Evidence map›Paper›PMID 22539172›Full record

Trial reportBMJ (Clinical research ed.)2012

Effectiveness of a diabetes education and self management programme (DESMOND) for people with newly diagnosed type 2 diabetes mellitus: three year follow-up of a cluster randomised controlled trial in primary care.

Kamlesh Khunti, Laura J Gray, Timothy Skinner, Marian E Carey, Kathryn Realf, Helen Dallosso, Harriet Fisher, Michael Campbell, Simon Heller, Melanie J Davies

Registry-linked trialOpen access · hybridAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMJ (Clinical research ed.), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03453970 (Effectiveness of a Diabetes Education Program Based on Tailored Interventions in the Andalusian Public Health and Social System), which is not on this map. Cited by 123 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
123citing papers in PubMed, 10 pooled it
27.8field-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.

NCT03453970 nacompletednot on this mapstarted 2018, after this paper: background citation

Effectiveness of a Diabetes Education Program Based on Tailored Interventions in the Andalusian Public Health and Social System (Edep-Ti Study).

TypeinterventionalSponsorUniversity of MalagaRan2018 to 2021Enrolled410ConditionsDiabetes Mellitus, Type 2ArmsTherapeutic Education Program
3 · Its place in the literature

Who cites it

123 citing papers in PubMed, 10 syntheses or guidelines pooled it, 461 citations in OpenAlex.

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  9. Barriers to effective management of type 2 diabetes in primary care: qualitative systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2016
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63 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 2 countries.

Kamlesh KhuntiDepartment of Health Sciences, University of Leicester, Leicester LE1 6TP, UK. kk22@le.ac.uk
Laura J Gray
Timothy Skinner
Marian E Carey
Kathryn Realf
Helen Dallosso
Harriet Fisher
Michael Campbell
Simon Heller
Melanie J Davies
University of Leicester · GBUniversity Hospitals of Leicester NHS Trust · GBUniversity of Sheffield · GBUniversity of Tasmania · AU

Funding

Department of Health RP-DG-1210-10183Department of Health RP-PG-0606-1272
6 · The paper itself

Abstract

objectiveTo measure whether the benefits of a single education and self management structured programme for people with newly diagnosed type 2 diabetes mellitus are sustained at three years.

designThree year follow-up of a multicentre cluster randomised controlled trial in primary care, with randomisation at practice level.

setting207 general practices in 13 primary care sites in the United Kingdom.

participants731 of the 824 participants included in the original trial were eligible for follow-up. Biomedical data were collected on 604 (82.6%) and questionnaire data on 513 (70.1%) participants.

interventionA structured group education programme for six hours delivered in the community by two trained healthcare professional educators compared with usual care.

main outcome measuresThe primary outcome was glycated haemoglobin (HbA(1c)) levels. The secondary outcomes were blood pressure, weight, blood lipid levels, smoking status, physical activity, quality of life, beliefs about illness, depression, emotional impact of diabetes, and drug use at three years.

resultsHbA(1c) levels at three years had decreased in both groups. After adjusting for baseline and cluster the difference was not significant (difference -0.02, 95% confidence interval -0.22 to 0.17). The groups did not differ for the other biomedical and lifestyle outcomes and drug use. The significant benefits in the intervention group across four out of five health beliefs seen at 12 months were sustained at three years (P<0.01). Depression scores and quality of life did not differ at three years.

conclusionA single programme for people with newly diagnosed type 2 diabetes mellitus showed no difference in biomedical or lifestyle outcomes at three years although there were sustained improvements in some illness beliefs.

trial registrationCurrent Controlled Trials ISRCTN17844016.

Indexed as

Diabetes Mellitus, Type 2Patient Education as TopicPrimary Health CareAdultAge of OnsetDelivery of Health CareFemaleFollow-Up StudiesGlycated HemoglobinHealth PersonnelHumansMaleMonitoring, PhysiologicOutcome Assessment, Health CarePatient ParticipationProgram EvaluationGlycated Hemoglobin

Identifiers

PMID22539172
PMCPMC3339877
OpenAlexW2065702189

What OpenQuestion holds

Textmetadata
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.