Evidence map›Paper›PMID 26253237›Full record

Trial reportTrials2015

Supported self-management for adults with type 2 diabetes and a learning disability (OK-Diabetes): study protocol for a randomised controlled feasibility trial.

Rebecca E A Walwyn, Amy M Russell, Louise D Bryant, Amanda J Farrin, Alexandra M Wright-Hughes, Elizabeth H Graham, Claire Hulme, John L O'Dwyer, Gary J Latchford, Alison J Stansfield and 3 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 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.7field-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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Identifying people with a learning disability: an advanced search for general practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 2017
    Observational
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

13 authors at 3 institutions in 1 country.

Rebecca E A WalwynClinical Trials Research Unit, University of Leeds, Leeds, UK. r.e.a.walwyn@leeds.ac.uk.
Amy M RussellLeeds Institute of Health Sciences, University of Leeds, Leeds, UK. a.m.russell@leeds.ac.uk.
Louise D BryantLeeds Institute of Health Sciences, University of Leeds, Leeds, UK. l.d.bryant@leeds.ac.uk.
Amanda J FarrinClinical Trials Research Unit, University of Leeds, Leeds, UK. a.j.farrin@leeds.ac.uk.
Alexandra M Wright-HughesClinical Trials Research Unit, University of Leeds, Leeds, UK. a.wright-hughes@leeds.ac.uk.
Elizabeth H GrahamClinical Trials Research Unit, University of Leeds, Leeds, UK. e.h.graham@leeds.ac.uk.
Claire HulmeLeeds Institute of Health Sciences, University of Leeds, Leeds, UK. c.t.hulme@leeds.ac.uk.
John L O'DwyerLeeds Institute of Health Sciences, University of Leeds, Leeds, UK. j.odwyer@leeds.ac.uk.
Gary J LatchfordLeeds Institute of Health Sciences, University of Leeds, Leeds, UK. g.latchford@leeds.ac.uk.
Alison J StansfieldLeeds and York Partnership NHS Foundation Trust, Leeds, UK. alisonstansfield@nhs.uk.
Dinesh NagiMid Yorkshire Hospitals NHS Trust, Wakefield, UK. Dinesh.Nagi@midyorks.nhs.uk.
Ramzi A AjjanDivision of Cardiovascular and Diabetes Research, University of Leeds, Leeds, UK. r.ajjan@leeds.ac.uk.
Allan O HouseLeeds Institute of Health Sciences, University of Leeds, Leeds, UK. a.o.house@leeds.ac.uk.
University of Leeds · GBLeeds and York Partnership NHS Foundation Trust · GBMid Yorkshire Hospitals NHS Trust · GB

Funding

Department of Health 10/102/03Medical Research Council MR/L01629X/1
6 · The paper itself

Abstract

backgroundIndividuals with a learning disability (LD) are at higher risk of developing type 2 diabetes, but LD is not straightforward to define or identify, especially at the milder end of the spectrum, which makes case finding difficult. While supported self-management of health problems is now established, current material is largely educational and didactic with little that facilitates behavioural change. The interaction between the person with diabetes and others supporting their care is also largely unknown. For these reasons, there is considerable work needed to prepare for a definitive trial. The aim of this paper is to publish the abridged protocol of this preparatory work. METHODS/

designPhase I is a prospective case-finding study (target n = 120 to 350) to identify and characterise potential participants, while developing a standardised supported self-management intervention. Phase II is a randomised feasibility trial (target n = 80) with blinded outcome assessment. Patients identified in Phase I will be interviewed and consented prior to being randomised to (1) standard treatment, or (2) supported self-management. Both arms will also be provided with an 'easy read' accessible information resource on managing type 2 diabetes. The intervention will be standardised but delivered flexibly depending on patient need, including components for the participant, a supporter, and shared activities. Outcomes will be (i) robust estimates of eligibility, consent and recruitment rates with refined recruitment procedures; (ii) characterisation of the eligible population; (iii) a standardised intervention with associated written materials, (iv) adherence and negative outcomes measures; (v) preliminary estimates of adherence, acceptability, follow-up and missing data rates, along with refined procedures; and (vi) description of standard treatment. DISCUSSION: Our study will provide important information on the nature of type 2 diabetes in adults with LD living in the community, on the challenges of identifying those with milder LD, and on the possibilities of evaluating a standardised intervention to improve self-management in this population.

trial registrationCurrent Controlled Trials ISRCTN41897033 (registered 21 January 2013).

Indexed as

Self CareSocial SupportClinical ProtocolsDiabetes Mellitus, Type 2EnglandFeasibility StudiesGoalsHealth Knowledge, Attitudes, PracticeHumansLearning DisabilitiesPatient CompliancePersons with Intellectual DisabilitiesResearch DesignTime FactorsTreatment Outcome

Identifiers

PMID26253237
PMCPMC4529698
OpenAlexW1809228805

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.