Evidence map›Paper›PMID 26006697›Full record

ArticleJournal of medical Internet research2015

Women veterans' experience with a web-based diabetes prevention program: a qualitative study to inform future practice.

Tannaz Moin, Kristyn Ertl, Jessica Schneider, Elena Vasti, Fatima Makki, Caroline Richardson, Kathryn Havens, Laura Damschroder

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of medical Internet research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 4 pooled it
4.5field-weighted citation impact, top 5% 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

38 citing papers in PubMed, 4 syntheses or guidelines pooled it, 55 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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 at 6 institutions in 1 country.

Tannaz MoinVA Health Services Research and Development (HSR&D) Center for Healthcare Innovation, Implementation, and Policy, VA Greater Los Angeles, VA Greater Los Angeles Healthcare System, Los Angeles, CA, David Geffen School of Medicine, University of California, Los Angeles, CA, Los Angeles, CA, United States. TMoin@mednet.ucla.edu.ORCID http://orcid.org/0000-0002-5035-6641
Kristyn ErtlORCID http://orcid.org/0000-0001-8616-4070
Jessica SchneiderORCID http://orcid.org/0000-0002-8776-7647
Elena VastiORCID http://orcid.org/0000-0002-6271-0257
Fatima MakkiORCID http://orcid.org/0000-0001-5790-2329
Caroline RichardsonORCID http://orcid.org/0000-0002-1945-6046
Kathryn HavensORCID http://orcid.org/0000-0002-0948-3497
Laura DamschroderORCID http://orcid.org/0000-0002-3657-8459
Medical College of Wisconsin · USVA Center for Clinical Management Research · USMilwaukee VA Medical Center · USUniversity of California, Los Angeles · USUniversity of Michigan–Ann Arbor · USVA Greater Los Angeles Healthcare System · US

Funding

Research BaseP30DK092926 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MARY ELLEN MICHELE HEISLER, ADESUWA B OLOMU · 2011 to 2026
$10.0M
NIDDK NIH HHS P30 DK092926
6 · The paper itself

Abstract

backgroundDiabetes prevention is a national goal and particularly important in the Veterans Health Administration (VHA) where 1 in 4 veterans has diabetes. There is growing evidence to support the use of Web-based diabetes prevention program (DPP) interventions, shown to be as effective and often more feasible than in-person interventions.

objectiveOur primary objective was to qualitatively explore women veterans' early experiences with a Web-based DPP intervention. Our secondary objective was to estimate weight loss, participation, and engagement to provide context for our qualitative findings.

methodsWe conducted and analyzed semistructured interviews and collected data on weight change, participation, and engagement. A total of 17 women veterans with prediabetes from a Midwest VA Women's Health Clinic were eligible to participate; 15 completed interviews.

resultsParticipants perceived the DPP program as an appealing way of initiating lifestyle changes and made them feel accountable in achieving their daily goals. The online program was convenient because it could be accessed at any time, and many found that it integrated well into daily life. However, some did not like the logging aspect and some found it to be too impersonal. Participants logged in a mean 76 times, posted a mean 46 group messages, and sent a mean 20.5 private messages to the health coach over 16 weeks. Participants lost 5.24% of baseline weight, and 82% (14/17) of participants completed at least 9 of 16 core modules.

conclusionsWomen veterans' early experiences with a Web-based DPP intervention were generally positive. Accountability and convenience were key enabling factors for participation and engagement. A Web-based DPP intervention appears to be a promising means of translating the DPP for women veterans with prediabetes.

Indexed as

InternetVeteransAdultAttitude to ComputersDiabetes MellitusDisease ManagementFemaleHumansQualitative ResearchTelemedicineUnited Statesattitude to computerscomputersdisease managementInternetpatient satisfactionprediabetic stateprogram evaluationrisk reduction behavior

Identifiers

PMID26006697
PMCPMC4468391
OpenAlexW1550636717

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.