Trial reportInternational journal for quality in health care : journal of the International Society for Quality in Health Care2011
A web-based diabetes intervention for physician: a cluster-randomized effectiveness trial.
Trial report in International journal for quality in health care : journal of the International Society for Quality in Health Care, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 9 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
18 citing papers in PubMed, 9 syntheses or guidelines pooled it, 38 citations in OpenAlex.
- Audit and feedback: effects on professional practice.The Cochrane database of systematic reviews · 2025Pooled it
- Quality improvement strategies for diabetes care: Effects on outcomes for adults living with diabetes.The Cochrane database of systematic reviews · 2023Pooled it
- Systematic review and narrative synthesis of computerized audit and feedback systems in healthcare.Journal of the American Medical Informatics Association : JAMIA · 2022Pooled it
- Health professions digital education on clinical practice guidelines: a systematic review by Digital Health Education collaboration.BMC medicine · 2019Pooled it
- Online Digital Education for Postregistration Training of Medical Doctors: Systematic Review by the Digital Health Education Collaboration.Journal of medical Internet research · 2019Pooled it
- Digital Health Professions Education on Diabetes Management: Systematic Review by the Digital Health Education Collaboration.Journal of medical Internet research · 2019Pooled it
- Reporting non-adherence in cluster randomised trials: A systematic review.Clinical trials (London, England) · 2018Pooled it
- E-learning for health professionals.The Cochrane database of systematic reviews · 2018Pooled it
- Context, mechanisms and outcomes of integrated care for diabetes mellitus type 2: a systematic review.BMC health services research · 2016Pooled it
- Implementation strategies for evidence-based healthcare interventions in rural and remote settings: a scoping review.The Lancet regional health. Western Pacific · 2026Review
- Sustainability, spread, and scale in trials using audit and feedback: a theory-informed, secondary analysis of a systematic review.Implementation science : IS · 2023Article
- The design and rationale of a multicenter real-world trial: The Southeastern Collaboration to Improve Blood Pressure Control in the US Black Belt - Addressing the Triple Threat.Contemporary clinical trials · 2023Article
- Recruitment and retention of primary care practices in the Southeastern Collaboration to Improve Blood Pressure Control.Contemporary clinical trials communications · 2023Article
- Patterns for Patient Engagement with the Hypertension Management and Effects of Electronic Health Care Provider Follow-up on These Patterns: Cluster Analysis.Journal of medical Internet research · 2021Article
- Leveraging Providers' Preferences to Customize Instructional Content in Information and Communications Technology-Based Training Interventions: Retrospective Analysis of a Mobile Phone-Based Intervention in India.JMIR mHealth and uHealth · 2020Article
- A meta-synthesis of behavioral outcomes from telemedicine clinical trials for type 2 diabetes and the Clinical User-Experience Evaluation (CUE).Journal of medical systems · 2015Article
- Quality of diabetes mellitus care by rural primary care physicians.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2012Article
- Medication intensification in diabetes in rural primary care: a cluster-randomised effectiveness trial.BMJ open · 2012Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 6 institutions in 2 countries.
Funding
Abstract
objectiveTo determine the effectiveness of a provider-based education and implementation intervention for improving diabetes control.
designCluster-randomized trial with baseline and follow-up cross sections of diabetes patients in each participating physician's practice.
settingEleven US Southeastern states, 2006-08.
participantsTwo hundred and five rural primary care physicians.
interventionMulti-component interactive intervention including Web-based continuing medical education, performance feedback and quality improvement tools. Primary Outcome Measures 'Acceptable control' [hemoglobin A1c ≤9%, blood pressure (BP) <140/90 mmHg, low-density lipoprotein cholesterol (LDL) <130 mg/dl] and 'optimal control' (A1c <7%, BP <130/80 mmHg, LDL <100 mg/dl).
resultsOf 364 physicians attempting to register, 205 were randomized to the intervention (n= 102) or control arms (n= 103). Baseline and follow-up data were provided by 95 physicians (2127 patients). The proportion of patients with A1c ≤9% was similar at baseline and follow-up in both the control [adjusted odds ratio (AOR): 0.94; 95% confidence interval (CI): 0.61, 1.47] and intervention arms [AOR: 1.16 (95% CI: 0.80, 1.69)]; BP <140/90 mmHg and LDL <130 mg/dl were also similar at both measurement points (P= 0.66, P= 0.46; respectively). We observed no significant effect on diabetes control attributable to the intervention for any of the primary outcome measures. Intervention physicians engaged with the Website over a median of 64.7 weeks [interquartile range (IQR): 45.4-81.8) for a median total of 37 min (IQR: 16-66).
conclusionsA wide-reach, low-intensity, Web-based interactive multi-component intervention did not improve control of glucose, BP or lipids for patients with diabetes of physicians practicing in the rural Southeastern US.
Indexed as
Identifiers
What OpenQuestion holds
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.