ArticlePreventive medicine reports2016
A pilot randomized trial of technology-assisted goal setting to improve physical activity among primary care patients with prediabetes.
Article in Preventive medicine reports, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 6 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
24 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Digital Health Interventions to Prevent Type 2 Diabetes Mellitus: Systematic Review.Journal of medical Internet research · 2025Pooled it
- The effects of step-count monitoring interventions on physical activity: systematic review and meta-analysis of community-based randomised controlled trials in adults.The international journal of behavioral nutrition and physical activity · 2020Pooled it
- Computerised clinical decision support systems and absolute improvements in care: meta-analysis of controlled clinical trials.BMJ (Clinical research ed.) · 2020Pooled it
- Effectiveness of Mobile Health Interventions Promoting Physical Activity and Lifestyle Interventions to Reduce Cardiovascular Risk Among Individuals With Metabolic Syndrome: Systematic Review and Meta-Analysis.Journal of medical Internet research · 2020Pooled it
- Using Health and Well-Being Apps for Behavior Change: A Systematic Search and Rating of Apps.JMIR mHealth and uHealth · 2019Pooled it
- The effects of on-screen, point of care computer reminders on processes and outcomes of care.The Cochrane database of systematic reviews · 2009Pooled it
- Use of technology in prediabetes and precision prevention.Journal of diabetes investigation · 2025Review
- Design and implementation of electronic health record-based tools to support a weight management program in primary care.JAMIA open · 2024Article
- Article
- Using the sociotechnical model to conduct a focused usability assessment of a breast reconstruction decision tool.BMC medical informatics and decision making · 2023Article
- Tools to guide clinical discussions on physical activity, sedentary behaviour, and/or sleep for health promotion between primary care providers and adults accessing care: a scoping review.BMC primary care · 2023Article
- Developing and testing the usability, acceptability, and future implementation of the Whole Day Matters Tool and User Guide for primary care providers using think-aloud, near-live, and interview procedures.BMC medical informatics and decision making · 2023Article
- Development of a novel clinical decision support tool for diabetes prevention and feasibility of its implementation in primary care.Preventive medicine reports · 2022Article
- Digital Health Interventions to Enhance Prevention in Primary Care: Scoping Review.JMIR medical informatics · 2022Article
- Nutri: A Behavioral Science-Based Clinical Decision Support for Chronic Disease Management.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2022Article
- Health improvement framework for actionable treatment planning using a surrogate Bayesian model.Nature communications · 2021Article
- Effectiveness of an Integrated Engagement Support System to Facilitate Patient Use of Digital Diabetes Prevention Programs: Protocol for a Randomized Controlled Trial.JMIR research protocols · 2021Article
- Primary Health Care Providers' Perspectives on Developing an eHealth Tool for Physical Activity Counselling: A Qualitative Study.Journal of multidisciplinary healthcare · 2021Article
- Usability and utility of eHealth for physical activity counselling in primary health care: a scoping review.BMC family practice · 2020Article
- A new approach to integrating patient-generated data with expert knowledge for personalized goal setting: A pilot study.International journal of medical informatics · 2020Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
Lifestyle behavior changes can prevent progression of prediabetes to diabetes but providers often are not able to effectively counsel about preventive lifestyle changes. We developed and pilot tested the Avoiding Diabetes Thru Action Plan Targeting (ADAPT) program to enhance primary care providers' counseling about behavior change for patients with prediabetes. Primary care providers in two urban academic practices and their patients with prediabetes were recruited to participate in the ADAPT study, an unblinded randomized pragmatic trial to test the effectiveness of the ADAPT program, including a streamlined electronic medical record-based goal setting tool. Providers were randomized to intervention or control arms; eligible patients whose providers were in the intervention arm received the ADAPT program. Physical activity (the primary outcome) was measured using pedometers, and data were gathered about patients' diet, weight and glycemic control. A total of 54 patients were randomized and analyzed as part of the 6-month ADAPT study (2010-2012, New York, NY). Those in the intervention group showed an increase total daily steps compared to those in the control group (+ 1418 vs - 598, p = 0.007) at 6 months. There was also a trend towards weight loss in the intervention compared to the control group (- 1.0 lbs. vs. 3.0 lbs., p = 0.11), although no change in glycemic control. The ADAPT study is among the first to use standard electronic medical record tools to embed goal setting into realistic primary care workflows and to demonstrate a significant improvement in prediabetes patients' physical activity.
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Registered trials
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