Evidence map›Paper›PMID 28166816›Full record

Trial reportTrials2017

The ACHRU-CPP versus usual care for older adults with type-2 diabetes and multiple chronic conditions and their family caregivers: study protocol for a randomized controlled trial.

Maureen Markle-Reid, Jenny Ploeg, Kimberly D Fraser, Kathryn Ann Fisher, Noori Akhtar-Danesh, Amy Bartholomew, Amiram Gafni, Andrea Gruneir, Sandra P Hirst, Sharon Kaasalainen and 7 more

Registry-linked trialOpen access · goldAbstract readMulticenter StudyPragmatic Clinical TrialRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Trials, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02158741 (A Client-Driven Intervention to Support Self-Management Among Community-Living Older Adults With Type 2 Diabetes and Multiple Chronic Conditions), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.7field-weighted citation impact, top 28% 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.

NCT02158741 nacompletednot on this map

A Client-Driven Intervention to Support Self-Management Among Community-Living Older Adults With Type 2 Diabetes and Multiple Chronic Conditions

TypeinterventionalSponsorMcMaster UniversityRan2014 to 2017Enrolled291ConditionsType 2 Diabetes Mellitus, NIDDM, Non-insulin Dependent Diabetes MellitusArmsHome Visits and Lifestyle Education Support
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 13 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Review
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

17 authors at 6 institutions in 1 country.

Maureen Markle-ReidAging, Community and Health Research Unit (ACHRU), School of Nursing, McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4K1, Canada. mreid@mcmaster.ca.
Jenny PloegAging, Community and Health Research Unit (ACHRU), School of Nursing, McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4K1, Canada.
Kimberly D FraserFaculty of Nursing, University of Alberta, 11405-87 Avenue, Edmonton, AB, T6G 1C9, Canada.
Kathryn Ann FisherAging, Community and Health Research Unit (ACHRU), School of Nursing, McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4K1, Canada.
Noori Akhtar-DaneshSchool of Nursing, McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4K1, Canada.
Amy BartholomewAging, Community and Health Research Unit (ACHRU), School of Nursing, McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4K1, Canada.
Amiram GafniDepartment of Clinical Epidemiology and Biostatistics, Centre for Health Economics and Policy Analysis, McMaster University, 1280 Main Street, Hamilton, ON, L8S 4K1, Canada.
Andrea GruneirDepartment of Family Medicine, University of Alberta, 6-40 University Terrace, Edmonton, AB, T6G 2T4, Canada.
Sandra P HirstFaculty of Nursing, University of Calgary, 2500 University Drive NW, Calgary, AB, T2N 1N4, Canada.
Sharon KaasalainenSchool of Nursing, McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4K1, Canada.
Caralyn Kelly StradiottoAging, Community and Health Research Unit (ACHRU), School of Nursing, McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4K1, Canada.
John MiklavcicFaculty of Nursing, University of Alberta, 11405-87 Avenue, Edmonton, AB, T6G 1C9, Canada.
Carlos Rojas-FernandezDepartment of Family Medicine, McMaster School of Medicine, Principal, CRF Consulting, 763 Cedar Bend Drive, Waterloo, ON, N2V 2R6, Canada.
Cheryl A SadowskiFaculty of Pharmacy and Pharmaceutical Sciences, University of Alberta, 3-229 Edmonton Clinic Health Academy, 11405 87 Avenue, Edmonton, AB, T6G 1C9, Canada.
Lehana ThabaneDepartment of Clinical Epidemiology and Biostatistics, St. Joseph's Healthcare Hamilton, Room H-325, 50 Charlton Avenue East, Hamilton, ON, L8N 4A6, Canada.
Jean A C TriscottCare of the Elderly Division, Department of Family Medicine, University of Alberta, Edmonton, AB, T6G 2R7, Canada.
Ross UpshurDivision of Clinical Public Health, Dalla Lana School of Public Health, University of Toronto, 155 College Street, 6th floor, Toronto, ON, M5T 3M7, Canada.
McMaster University · CAUniversity of Alberta · CASt. Joseph’s Healthcare Hamilton · CAUniversity of Calgary · CAUniversity of Toronto · CAWaterloo CFD Engineering Consulting · CA

Funding

CIHR
6 · The paper itself

Abstract

backgroundMany community-based self-management programs have been developed for older adults with type-2 diabetes mellitus (T2DM), bolstered by evidence from randomized controlled trials (RCTs) that T2DM can be prevented and managed through lifestyle modifications. However, the evidence for their effectiveness is contradictory and weakened by reliance on single-group designs and/or small samples. Additionally, older adults with multiple chronic conditions (MCC) are often excluded because of recruiting and retention challenges. This paper presents a protocol for a two-armed, multisite, pragmatic, mixed-methods RCT examining the effectiveness and implementation of the Aging, Community and Health Research Unit-Community Partnership Program (ACHRU-CPP), a new 6-month interprofessional, nurse-led program to promote self-management in older adults (aged 65 years or older) with T2DM and MCC and support their caregivers (including family and friends). METHODS/

designThe study will enroll 160 participants in two Canadian provinces, Ontario and Alberta. Participants will be randomly assigned to the control (usual care) or program study arm. The program will be delivered by registered nurses (RNs) and registered dietitians (RDs) from participating diabetes education centers (Ontario) or primary care networks (Alberta) and program coordinators from partnering community-based organizations. The 6-month program includes three in-home visits, monthly group sessions, monthly team meetings for providers, and nurse-led care coordination. The primary outcome is the change in physical functioning as measured by the Physical Component Summary (PCS-12) score from the short form-12v2 health survey (SF-12). Secondary client outcomes include changes in mental functioning, depressive symptoms, anxiety, and self-efficacy. Caregiver outcomes include health-related quality of life and depressive symptoms. The study includes a comparison of health care service costs for the intervention and control groups, and a subgroup analysis to determine which clients benefit the most from the program. Descriptive and qualitative data will be collected to examine implementation of the program and effects on interprofessional/team collaboration. DISCUSSION: This study will provide evidence of the effectiveness of a community-based self-management program for a complex target population. By studying both implementation and effectiveness, we hope to improve the uptake of the program within the existing community-based structures, and reduce the research-to-practice gap.

trial registrationClinicalTrials.gov, Identifier: NCT02158741 . Registered on 3 June 2014.

Indexed as

Community Health ServicesSocial SupportAgedAge FactorsAgingAlbertaCaregiversClinical ProtocolsCost-Benefit AnalysisDiabetes Mellitus, Type 2FemaleHealth Care CostsHealthy LifestyleHumansMaleMultiple Chronic ConditionsCommunity-based settingsGroup-based programsHealth-related quality of lifeHybrid effectiveness-implementation designOlder adultsPragmaticRandomized controlled trialSelf-managementType-2 diabetes mellitus

Identifiers

PMID28166816
PMCPMC5294729
OpenAlexW2587640535

What OpenQuestion holds

Textmetadata
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.