Evidence map›Paper›PMID 23916915›Full record

Trial reportContemporary clinical trials2013

Tailored Case Management for Diabetes and Hypertension (TEACH-DM) in a community population: study design and baseline sample characteristics.

Matthew J Crowley, Hayden B Bosworth, Cynthia J Coffman, Jennifer H Lindquist, Alice M Neary, Amy C Harris, Santanu K Datta, Bradi B Granger, Katherine Pereira, Rowena J Dolor and 1 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Contemporary clinical trials, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04616612 (Medication Adherence Given Individual SystemCHANGE), which is not on this map. Cited by 13 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 4 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.

NCT04616612 nacompletednot on this mapstarted 2021, after this paper: background citation

Medication Adherence Given Individual SystemCHANGE(TM) in Advancing Nephropathy (MAGICIAN) Pilot Study

TypeinterventionalSponsorIndiana UniversityRan2021 to 2024Enrolled150ConditionsChronic Kidney Disease(CKD)ArmsSystemCHANGE (TM), Attention Control
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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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

11 authors.

Matthew J CrowleyCenter for Health Services Research in Primary Care, Durham VA Medical Center, Durham, NC, USA. matthew.crowley@dm.duke.edu
Hayden B Bosworth
Cynthia J Coffman
Jennifer H Lindquist
Alice M Neary
Amy C Harris
Santanu K Datta
Bradi B Granger
Katherine Pereira
Rowena J Dolor
David Edelman

Funding

Tailored Case Management for Diabetes and HypertensionR01DK074672 · NIDDK · DUKE UNIVERSITY · PI EDELMAN, DAVID · 2008 to 2012
$3.3M
NIDDK NIH HHS R01 DK074672
6 · The paper itself

Abstract

backgroundDespite recognition of the benefits associated with well-controlled diabetes and hypertension, control remains suboptimal. Effective interventions for these conditions have been studied within academic settings, but interventions targeting both conditions have rarely been tested in community settings. We describe the design and baseline results of a trial evaluating a behavioral intervention among community patients with poorly-controlled diabetes and comorbid hypertension.

methodsTailored Case Management for Diabetes and Hypertension (TEACH-DM) is a 24-month randomized, controlled trial evaluating a telephone-delivered behavioral intervention for diabetes and hypertension versus attention control. The study recruited from nine community practices. The nurse-administered intervention targets 3 areas: 1) cultivation of healthful behaviors for diabetes and hypertension control; 2) provision of fundamentals to support attainment of healthful behaviors; and 3) identification and correction of patient-specific barriers to adopting healthful behaviors. Hemoglobin A1c and blood pressure measured at 6, 12, and 24 months are co-primary outcomes. Secondary outcomes include self-efficacy, self-reported medication adherence, exercise, and cost-effectiveness.

resultsOf 377 randomized patients, 193 were allocated to the intervention and 184 to attention control. The cohort is balanced in terms of gender, race, education level, and income. The cohort's mean baseline hemoglobin A1c and blood pressure are above goal, and mean baseline body mass index falls in the obese range. Baseline self-reported non-adherence is high for diabetes and hypertension medications. Trial results are pending.

conclusionsIf effective, the TEACH-DM intervention's telephone-based delivery strategy and nurse administration make it well-suited for rapid implementation and broad dissemination in community settings.

Indexed as

Health BehaviorBlood PressureBody Mass IndexCost-Benefit AnalysisDiabetes Mellitus, Type 2ExerciseGlycated HemoglobinHumansHypertensionMedication AdherenceNursesPatient Education as TopicRacial GroupsSelf CareSelf EfficacyTelephoneGlycated HemoglobinBehavioral InterventionCase managementDiabetesHypertensionSelf-managementTelemedicine

Identifiers

PMID23916915
PMCPMC3828629

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.