Evidence map›Paper›PMID 19344195›Full record

Trial reportDiabetes technology & therapeutics2009

Web-based collaborative care for type 1 diabetes: a pilot randomized trial.

Kelly P McCarrier, James D Ralston, Irl B Hirsch, Ginny Lewis, Diane P Martin, Frederick J Zimmerman, Harold I Goldberg

Open access · greenAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Diabetes technology & therapeutics, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 12 pooled it
3.1field-weighted citation impact, top 8% 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.

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

52 citing papers in PubMed, 12 syntheses or guidelines pooled it, 122 citations in OpenAlex.

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  4. Adult patient access to electronic health records.The Cochrane database of systematic reviews · 2021
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  8. Effect of telemedicine on glycated hemoglobin in diabetes: a systematic review and meta-analysis of randomized trials.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2017
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  12. Patient access to medical records and healthcare outcomes: a systematic review.Journal of the American Medical Informatics Association : JAMIA
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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

7 authors at 3 institutions in 1 country.

Kelly P McCarrierDepartment of Health Services, University of Washington , Seattle, Washington 98195, USA. kpm25@u.washington.edu
James D Ralston
Irl B Hirsch
Ginny Lewis
Diane P Martin
Frederick J Zimmerman
Harold I Goldberg
University of Washington · USGroup Health Cooperative · USHarborview Medical Center · US

Funding

University of Washington Health Services Research Training ProgramT32HS013853 · AHRQ · UNIVERSITY OF WASHINGTON · PI WEINER, BRYAN J., WILLIAMS, EMILY CATERINA · 2003 to 2024
$6.9M
AHRQ HHS T32 HS013853
6 · The paper itself

Abstract

backgroundTo determine whether a Web-based diabetes case management program based in an electronic medical record can improve glycemic control (primary outcome) and diabetes-specific self-efficacy (secondary outcome) in adults with type 1 diabetes, a pilot randomized controlled trial was conducted.

methodsA 12-month randomized trial tested a Web-based case management program in a diabetes specialty clinic. Patients 21-49 years old with type 1 diabetes receiving multiple daily injections with insulin glargine and rapid-acting analogs who had a recent A1C >7.0% were eligible for inclusion. Participants were randomized to receive either (1) usual care plus the nurse-practitioner-aided Web-based case management program (intervention) or (2) usual clinic care alone (control). We compared patients in the two study arms for changes in A1C and self-efficacy measured with the Diabetes Empowerment Scale.

resultsA total of 77 patients were recruited from the diabetes clinic and enrolled in the trial. The mean baseline A1C among study participants was 8.0%. We observed a nonsignificant decrease in average A1C (-0.48; 95% confidence interval -1.22 to 0.27; P = 0.160) in the intervention group compared to the usual care group. The intervention group had a significant increase in diabetes-related self-efficacy compared to usual care (group difference of 0.30; 95% confidence interval 0.01 to 0.59; P = 0.04).

conclusionsUse of a Web-based case management program was associated with a beneficial treatment effect on self-efficacy, but change in glycemic control did not reach statistical significance in this trial of patients with moderately poorly controlled type 1 diabetes. Larger studies may be necessary to further clarify the intervention's impact on health outcomes.

Indexed as

InternetMedical Records Systems, ComputerizedSelf CareAdultBlood GlucoseDiabetes Mellitus, Type 1FemaleGlycated HemoglobinHomeostasisHumansHypoglycemic AgentsInsulinInsulin GlargineInsulin, Long-ActingMaleMedical RecordsBlood GlucoseGlycated HemoglobinHypoglycemic AgentsInsulinInsulin GlargineInsulin, Long-Acting

Identifiers

PMID19344195
PMCPMC2989842
OpenAlexW2135528691

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.