Evidence map›Paper›PMID 21542913›Full record

Trial reportTrials2011

The Reversal Intervention for Metabolic Syndrome (TRIMS) study: rationale, design, and baseline data.

Alison J Dunkley, Melanie J Davies, Margaret A Stone, Nicholas A Taub, Jacqui Troughton, Thomas Yates, Kamlesh Khunti

Registry-linked trialFull text readRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01043770 (A Randomised Controlled Trial to Investigate the Effects of a Structured Self-management Education Programme for People With Metabolic Syndrome), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 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.

NCT01043770 nacompletednot on this map

A Randomised Controlled Trial to Investigate the Effects of a Structured Self-management Education Programme for People With Metabolic Syndrome

TypeinterventionalSponsorUniversity of LeicesterRan2009 to 2011Enrolled82ConditionsMetabolic SyndromeArmsGroup lifestyle education
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. Metabolic syndrome in South Asians.Indian journal of endocrinology and metabolism · 2012
    Article
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.

Alison J DunkleyDepartment of Health Sciences, University of Leicester, Leicester, UK. ajd38@le.ac.uk
Melanie J Davies
Margaret A Stone
Nicholas A Taub
Jacqui Troughton
Thomas Yates
Kamlesh Khunti

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecent attention has focused on strategies to combat the forecast epidemic of type-2 diabetes (T2DM) and its major vascular sequelae. Metabolic syndrome (MetS) comprises a constellation of factors that increase the risk of cardiovascular disease (CVD) and T2DM. Our study aims to develop a structured self-management education programme for people with MetS, which includes management of cardiovascular and diabetes risk factors, and to determine its impact. This paper describes the rationale and design of the TRIMS study, including intervention development, and presents baseline data.

methodsSubjects recruited from a mixed-ethnic population with MetS were randomised to intervention or control arms. The intervention arm received structured group education based on robust psychological theories and current evidence. The control group received routine care. Follow-up data will be collected at 6 and 12 months. The primary outcome measure will be reversal of metabolic syndrome in the intervention group subjects compared to controls at 12 months follow-up.

results82 participants (44% male, 22% South Asian) were recruited between November 2009 and July 2010. Baseline characteristics were similar for both the intervention (n = 42) and control groups (n = 40). Median age was 63 years (IQR 57 - 67), mean waist size 106 cm (SD ± 11), and prescribing of statins and anti-hypertensives was 51% in each case.

conclusionResults will provide information on changes in diabetes and CVD risk factors and help to inform primary prevention strategies in people with MetS from varied ethnic backgrounds who are at high risk of developing T2DM and CVD. Information gathered in relation to the programme's acceptability and effectiveness in a multi-ethnic population would ensure that our results are widely applicable.

trial registrationThe study is registered at ClinicalTrials.gov, study identifier: NCT01043770.

Indexed as

Health Knowledge, Attitudes, PracticePatient Education as TopicResearch DesignRisk Reduction BehaviorSelf CareAgedAntihypertensive AgentsAsian PeopleCardiovascular DiseasesDiabetes Mellitus, Type 2DyslipidemiasEnglandFemaleHumansHydroxymethylglutaryl-CoA Reductase InhibitorsHypertensionAntihypertensive AgentsHydroxymethylglutaryl-CoA Reductase Inhibitors

Identifiers

PMID21542913
PMCPMC3113982

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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.