Trial reportBMC family practice2012
Effectiveness of a group diabetes education programme in underserved communities in South Africa: pragmatic cluster randomized control trial.
Trial report in BMC family practice, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 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
16 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Therapeutic patient education programs on diabetes in sub-Saharan Africa: A systematic review.PloS one · 2024Pooled it
- Effectiveness of interventions based on patient empowerment in the control of type 2 diabetes in sub-Saharan Africa: A review of randomized controlled trials.Endocrinology, diabetes & metabolism · 2021Pooled it
- Self-management of diabetes in Sub-Saharan Africa: a systematic review.BMC public health · 2018Pooled it
- Effectiveness of a group diabetes education programme in under-served communities in South Africa: a pragmatic cluster randomized controlled trial.Diabetic medicine : a journal of the British Diabetic Association · 2014Trial
- Evaluating the implementation of group empowerment for people with type 2 diabetes at Grassy Park Community Day Centre, Cape Town: A convergent mixed-methods study.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2025Article
- A critical review of literature and a conceptual framework for organizing and researching urban health and community health services in low- and middle-income countries.Health policy and planning · 2025Review
- Evaluating the implementation of group empowerment and training (GREAT) for diabetes in South Africa: convergent mixed methods.BMJ open · 2024Article
- The sustainability of group empowerment and training for people with diabetes in South Africa.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2024Article
- Article
- Comprehensive patient education and counselling for non-communicable diseases in primary care, Western Cape.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2023Article
- Piloting of virtual group education for diabetes in Cape Town: An exploratory qualitative study.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2023Article
- The distinctive roles of urban community health workers in low- and middle-income countries: a scoping review of the literature.Health policy and planning · 2020Article
- Development of a Tool to Increase Physical Activity among People at Risk for Diabetes in Low-Resourced Communities in Cape Town.International journal of environmental research and public health · 2020Article
- Article
- The development of the visual screening tool for anxiety disorders and depression: Addressing barriers to screening for depression and anxiety disorders in hypertension and/or diabetes.African journal of primary health care & family medicine · 2018Article
- African Primary Care Research: quantitative analysis and presentation of results.African journal of primary health care & family medicine · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDiabetes is an important contributor to the burden of disease in South Africa and prevalence rates as high as 33% have been recorded in Cape Town. Previous studies show that quality of care and health outcomes are poor. The development of an effective education programme should impact on self-care, lifestyle change and adherence to medication; and lead to better control of diabetes, fewer complications and better quality of life.
methodsTRIAL
designPragmatic cluster randomized controlled trialParticipants: Type 2 diabetic patients attending 45 public sector community health centres in Cape TownInterventions: The intervention group will receive 4 sessions of group diabetes education delivered by a health promotion officer in a guiding style. The control group will receive usual care which consists of ad hoc advice during consultations and occasional educational talks in the waiting room.
objectiveTo evaluate the effectiveness of the group diabetes education programmeOutcomes: PRIMARY OUTCOMES: diabetes self-care activities, 5% weight loss, 1% reduction in HbA1c. SECONDARY OUTCOMES: self-efficacy, locus of control, mean blood pressure, mean weight loss, mean waist circumference, mean HbA1c, mean total cholesterol, quality of lifeRandomisation: Computer generated random numbersBlinding: Patients, health promoters and research assistants could not be blinded to the health centre's allocationNumbers randomized: Seventeen health centres (34 in total) will be randomly assigned to either control or intervention groups. A sample size of 1360 patients in 34 clusters of 40 patients will give a power of 80% to detect the primary outcomes with 5% precision. Altogether 720 patients were recruited in the intervention arm and 850 in the control arm giving a total of 1570. DISCUSSION: The study will inform policy makers and managers of the district health system, particularly in low to middle income countries, if this programme can be implemented more widely. TRIAL REGISTER: Pan African Clinical Trial Registry PACTR201205000380384.
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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.