Evidence map›Paper›PMID 22974080›Full record

Trial reportTrials2012

Will Mobile Diabetes Education Teams (MDETs) in primary care improve patient care processes and health outcomes? Study protocol for a randomized controlled trial.

Enza Gucciardi, Mariella Fortugno, Stacey Horodezny, Wendy Lou, Souraya Sidani, Sherry Espin, Fiona Webster, Baiju R Shah

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01553266 (Mobile Diabetes Education Teams in Primary Care), which is not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing 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.

NCT01553266 completednot on this map

Mobile Diabetes Education Teams in Primary Care

TypeobservationalSponsorToronto Metropolitan UniversityRan2012 to 2017Enrolled900ConditionsDiabetes MellitusArmsMobile Diabetes Education Teams intervention
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. 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

8 authors.

Enza GucciardiRyerson University, School of Nutrition, 350 Victoria Street, Toronto, ON M5B 2 K3, Canada. egucciar@ryerson.ca
Mariella Fortugno
Stacey Horodezny
Wendy Lou
Souraya Sidani
Sherry Espin
Fiona Webster
Baiju R Shah

Funding

Canadian Institutes of Health Research
6 · The paper itself

Abstract

backgroundThere is evidence to suggest that delivery of diabetes self-management support by diabetes educators in primary care may improve patient care processes and patient clinical outcomes; however, the evaluation of such a model in primary care is nonexistent in Canada. This article describes the design for the evaluation of the implementation of Mobile Diabetes Education Teams (MDETs) in primary care settings in Canada. METHODS/

designThis study will use a non-blinded, cluster-randomized controlled trial stepped wedge design to evaluate the Mobile Diabetes Education Teams' intervention in improving patient clinical and care process outcomes. A total of 1,200 patient charts at participating primary care sites will be reviewed for data extraction. Eligible patients will be those aged ≥18, who have type 2 diabetes and a hemoglobin A1c (HbA1c) of ≥8%. Clusters (that is, primary care sites) will be randomized to the intervention and control group using a block randomization procedure within practice size as the blocking factor. A stepped wedge design will be used to sequentially roll out the intervention so that all clusters eventually receive the intervention. The time at which each cluster begins the intervention is randomized to one of the four roll out periods (0, 6, 12, and 18 months). Clusters that are randomized into the intervention later will act as the control for those receiving the intervention earlier. The primary outcome measure will be the difference in the proportion of patients who achieve the recommended HbA1c target of ≤7% between intervention and control groups. Qualitative work (in-depth interviews with primary care physicians, MDET educators and patients; and MDET educators' field notes and debriefing sessions) will be undertaken to assess the implementation process and effectiveness of the MDET intervention.

trial registrationClinicalTrials.gov NCT01553266.

Indexed as

Health Knowledge, Attitudes, PracticeOutcome and Process Assessment, Health CarePatient Education as TopicPrimary Health CareQuality ImprovementResearch DesignSelf CareBiomarkersDelivery of Health Care, IntegratedDiabetes Mellitus, Type 2Glycated HemoglobinHumansInterdisciplinary CommunicationOntarioPatient Care TeamProfessional-Patient RelationsBiomarkersGlycated Hemoglobinhemoglobin A1c protein, human

Identifiers

PMID22974080
PMCPMC3519552

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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.