Evidence map›Paper›PMID 28707567›Full record

ArticleScandinavian journal of public health2017

The impact of a social network based intervention on self-management behaviours among patients with type 2 diabetes living in socioeconomically deprived neighbourhoods: a mixed methods approach.

Charlotte Vissenberg, Vera Nierkens, Irene van Valkengoed, Giel Nijpels, Paul Uitewaal, Barend Middelkoop, Karien Stronks

Abstract readControlled Clinical Trial
In one paragraph

Article in Scandinavian journal of public health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
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.

Charlotte Vissenberg1 Department of Public Health, Academic Medical Centre, University of Amsterdam, Amsterdam, The Netherlands.
Vera Nierkens1 Department of Public Health, Academic Medical Centre, University of Amsterdam, Amsterdam, The Netherlands.
Irene van Valkengoed1 Department of Public Health, Academic Medical Centre, University of Amsterdam, Amsterdam, The Netherlands.
Giel Nijpels4 VU University Medical Centre, Amsterdam, The Netherlands.
Paul Uitewaal2 The Hague's Public Health Department, The Hague, The Netherlands.
Barend Middelkoop3 Leiden University Medical Centre, Leiden, The Netherlands.
Karien Stronks1 Department of Public Health, Academic Medical Centre, University of Amsterdam, Amsterdam, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThis paper aims to explore the effect of the social network based intervention Powerful Together with Diabetes on diabetes self-management among socioeconomically deprived patients. This 10-month group intervention targeting patients and significant others aimed to improve self-management by stimulating social support and diminishing social influences that hinder self-management.

methodsThis intervention was evaluated in a quasi-experimental study using a mixed methods approach. Of 131 socioeconomically deprived patients with suboptimal glycaemic control, 69 were assigned to the intervention group and 62 to the control group (standard diabetes education). 27 qualitative in-depth interviews with the participants and 24 with their group leaders were held to study the subjective impact of the intervention. Further, self-management behaviours (medication adherence, diet and physical activity) were assessed at baseline, 10 and 16 months. Data were analysed using framework analyses and a linear mixture model.

resultsQualitative data showed that the intervention group had a better understanding of the way self-management influences diabetes. The intervention group showed more complex self-management behaviours, such as planning ahead, seeking adequate food and physical activity alternatives, and consistently taking their diabetes into consideration when making choices. In participants with complete follow-up data, we found a significant increase in physical activity in the intervention group (3.78 vs. 4.83 days) and no changes in medication adherence and diet.

conclusionsThis study indicates that an intensive support group and simultaneously involving significant others might improve diabetes self-management behaviours among socioeconomically deprived patients. More studies are needed to justify further implementation of the intervention. This study is registered in the Dutch Trial Register NTR1886. http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=1886.

Indexed as

Diabetes Mellitus, Type 2Health PromotionPoverty AreasResidence CharacteristicsSelf CareSocial SupportAgedDietExerciseFemaleFollow-Up StudiesHumansMaleMedication AdherenceMiddle AgedNetherlandsdiabetes self-managementsocial influences and social supportsocial networksocioeconomically deprived neighbourhoodstype 2 diabetes

Identifiers

PMID28707567
PMCPMC5544123

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.