Evidence map›Paper›PMID 21403042›Full record

Trial reportArchives of internal medicine2011

Comparative effectiveness of goal setting in diabetes mellitus group clinics: randomized clinical trial.

Aanand D Naik, Nynikka Palmer, Nancy J Petersen, Richard L Street, Radha Rao, Maria Suarez-Almazor, Paul Haidet

Registry-linked trialOpen access · bronzeAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Archives of internal medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00481286 (Improving Outcomes for Multiple Morbidities Using Collaborative Group Clinics to Empower Older Patients), which is not on this map. Cited by 92 papers, 16 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
92citing papers in PubMed, 16 pooled it
11.3field-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.

NCT00481286 nacompletednot on this map

Improving Outcomes for Multiple Morbidities Using Collaborative Group Clinics to Empower Older Patients

TypeinterventionalSponsorBaylor College of MedicineRan2007 to 2009Enrolled129ConditionsDiabetes, HypertensionArmsImproving outcomes using group clinics for older patients, Standard of Care
3 · Its place in the literature

Who cites it

92 citing papers in PubMed, 16 syntheses or guidelines pooled it, 176 citations in OpenAlex.

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  6. American Association of Clinical Endocrinology Clinical Practice Guideline: Developing a Diabetes Mellitus Comprehensive Care Plan-2022 Update.Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists · 2022
    Guideline
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  16. Effectiveness of group medical visits for improving diabetes care: a systematic review and meta-analysis.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2013
    Pooled it
  17. Trial
  18. Testing the Impact of a Collaborative, Goal-Setting, and Behavioral Telehealth Intervention on Diabetes Distress: A Randomized Clinical Trial.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2022
    Trial
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32 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

7 authors at 4 institutions in 2 countries.

Aanand D NaikMichael E. De-Bakey VAMC (152), Houston Health Services Research and Development Center of Excellence, 2002 Holcombe, Houston, TX 77030, USA. anaik@bcm.edu
Nynikka Palmer
Nancy J Petersen
Richard L Street
Radha Rao
Maria Suarez-Almazor
Paul Haidet
Baylor College of Medicine · USGeneral Department of Preventive Medicine · VNHealth Services Research & Development · USWake Forest University · US

Funding

BEHAVIORAL SCIENCE EDUCATION--CANCER PREVENTION/CONTROLR25CA057712 · NCI · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI MULLEN, PATRICIA DOLAN · 1992 to 2017
$8.6M
Patient Awareness and Consumer Education Research Cente*U18HS016093 · AHRQ · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI SUAREZ-ALMAZOR, MARIA E · 2006 to 2010
$4.0M
Postdoctoral Training Program in Cancer SurvivorshipR25CA122061 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI AVIS, NANCY E · 2008 to 2018
$3.8M
Goal-Setting for Older Persons with Multiple Morbid ConditionsK23AG027144 · NIA · BAYLOR COLLEGE OF MEDICINE · PI NAIK, AANAND D. · 2006 to 2010
$681k
AHRQ HHS U18 HS016093AHRQ HHS U18HS016093NCI NIH HHS R25 CA057712NCI NIH HHS R25 CA122061NIA NIH HHS K23 AG027144NIA NIH HHS K23AG027144
6 · The paper itself

Abstract

backgroundDiabetes mellitus (DM) group clinics can effectively control hypertension, but data to support glycemic control are equivocal. This study evaluated the comparative effectiveness of 2 DM group clinic interventions on glycosylated hemoglobin (HbA(1c)) levels in primary care.

methodsEighty-seven participants were recruited from a DM registry of a single regional Veterans Affairs medical center to participate in an open, randomized comparative effectiveness study. Two primary care-based DM group interventions of 3 months' duration were compared. Empowering Patients in Care (EPIC) was a clinician-led, patient-centered group clinic consisting of 4 sessions on setting self-management action plans (diet, exercise, home monitoring, medications, etc) and communicating about progress with action plans. The comparison intervention consisted of group education sessions with a DM educator and dietician followed by an additional visit with one's primary care provider. Hemoglobin A(1c) levels were compared after intervention and at the 1-year follow-up.

resultsParticipants in the EPIC intervention had significantly greater improvements in HbA(1c) levels immediately following the active intervention (8.86%-8.04% vs 8.74%-8.70% of total hemoglobin; mean [SD] between-group difference 0.67% [1.3%]; P=.03), and these differences persisted at the 1 year follow-up (0.59% [1.4%], P=.05). A repeated-measures analysis using all study time points found a significant time-by-treatment interaction effect on HbA(1c) levels favoring the EPIC intervention (F(2,85)=3.55; P=.03). The effect of the time-by-treatment interaction seems to be partially mediated by DM self-efficacy (F(1,85)=10.39; P=.002).

conclusionPrimary care-based DM group clinics that include structured goal-setting approaches to self-management can significantly improve HbA(1c) levels after intervention and maintain improvements for 1 year. Trial Registration clinicaltrials.gov Identifier: NCT00481286.

Indexed as

Patient Care PlanningAgedDiabetes Mellitus, Type 2FemaleGlycated HemoglobinHumansHypoglycemic AgentsMaleMiddle AgedPrimary Health CareTreatment OutcomeGlycated Hemoglobinhemoglobin A1c protein, humanHypoglycemic Agents

Identifiers

PMID21403042
PMCPMC3132209
OpenAlexW2063557707

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.