Evidence map›Paper›PMID 27605456›Full record

ArticleThe Australian journal of rural health2016

Barriers to insulin treatment among Australian Torres Strait Islanders with poorly controlled diabetes.

Sean Taylor, Fintan Thompson, Robyn McDermott

Open access · hybridAbstract read
In one paragraph

Article in The Australian journal of rural health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.2field-weighted citation impact, top 34% 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

3 citing papers in PubMed, 13 citations in OpenAlex.

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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

3 authors at 2 institutions in 1 country.

Sean TaylorCentre for Chronic Disease Prevention, Australian Institute of Tropical Health and Medicine, James Cook University, Smithfield, Queensland, Australia.
Fintan ThompsonCentre for Chronic Disease Prevention, Australian Institute of Tropical Health and Medicine, James Cook University, Smithfield, Queensland, Australia.
Robyn McDermottCentre for Chronic Disease Prevention, Australian Institute of Tropical Health and Medicine, James Cook University, Smithfield, Queensland, Australia.
Australian Institute of Tropical Health and Medicine · AUJames Cook University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore self reported knowledge and attitudes to insulin treatment among a group of adults with poorly controlled diabetes in the Torres Strait islands.

designCross-sectional survey in 2014, interviews with 29 adults with HbA1c ≥ 8.5% (69 mmol mol

settingFive remote Torres Strait Island communities in the Torres Strait region.

participantsPoorly controlled insulin-naïve type 2 diabetics.

main outcome measuresBITQ and ITAS scores on items related to knowledge and attitudes to insulin treatment, clinical and demographic measures.

resultsOverall, 34% of the cohort had poor glycaemic control. Compared to those with HbA1c ≥ 8.5% and taking insulin (n = 37), the 29 insulin-naïve participants were more obese, more likely to smoke and drink alcohol, have lower mean HbA1c and fewer years with diabetes. Among the insulin-naïve group, those reporting higher 'barriers' (BITQ scores) were older and with lower formal education than those reporting fewer barriers. Torres participants consistently scored low on 'knowledge' items in the ITAS, especially those which would guide insulin initiation (insulin improves glucose control and prevents complications).

conclusionCompared to other published studies, the Torres participants had higher scores for BITQ 'barrier' items and lower 'knowledge' scores. This suggests better education around glycaemic control with medication and discussion of perceptions and exchange of experiences with peers who are taking insulin might improve the uptake of insulin in this high-risk group.

Indexed as

Health Services AccessibilityAdultCross-Sectional StudiesDiabetes Mellitus, Type 2FemaleHumansHypoglycemic AgentsInsulinMaleMiddle AgedQueenslandSurveys and QuestionnairesHypoglycemic AgentsInsulinpsychological insulin resistanceTorres Strait Islandertype 2 diabetes

Identifiers

PMID27605456
PMCPMC5215557
OpenAlexW2508281319

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.