Evidence map›Paper›PMID 26289448›Full record

Trial reportBMJ open2015

Effects of telephone-delivered lifestyle support on the development of diabetes in participants at high risk of type 2 diabetes: J-DOIT1, a pragmatic cluster randomised trial.

Naoki Sakane, Kazuhiko Kotani, Kaoru Takahashi, Yoshiko Sano, Kokoro Tsuzaki, Kentaro Okazaki, Juichi Sato, Sadao Suzuki, Satoshi Morita, Yoshitake Oshima and 5 more

Open access · goldAbstract readControlled Clinical TrialPragmatic Clinical Trial
In one paragraph

Trial report in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 5 pooled it
4.9field-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

21 citing papers in PubMed, 5 syntheses or guidelines pooled it, 43 citations in OpenAlex.

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  4. More behavioral recommendations produce more change: A meta-analysis of efficacy of multibehavior recommendations to reduce nonmedical substance use.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2020
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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

15 authors at 9 institutions in 1 country.

Naoki SakaneDivision of Preventive Medicine, Clinical Research Institute, National Hospital Organization Kyoto Medical Center, Kyoto, Japan.
Kazuhiko KotaniDivision of Preventive Medicine, Clinical Research Institute, National Hospital Organization Kyoto Medical Center, Kyoto, Japan Division of Community and Family Medicine, Juichi Medical University, Shimotsuke, Japan.
Kaoru TakahashiDivision of Preventive Medicine, Clinical Research Institute, National Hospital Organization Kyoto Medical Center, Kyoto, Japan Hyogo Health Service Association, Kobe, Japan.
Yoshiko SanoDivision of Preventive Medicine, Clinical Research Institute, National Hospital Organization Kyoto Medical Center, Kyoto, Japan Kanagawa University of Human Services Faculty of Health & Social Services School of Nutrition & Dietetics, Yokosuka, Japan.
Kokoro TsuzakiDivision of Preventive Medicine, Clinical Research Institute, National Hospital Organization Kyoto Medical Center, Kyoto, Japan.
Kentaro OkazakiDepartment of Development for Community-oriented Healthcare System, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Juichi SatoDepartment of General Medicine/Family and Community Medicine, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Sadao SuzukiDepartment of Public Health, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.
Satoshi MoritaDepartment of Biomedical Statistics and Bioinformatics, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Yoshitake OshimaUniversity of Marketing and Distribution Sciences, Kobe, Japan.
Kazuo IzumiDepartment of Diabetes and Metabolic Medicine, National Center for Global Health and Medicine, Tokyo, Japan.
Masayuki KatoDepartment of Diabetes Research, Diabetes Research Center, National Center for Global Health and Medicine, Tokyo, Japan.
Naoki IshizukaClinical trial department, Cancer Institute hospital, Tokyo, Japan.
Mitsuhiko NodaDepartment of Diabetes Research, Diabetes Research Center, National Center for Global Health and Medicine, Tokyo, Japan.
Hideshi KuzuyaDivision of Preventive Medicine, Clinical Research Institute, National Hospital Organization Kyoto Medical Center, Kyoto, Japan Takeda Hospital, Kyoto, Japan.
Kyoto Medical Center · JPNational Center for Global Health and Medicine · JPNagoya University · JPKanagawa University of Human Services · JPKyoto University · JPNagoya City University · JPTakao Hospital · JPThe Cancer Institute Hospital · JPUniversity of Marketing and Distribution Sciences · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo examine the effects of telephone-delivered lifestyle coaching on preventing the development of type 2 diabetes mellitus (T2DM) in participants with impaired fasting glucose (IFG).

designCluster randomised trial.

setting40 groups from 17 healthcare divisions in Japan: companies (31), communities (6) and mixed settings (3).

participantsParticipants aged 20-65 years with fasting plasma glucose (FPG) of 5.6-6.9 mmol/L were invited from the 17 healthcare divisions. RANDOMISATION: The groups were then randomly assigned to an intervention or a control arm by independent statisticians according to a computer-generated list.

interventionThe intervention arm received a 1-year telephone-delivered intervention provided by three private lifestyle support centres (at different frequencies: low-frequency (3 times), middle-frequency (6 times) and high-frequency (10 times) support calls). The intervention and control arms both received self-help devices such as a weight scale and pedometer. OUTCOMES: Participants were followed up using data from annual health check-ups and a questionnaire regarding lifestyle. The primary outcome was the development of T2DM defined as FPG ≥ 7.0 mmol/L, the diagnosis of diabetes, or use of an antidiabetic drug, confirmed by referring to medical cards.

resultsOf 14,473 screened individuals, participants were enrolled in either the intervention (n = 1240) arm or control (n = 1367) arm. Overall, the HR for the development of T2DM in the intervention arm during 5.5 years was 1.00 (95% CI 0.74 to 1.34). In the subanalysis, the HR was 0.59 (95% CI 0.42 to 0.83) in the subgroup that received phone calls the most frequently, compared with the control arm. A limitation of the study includes a lack of blinding.

conclusionsHigh-frequency telephone-delivered lifestyle support could effectively prevent T2DM in participants with IFG in a primary healthcare setting, although low-frequency and middle-frequency phone calls did not. TRIAL REGISTRATION NUMBER: This trial has been registered with the University Hospital Medical Information Network (UMIN000000662).

Indexed as

Health BehaviorHealth ServicesLife StylePrediabetic StateTelephoneAdultBlood GlucoseCost-Benefit AnalysisCounselingDiabetes Mellitus, Type 2FemaleHealth PromotionHumansJapanMaleMiddle AgedBlood GlucoseHEALTH SERVICES ADMINISTRATION & MANAGEMENTPUBLIC HEALTH

Identifiers

PMID26289448
PMCPMC4550725
OpenAlexW2109672764

What OpenQuestion holds

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LicenceCC BY-NC
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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.