Evidence map›Paper›PMID 27825340›Full record

Trial reportBMC medical informatics and decision making2016

Patient and provider acceptance of telecoaching in type 2 diabetes: a mixed-method study embedded in a randomised clinical trial.

I Odnoletkova, H Buysse, F Nobels, G Goderis, B Aertgeerts, L Annemans, D Ramaekers

Registry-linked trialOpen access · goldAbstract readClinical Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC medical informatics and decision making, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01612520 (Telecoaching of People With Type 2 Diabetes in Primary Care), which is not on this map. Cited by 15 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 6 pooled it
2.2field-weighted citation impact, top 11% 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.

NCT01612520 nacompletednot on this map

Telecoaching of People With Type 2 Diabetes in Primary Care

TypeinterventionalSponsorKU LeuvenRan2012 to 2015Enrolled574ConditionsType 2 Diabetes Mellitus, TelenursingArmstelecoaching
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 6 syntheses or guidelines pooled it, 29 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

7 authors at 3 institutions in 1 country.

I OdnoletkovaLeuven Institute for Healthcare Policy, KU Leuven, Kapucijnenvoer 33, Leuven, B-3000, Belgium. irina.v.odnoletkova@gmail.com.
H BuysseDepartment of Public Health, Ghent University, De Pintelaan 185, 4K3, 9000, Ghent, Belgium.
F NobelsDepartment of Endocrinology, OLV Hospital Aalst, Moorselbaan 164, 9300, Aalst, Belgium.
G GoderisAcademic Center for General Practice, KU Leuven, Kapucijnenvoer 33, Leuven, B-3000, Belgium.
B AertgeertsAcademic Center for General Practice, KU Leuven, Kapucijnenvoer 33, Leuven, B-3000, Belgium.
L AnnemansDepartment of Public Health, Ghent University, De Pintelaan 185, 4K3, 9000, Ghent, Belgium.
D RamaekersLeuven Institute for Healthcare Policy, KU Leuven, Kapucijnenvoer 33, Leuven, B-3000, Belgium.
KU Leuven · BEGhent University Hospital · BEOnze Lieve Vrouwziekenhuis Hospital · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite advances in diagnosis and treatment of type 2 diabetes, suboptimal metabolic control persists. Patient education in diabetes has been proved to enhance self-efficacy and guideline-driven treatment, however many people with type 2 diabetes do not have access to or do not participate in self-management support programmes. Tele-education and telecoaching have the potential to improve accessibility and efficiency of care, but there is a slow uptake in Europe. Patient and provider acceptance in a local context is an important pre-condition for implementation. The aim of the study was to explore the perceptions of patients, nurses and general practitioners (GPs) regarding telecoaching in type 2 diabetes.

methodsMixed-method study embedded in a clinical trial, in which a nurse-led target-driven telecoaching programme consisting of 5 monthly telephone sessions of +/- 30 min was offered to 287 people with type 2 diabetes in Belgian primary care. Intervention attendance and satisfaction about the programme were analysed along with qualitative data obtained during post-trial semi-structured interviews with a purposive sample of patients, general practitioners (GPs) and nurses. The perceptions of patients and care providers about the intervention were coded and the themes interpreted as barriers or facilitators for adoption.

resultsOf 252 patients available for a follow-up analysis, 97.5 % reported being satisfied. Interviews were held with 16 patients, 17 general practitioners (GPs) and all nurses involved (n = 6). Themes associated with adoption facilitation were: 1) improved diabetes control; 2) need for more tailored patient education programmes offered from the moment of diagnosis; 3) comfort and flexibility; 4) evidence-based nature of the programme; 5) established cooperation between GPs and diabetes educators; and 6) efficiency gains. Most potential barriers were derived from the provider views: 1) poor patient motivation and suboptimal compliance with "faceless" advice; 2) GPs' reluctance in the area of patient referral and information sharing; 3) lack of legal, organisational and financial framework for telecare.

conclusionsNurse-led telecoaching of people with type 2 diabetes was well-accepted by patients and providers, with providers being in general more critical in their reflections. With increasing patient demand for mobile and remote services in healthcare, the findings of this study should support professionals involved in healthcare policy and innovation.

trial registrationNCT01612520 , registered prior to recruitment on 4th June 2012.

Indexed as

Outcome and Process Assessment, Health CareAdultAgedBelgiumDiabetes Mellitus, Type 2FemaleHumansMaleMiddle AgedPatient Education as TopicQualitative ResearchTelemedicinePatient educationQualitative researchTelecareType 2 diabetes

Identifiers

PMID27825340
PMCPMC5101679
OpenAlexW2556523047

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.