Evidence map›Paper›PMID 23497486›Full record

Trial reportImplementation science : IS2013

Diabetes in rural towns: effectiveness of continuing education and feedback for healthcare providers in altering diabetes outcomes at a population level: protocol for a cluster randomised controlled trial.

Christine L Paul, Leon Piterman, Jonathan Shaw, Catherine Kirby, Robert W Sanson-Fisher, Mariko L Carey, Jennifer Robinson, Patrick McElduff, Isaraporn Thepwongsa

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Implementation science : IS, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

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

  1. E-learning for health professionals.The Cochrane database of systematic reviews · 2018
    Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
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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

9 authors.

Christine L PaulHealth Behaviour Research group, Priority Research Centre for Health Behaviour, School of Medicine and Public Health, University of Newcastle, HMRI Building, Callaghan, NSW 2308, Australia. Chris.Paul@newcastle.edu.au
Leon Piterman
Jonathan Shaw
Catherine Kirby
Robert W Sanson-Fisher
Mariko L Carey
Jennifer Robinson
Patrick McElduff
Isaraporn Thepwongsa

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundType 2 diabetes is one of the fastest growing chronic diseases internationally. The health complications associated with type 2 diabetes can be prevented, delayed, or improved via early diagnosis and effective management. This research aims to examine the impact of a primarily web-based educational intervention on the diabetes care provided by general practitioners (GPs) in rural areas, and subsequent patient outcomes. A population-level approach to outcome assessment is used, via whole-town de-identified pathology records. METHODS/

designThe study uses a cluster randomised controlled trial with rural communities as the unit of analysis. Towns from four Australian states were selected and matched on factors including rurality, population size, proportion of the population who were Indigenous Australians, and socio-economic status. Eleven pairs of towns from two states were suitable for the trial, and one town from each pair was randomised to the experimental group. GPs in the towns allocated to the experimental group are offered an intervention package comprising education on best practice diabetes care via an on-line active learning module, a moderated discussion forum, access to targeted and specialist advice through an on-line request form, and town-based performance feedback on diabetes monitoring and outcomes. The package is offered via repeated direct mail. DISCUSSION: The benefits of the outcomes of the trial are described along with the challenges and limitations associated with the methodology.

trial registrationAustralian New Zealand Clinical Trials Registry: ACTRN12611000553976.

Indexed as

AdultAlbuminuriaAustraliaBlood GlucoseCluster AnalysisDiabetes Mellitus, Type 2Education, ContinuingEmployee Performance AppraisalEvidence-Based PracticeFeedbackGeneral PracticeGlycated HemoglobinGuideline AdherenceHumansHyperlipidemiasInternetBlood GlucoseGlycated Hemoglobin

Identifiers

PMID23497486
PMCPMC3600674

What OpenQuestion holds

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Registered trials

None linked

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.