Trial reportBMJ open2017
The effect of guided self-determination on self-management in persons with type 1 diabetes mellitus and HbA
Trial report in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled 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.
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
21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 47 citations in OpenAlex.
- Emotional distress as a therapeutic target against persistent poor glycaemic control in subjects with type 1 diabetes: A systematic review.Diabetes, obesity & metabolism · 2025Pooled it
- Self-determination theory interventions versus usual care in people with diabetes: a systematic review with meta-analysis and trial sequential analysis.Systematic reviews · 2023Pooled it
- Analysing mHealth usage logs in RCTs: Explaining participants' interactions with type 2 diabetes self-management tools.PloS one · 2018Trial
- 2026 EASD evidence-based clinical practice guideline for assessing and managing diabetes distress among adults with type 1 diabetes or type 2 diabetes.Diabetologia · 2026Article
- Interventions to reduce diabetes-related distress among adults with type 1 or type 2 diabetes: a systematic review and meta-analysis of randomised controlled trials.Diabetologia · 2026Article
- Trends in baseline HbA1c and body-mass index in randomised trials of people with type 1 diabetes from 1993 to 2025: an IMI2 SOPHIA systematic review and meta-analysis.EClinicalMedicine · 2025Article
- Cross-Cultural Adaptability and Psychometric Validation of the Treatment Self-Regulation Questionnaire (TSRQ) for Application on the Persian-Speaking Type 2 Diabetes Patients.Patient preference and adherence · 2025Article
- Determinants of diabetes self-care activities in patients with type 2 diabetes based on self-determination theory.Acta diabetologica · 2024Article
- A Systematic Literature Review of Psychological Interventions for Adults with Type 1 Diabetes.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2024Review
- Patients' experiences with participating in a team-based person-centred intervention for patients at risk of or diagnosed with COPD in general practice.Pilot and feasibility studies · 2023Article
- Using Patient Profiles for Sustained Diabetes Management Among People With Type 2 Diabetes.Preventing chronic disease · 2023Article
- Self-Determination Theory and Quality of Life of Adults with Diabetes: A Scoping Review.Journal of diabetes research · 2023Article
- Article
- Self-determination theory interventions versus usual care in people with diabetes: a protocol for a systematic review with meta-analysis and trial sequential analysis.Systematic reviews · 2021Article
- Experiences of self-management support in patients with diabetes and multimorbidity: a qualitative study in Norwegian general practice.Primary health care research & development · 2020Article
- The Self-Management Experiences of Adolescents with Type 1 Diabetes: A Descriptive Phenomenology Study.International journal of environmental research and public health · 2020Article
- Measuring the Effects of Sharing Mobile Health Data During Diabetes Consultations: Protocol for a Mixed Method Study.JMIR research protocols · 2020Article
- Factorial Structure and Psychometric Analysis of the Persian Version of Perceived Competence Scale for Diabetes (PCSD-P).Behavioral sciences (Basel, Switzerland) · 2019Article
- Psychometric properties of the Persian Health Care Climate Questionnaire (HCCQ-P): assessment of type 2 diabetes care supportiveness in Iran.Patient preference and adherence · 2019Article
- Factors explaining variation in self-esteem among persons with type 1 diabetes and elevated HbA1c.PloS one · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 4 institutions in 5 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo determine whether the impact of guided self-determination (GSD) applied in group training (GSD-GT) in people with chronically elevated HbA
settingAn outpatient clinic at a university hospital in Western Norway.
participantsA total of 178 adults (all Caucasian) aged 18-55 (mean age 36.7±10.7, 62% women) with type 1 DM for at least 1 year and HbA
interventionIntervention group met seven times for 2 hours over 14 weeks to promote patient autonomy and intrinsic motivation using reflection sheets and advanced professional communication in accordance with the GSD methodology. PRIMARY AND SECONDARY OUTCOME MEASURES: The primary outcome was HbA
resultsAmong participants allocated to the GSD-GT (=90) 48 completed the study, whereas 83 completed in the CG (n=88). With 95% CIs GSD-GT did not have effect on HbA
conclusionsResults from this behavioural intervention must be interpreted cautiously because of recruitment and attrition problems. Medical outcomes did not improve. Psychological outcomes improved, especially reduced diabetes distress. TRIAL REGISTRATION NUMBER: Clinical Trials.gov NCT 01317459.
Indexed as
Identifiers
What OpenQuestion holds
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.