Evidence map›Paper›PMID 26955640›Full record

Trial reportJournal of diabetes research2016

Uptake and Effects of the e-Vita Personal Health Record with Self-Management Support and Coaching, for Type 2 Diabetes Patients Treated in Primary Care.

M van Vugt, M de Wit, F Sieverink, Y Roelofsen, S H Hendriks, H J G Bilo, F J Snoek

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of diabetes research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 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.

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

14 citing papers in PubMed, 3 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

7 authors.

M van VugtDepartment of Medical Psychology, VU University Medical Center, 1081 HZ Amsterdam, Netherlands; EMGO Institute for Health and Care Research, VU University Medical Center, 1081 HZ Amsterdam, Netherlands.
M de WitDepartment of Medical Psychology, VU University Medical Center, 1081 HZ Amsterdam, Netherlands; EMGO Institute for Health and Care Research, VU University Medical Center, 1081 HZ Amsterdam, Netherlands.
F SieverinkCentre for eHealth and Wellbeing Research, University of Twente, 7522 NB Enschede, Netherlands.
Y RoelofsenDiabetes Centre, Isala, 8025 AB Zwolle, Netherlands.
S H HendriksDiabetes Centre, Isala, 8025 AB Zwolle, Netherlands.
H J G BiloDiabetes Centre, Isala, 8025 AB Zwolle, Netherlands; Department of Internal Medicine, University of Groningen and University Medical Center Groningen, 9713 GZ Groningen, Netherlands.
F J SnoekDepartment of Medical Psychology, VU University Medical Center, 1081 HZ Amsterdam, Netherlands; EMGO Institute for Health and Care Research, VU University Medical Center, 1081 HZ Amsterdam, Netherlands; Department of Medical Psychology, Academic Medical Center, 1105 AZ Amsterdam, Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We studied the use, uptake, and effects of e-Vita, a personal health record, with self-management support and personalized asynchronized coaching, for type 2 diabetes patients treated in primary care. Patients were invited by their practice nurse to join the study aimed at testing use and effects of a personal health record. Patients were followed up for 6 months. Uptake and usage were monitored using log data. Outcomes were self-reported diabetes self-care, diabetes-related distress, and emotional wellbeing. Patients' health status was collected from their medical chart. 132 patients agreed to participate in the study of which less than half (46.1%) did not return to the personal health record after 1st login. Only 5 patients used the self-management support program within the personal health record, 3 of whom asked a coach for feedback. Low use of the personal health record was registered. No statistical significant differences on any of the outcome measures were found between baseline and 6 month follow-up. This study showed minimal impact of implementing a personal health record including self-management support in primary diabetes care. Successful adoption of web-based platforms, as ongoing patient centered care, is hard to achieve without additional strategies aimed at enhancing patient motivation and engaging professionals.

Indexed as

Feedback, PsychologicalHealth Records, PersonalPatient Acceptance of Health CarePatient-Centered CarePrimary Health CareSelf CareAgedAttitude to ComputersDiabetes Mellitus, Type 2FemaleHealth StatusHumansMaleMental HealthMiddle AgedMotivation

Identifiers

PMID26955640
PMCPMC4756133

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Registered trials

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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.