Evidence map›Paper›PMID 25872928›Full record

Trial reportTrials2015

A study protocol for a pilot randomised trial of a structured education programme for the self-management of type 2 diabetes for adults with intellectual disabilities.

Laurence Taggart, Vivien Coates, Mike Clarke, Brendan Bunting, Melanie Davies, Marian Carey, Ruth Northway, Michael Brown, Maria Truesdale-Kennedy, Lorraine Martin-Stacey and 2 more

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.6field-weighted citation impact, top 10% 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.

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

4 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Effects of a self-management training for people with intellectual disabilities.Journal of applied research in intellectual disabilities : JARID · 2019
    Article
  3. Article
  4. Review
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

12 authors at 5 institutions in 2 countries.

Laurence TaggartInstitute of Nursing and Health Research, Ulster University, Shore Road, Newtownabbey, Co Antrim BT37 0QB, Northern Ireland. l.taggart@ulster.ac.uk.
Vivien CoatesInstitute of Nursing and Health Research, Ulster University, Shore Road, Newtownabbey, Co Antrim BT37 0QB, Northern Ireland. ve.coates@ulster.ac.uk.
Mike ClarkeMRC Hub for Trials Methodology Research, Queen's University Belfast, Malone Road, Belfast, BT7 1NN, Northern Ireland. m.clarke@qub.ac.uk.
Brendan BuntingInstitute of Psychology, Ulster University, Northland Road, Derry, BT48 7JL, Northern Ireland. bp.bunting@ulster.ac.uk.
Melanie DaviesLeicester Diabetes Centre, University of Leicester, Gwendolen Road, Leicester LE5, England. melanie.davies@uhl-tr.nhs.uk.
Marian CareyLeicester Diabetes Centre, University of Leicester, Gwendolen Road, Leicester LE5, England. marian.carey@uhl-tr.nhs.uk.
Ruth NorthwayUniversity of South Wales, Glyntaff Campus, Cardiff, CF37 4BD, Wales. ruth.northway@southwales.co.uk.
Michael BrownEdinburgh Napier University, Sighthill Campus, Bankhead Avenue, Edinburgh, EH11 4DE, Scotland. m.brown@napier.ac.uk.
Maria Truesdale-KennedyInstitute of Nursing and Health Research, Ulster University, Shore Road, Newtownabbey, Co Antrim BT37 0QB, Northern Ireland. mn.truesdale@ulster.ac.uk.
Lorraine Martin-StaceyLeicester Diabetes Centre, University of Leicester, Gwendolen Road, Leicester LE5, England. lorraine.martinstacey@uhl-tr.nhs.uk.
Gillian ScottNorthern Health and Social Care Trust, Ulster, Rathlea House, Mountfern Complex, 8A Rugby Ave, Coleraine, BT52 1JL, Northern Ireland. gillian.scott@northerntrust.hscni.net.
Thanos KaratziasEdinburgh Napier University, Sighthill Campus, Bankhead Avenue, Edinburgh, EH11 4DE, Scotland. t.karatzias@napier.ac.uk.
University of Ulster · GBUniversity of Leicester · GBEdinburgh Napier University · GBNorthern Health and Social Care Trust · GBUNSW Sydney · AU

Funding

Medical Research Council G0901530
6 · The paper itself

Abstract

backgroundThe need for structured education programmes for type 2 diabetes is a high priority for many governments around the world. One such national education programme in the United Kingdom is the DESMOND Programme, which has been shown to be robust and effective for patients in general. However, these programmes are not generally targeted to people with intellectual disabilities (ID), and robust evidence on their effects for this population is lacking. We have adapted the DESMOND Programme for people with ID and type 2 diabetes to produce an amended programme known as DESMOND-ID. This protocol is for a pilot trial to determine whether a large-scale randomised trial is feasible, to test if DESMOND-ID is more effective than usual care in adults with ID for self-management of their type 2 diabetes, in particular as a means to reduce glycated haemoglobin (Hb1Ac), improve psychological wellbeing and quality of life and promote a healthier lifestyle. This protocol describes the rationale, methods, proposed analysis plan and organisational and administrative details. METHODS/

designThis trial is a two arm, individually randomised, pilot trial for adults with ID and type 2 diabetes, and their family and/or paid carers. It compares the DESMOND-ID programme with usual care. Approximately 36 adults with mild to moderate ID will be recruited from three countries in the United Kingdom. Family and/or paid carers may also participate in the study. Participants will be randomly assigned to one of two conditions using a secure computerised system with robust allocation concealment. A range of data will be collected from the adults with ID (biomedical, psychosocial and self-management strategies) and from their carers. Focus groups with all the participants will assess the acceptability of the intervention and the trial. DISCUSSION: The lack of appropriate structured education programmes and educational materials for this population leads to secondary health conditions and may lead to premature deaths. There are significant benefits to be gained globally, if structured education programmes are adapted and shown to be successful for people with ID and other cognitive impairments.

trial registrationRegistered with International Standard Randomised Controlled Trial (identifier: ISRCTN93185560 ) on 10 November 2014.

Indexed as

Health Knowledge, Attitudes, PracticePatient Education as TopicSelf CareAdolescentAdultAge FactorsBiomarkersDiabetes Mellitus, Type 2Feasibility StudiesFemaleFocus GroupsGlycated HemoglobinHumansIntellectual DisabilityMalePatient ComplianceBiomarkersGlycated Hemoglobinhemoglobin A1c protein, human

Identifiers

PMID25872928
PMCPMC4404014
OpenAlexW2079153036

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.