifestyle change programs to prevent type 2 diabetes into community or clinical settings is needed.

objectiveThe objective of this study was to examine the reach, implementation, and efficacy of a 6-month lifestyle program implemented in primary care by nurse practitioners (NPs) for adults at risk of type 2 diabetes.

methodsThe NP sites (n = 4) were randomized to an enhanced standard care program (one NP and one nutrition session) or a lifestyle program (enhanced standard care and six NP sessions). These NPs recruited adults at risk of diabetes from their practice (n = 58), with an acceptance rate of 70%.

resultsThe program reached a diverse, obese, and moderately low income sample. The NPs were able to successfully implement the protocols. The average length of the program was 9.3 months. Attendance was high (98%), and attrition was low (12%). The NPs were able to adopt the educational, behavioral, and psychosocial strategies of the intervention easily. Motivational interviewing was more difficult for NPs. Mixed-model repeated-measures analysis indicated significant trends or improvement in both groups for nutrition and exercise behavior. Participants of the lifestyle program demonstrated trends for better high-density lipoprotein (HDL) and exercise behavior compared with the enhanced standard care participants. Twenty-five percent of lifestyle participants met treatment goals of 5% weight loss compared with 11% of standard care participants. DISCUSSION: A lifestyle program can be implemented in primary care by NPs, reach the targeted population, and be modestly successful. Further research is indicated.

Indexed as

Life StyleAdultDiabetes Mellitus, Type 2FemaleHumansHypercholesterolemiaHypertensionMaleMiddle AgedNew EnglandNurse PractitionersNursing Evaluation ResearchNutritional SciencesObesityPatient Education as TopicPatient Satisfaction

Identifiers

PMID19092550
PMCPMC2689783

What OpenQuestion holds

Textmetadata
LicenceTDM
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.