Evidence map›Paper›PMID 27239317›Full record

ArticleBMJ open diabetes research & care2016

Stages of change for physical activity and dietary habits in persons with type 2 diabetes included in a mobile health intervention: the Norwegian study in RENEWING HEALTH.

Heidi Holmen, Astrid Wahl, Astrid Torbjørnsen, Anne Karen Jenum, Milada Cvancarova Småstuen, Lis Ribu

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open diabetes research & care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01315756 (The Norwegian Study in Renewing Health), which is not on this map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 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.

NCT01315756 early_phase1completednot on this map

The Norwegian Study in Renewing Health: Stimulating Self-management in Patients With Type 2 Diabetes Mellitus Through Telecare With the Few Touch Application and Health Counseling - a Randomized Controlled Trial

TypeinterventionalSponsorUniversity Hospital of North NorwayRan2011 to 2013Enrolled151ConditionsType 2 DiabetesArmsUse of Few Touch Application (FTA), Use of FTA and health counseling based on TTM and CBT
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  13. Understanding the Turning Point of Patients with Diabetes.Korean journal of family medicine · 2021
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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

6 authors.

Heidi HolmenFaculty of Health Sciences, Department of Nursing and Health Promotion, Oslo and Akershus University College of Applied Sciences, Oslo, Norway; Faculty of Medicine, Department of Health Sciences, Institute of Health and Society, University of Oslo, Oslo, Norway.
Astrid WahlFaculty of Medicine, Department of Health Sciences , Institute of Health and Society, University of Oslo , Oslo , Norway.
Astrid TorbjørnsenFaculty of Health Sciences, Department of Nursing and Health Promotion, Oslo and Akershus University College of Applied Sciences, Oslo, Norway; Faculty of Medicine, Department of General Practice, Institute of Health and Society, University of Oslo, Oslo, Norway.
Anne Karen JenumFaculty of Medicine, Department of General Practice , Institute of Health and Society, University of Oslo , Oslo , Norway.
Milada Cvancarova SmåstuenFaculty of Health Sciences, Department of Nursing and Health Promotion , Oslo and Akershus University College of Applied Sciences , Oslo , Norway.
Lis RibuFaculty of Health Sciences, Department of Nursing and Health Promotion , Oslo and Akershus University College of Applied Sciences , Oslo , Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this study was to investigate stages of change for physical activity and dietary habits using baseline data from persons with type 2 diabetes included in a mobile health intervention. We examined the associations between stages of change for physical activity change and dietary change, and between stages of change for each behavior and individual characteristics, health-related quality of life, self-management, depressive symptoms, and lifestyle. RESEARCH DESIGN AND

methodsWe examined 151 persons with type 2 diabetes with an glycated hemoglobin (HbA1c) level ≥7.1%, aged ≥18 years at baseline of a randomized controlled trial, before testing a mobile app with or without health counseling. Stages of change were dichotomized into 'pre-action' and 'action'. Self-management was measured using the Health Education Impact Questionnaire (heiQ) where a higher score reflects increased self-management, and health-related quality of life was measured with the Short-Form-36 (SF-36). Logistic regression modeling was performed.

resultsThe median HbA1c level was 7.9% (7.1-12.4), 90% were overweight or obese, and 20% had ≥3 comorbidities. 58% were in the preaction stage for physical activity change and 79% in the preaction stage for dietary change. Higher scores of self-management were associated with an increased chance of being in the action stage for both dietary change and physical activity change. Higher body mass index was associated with an 8% reduced chance of being in the action stage for physical activity change (OR 0.92, 95% CI 0.86 to 0.99).

conclusionsBeing in the action stage was associated with higher scores of self-management, crucial for type 2 diabetes. Over half of the participants were in the preaction stage for physical activity and dietary change, and many had a high disease burden with comorbidities and overweight. TRIAL REGISTRATION NUMBER: NCT01315756.

Indexed as

Behavioral ChangeSelf-ManagementTechnology and DiabetesType 2 Diabetes

Identifiers

PMID27239317
PMCPMC4873947

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Registered trials

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.