Evidence map›Paper›PMID 28636745›Full record

ReviewDiabetic medicine : a journal of the British Diabetic Association2017

A practical framework for encouraging and supporting positive behaviour change in diabetes.

L Fisher, W H Polonsky, D Hessler, M B Potter

Open access · greenAbstract readReview
In one paragraph

Review in Diabetic medicine : a journal of the British Diabetic Association, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 8% 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

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 63 citations in OpenAlex.

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  16. Patient Decision-Making About Self-Disclosure of a Type 2 Diabetes Diagnosis: A Qualitative Study.Diabetes spectrum : a publication of the American Diabetes Association · 2022
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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

4 authors at 2 institutions in 1 country.

L FisherDepartment of Family & Community Medicine, University of California, San Francisco.ORCID 0000-0001-9481-9727
W H PolonskyBehavioral Diabetes Institute, University of California, San Diego, USA.
D HesslerDepartment of Family & Community Medicine, University of California, San Francisco.
M B PotterDepartment of Family & Community Medicine, University of California, San Francisco.
University of California, San Francisco · USUniversity of California San Diego · US

Funding

Enhancing Self-Management Support in Diabetes through Patient EngagementR18DK108039 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HESSLER, DANIELLE MARIE, POTTER, MICHAEL B · 2015 to 2019
$3.3M
Reducing Distress And Improving Glycemic Control In Adults With Type 1 Diabetes.R01DK094863 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI FISHER, LAWRENCE · 2013 to 2017
$3.1M
NIDDK NIH HHS R01 DK094863NIDDK NIH HHS R18 DK108039
6 · The paper itself

Abstract

A wide range of diabetes-directed interventions - including novel medications, devices and comprehensive education programmes - have been shown to be effective in clinical trials. But in the real world of diabetes care their efficacy is often dependent upon on how well a clinician is able to support personal engagement and motivation of the person with diabetes to use these new tools and knowledge consistently, and as directed. Although many person-centred motivational and behavioural strategies have been developed, for example, action planning, motivational interviewing and empowerment-based communication, the sheer number and apparent lack of clear differences among them have led to considerable confusion. The primary goal of this review, therefore, is to provide a practical framework that organizes and structures these programmes to enhance their more systematic use in clinical care. Its purpose is to enhance clinician efforts to respectfully encourage and support engagement and motivation for behaviour change in people with diabetes. The three-step framework for organizing and describing the specific clinical processes involved is based on self-determination theory and includes: clinician preparation for a different type of clinical encounter, clinician/person with diabetes relationship building, and clinician utilization of specific behavioural tools. We conclude with practical considerations for application of this framework to the real world of clinical care.

Indexed as

Health BehaviorMotivationPsychosocial Support SystemsSelf CareDiabetes MellitusHumansPatient ParticipationPersonal Autonomy

Identifiers

PMID28636745
PMCPMC5687986
OpenAlexW2698594727

What OpenQuestion holds

Textmetadata
LicenceTDM
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.