Evidence map›Paper›PMID 21924576›Full record

Trial reportPatient education and counseling2012

Twelve-month outcomes of an Internet-based diabetes self-management support program.

Russell E Glasgow, Deanna Kurz, Diane King, Jennifer M Dickman, Andrew J Faber, Eve Halterman, Tim Woolley, Deborah J Toobert, Lisa A Strycker, Paul A Estabrooks and 2 more

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

Trial report in Patient education and counseling, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05571306 (Can Diabetes Distress be Reduced by Improving Entry to Care for People With Type 2 Diabetes Mellitus), which is not on this map. Cited by 101 papers, 28 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
101citing papers in PubMed, 28 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.

NCT05571306 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Can Diabetes Distress be Reduced by Improving Entry to Care for People With Type 2 Diabetes Mellitus: A Cluster-randomized Trial

TypeinterventionalSponsorUniversity of Southern DenmarkRan2022 to 2024Enrolled512ConditionsType 2 Diabetes, Diabetes DistressArmsfour core components care
3 · Its place in the literature

Who cites it

101 citing papers in PubMed, 28 syntheses or guidelines pooled it.

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  19. 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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41 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

12 authors.

Russell E GlasgowInstitute for Health Research, Kaiser Permanente Colorado, Denver, CO, USA. glasgowre@mail.nih.gov
Deanna Kurz
Diane King
Jennifer M Dickman
Andrew J Faber
Eve Halterman
Tim Woolley
Deborah J Toobert
Lisa A Strycker
Paul A Estabrooks
Diego Osuna
Debra Ritzwoller

Funding

MED OFFICE INTERVENTION TO IMPROVE DIABETES SELF-CARER01DK035524 · NIDDK · UNIVERSITY OF ALASKA ANCHORAGE · PI KING, DIANE K · 1986 to 2011
$4.0M
Linking Self-Management and Primary Care for DiabetesR37DK035524 · NIDDK · KAISER FOUNDATION RESEARCH INSTITUTE · PI GLASGOW, RUSSELL E · 2007 to 2009
$1.8M
NIDDK NIH HHS DK35524NIDDK NIH HHS R01 DK035524NIDDK NIH HHS R37 DK035524
6 · The paper itself

Abstract

objectiveInternet-based programs offer potential for practical, cost-effective chronic illness self-management programs.

methodsWe report 12-month results of an Internet-based diabetes self-management program, with and without additional support, compared to enhanced usual care in a 3-arm practical randomized trial. Patients (n=463) were randomized: 77.3% completed 12-month follow-up. Primary outcomes were changes in health behaviors of healthy eating, physical activity, and medication taking. Secondary outcomes were hemoglobin A1c, body mass index, lipids, blood pressure, and psychosocial factors.

resultsInternet conditions improved health behaviors significantly vs. usual care over the 12-month period (d for effect size=.09-.16). All conditions improved moderately on biological and psychosocial outcomes. Latinos, lower literacy, and higher cardiovascular disease risk patients improved as much as other participants.

conclusionsThe Internet intervention meets the reach and feasibility criteria for a potentially broad public health impact. However, 12-month magnitude of effects was small, suggesting that different or more intensive approaches are necessary to support long-term outcomes. Research is needed to understand the linkages between intervention and maintenance processes and downstream outcomes. PRACTICE IMPLICATIONS: Automated self-management interventions should be tailored and integrated into primary care; maintenance of patient self-management can be enhanced through links to community resources.

Indexed as

Health BehaviorInternetRisk Reduction BehaviorAdultBody Mass IndexColoradoDiabetes Mellitus, Type 2FemaleFollow-Up StudiesGlycated HemoglobinHispanic or LatinoHumansLife StyleMaleMiddle AgedPrimary Health CareGlycated Hemoglobin

Identifiers

PMID21924576
PMCPMC3253192

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.