Evidence map›Paper›PMID 28954789›Full record

Trial reportBMJ open2017

Web-based self-management support for people with type 2 diabetes (HeLP-Diabetes): randomised controlled trial in English primary care.

Elizabeth Murray, Michael Sweeting, Charlotte Dack, Kingshuk Pal, Kerstin Modrow, Mohammed Hudda, Jinshuo Li, Jamie Ross, Ghadah Alkhaldi, Maria Barnard and 8 more

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04626531 (The Effect of Web-Based Education Program on Metabolic Control, Self-Care Activities, Self-Efficacy and Quality of Life in Patients With Type 2 Diabetes), which is not on this map. Cited by 54 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 6 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.

NCT04626531 nacompletednot on this map

The Effect of Web-Based Education Program on Metabolic Control, Self-Care Activities, Self-Efficacy and Quality of Life in Patients With Type 2 Diabetes: A Randomized Controlled Trial

TypeinterventionalSponsorMehmet Akif Ersoy UniversityRan2016 to 2018Enrolled89ConditionsDiabetes Mellitus, Type 2, Educational ProblemsArmsWeb-Based Education, Control Group
3 · Its place in the literature

Who cites it

54 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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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

18 authors.

Elizabeth MurrayResearch Department of Primary Care and Population Health, University College London, London, UK.
Michael SweetingDepartment of Public Health and Primary Care, Cardiovascular Epidemiology Unit, University of Cambridge, Cambridge, UK.
Charlotte DackDepartment of Psychology, University of Bath, Bath, UK.
Kingshuk PalResearch Department of Primary Care and Population Health, University College London, London, UK.
Kerstin ModrowResearch Department of Primary Care and Population Health, University College London, London, UK.
Mohammed HuddaPopulation Health Research Institute, St George's, University of London, London, UK.
Jinshuo LiDepartment of Health Sciences, University of York, York, UK.
Jamie RossResearch Department of Primary Care and Population Health, University College London, London, UK.
Ghadah AlkhaldiResearch Department of Primary Care and Population Health, University College London, London, UK.
Maria BarnardWhittington Health, London, UK.
Andrew FarmerNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Susan MichieDepartment of Clinical, Educational and Health Psychology, Centre for Behaviour Change, University College London, London, UK.
Lucy YardleyNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Carl MayFaculty of Health Sciences, University of Southampton, Southampton, UK.
Steve ParrottDepartment of Health Sciences, University of York, York, UK.
Fiona StevensonResearch Department of Primary Care and Population Health, University College London, London, UK.
Malcolm KnoxResearch Department of Primary Care and Population Health, University College London, London, UK.
David PattersonWhittington Health, London, UK.

Funding

British Heart Foundation RG/08/014/24067British Heart Foundation RG/13/13/30194Department of Health RP-PG-0609-10135Medical Research Council MR/L003120/1
6 · The paper itself

Abstract

objectiveTo determine the effectiveness of a web-based self-management programme for people with type 2 diabetes in improving glycaemic control and reducing diabetes-related distress. METHODS AND

designIndividually randomised two-arm controlled trial.

setting21 general practices in England.

participantsAdults aged 18 or over with a diagnosis of type 2 diabetes registered with participating general practices. INTERVENTION AND COMPARATOR: Usual care plus either Healthy Living for People with Diabetes (HeLP-Diabetes), an interactive, theoretically informed, web-based self-management programme or a simple, text-based website containing basic information only. OUTCOMES AND DATA COLLECTION: Joint primary outcomes were glycated haemoglobin (HbA1c) and diabetes-related distress, measured by the Problem Areas in Diabetes (PAID) scale, collected at 3 and 12 months after randomisation, with 12 months the primary outcome point. Research nurses, blind to allocation collected clinical data; participants completed self-report questionnaires online. ANALYSIS: The analysis compared groups as randomised (intention to treat) using a linear mixed effects model, adjusted for baseline data with multiple imputation of missing values.

resultsOf the 374 participants randomised between September 2013 and December 2014, 185 were allocated to the intervention and 189 to the control. Final (12 month) follow-up data for HbA1c were available for 318 (85%) and for PAID 337 (90%) of participants. Of these, 291 (78%) and 321 (86%) responses were recorded within the predefined window of 10-14 months. Participants in the intervention group had lower HbA1c than those in the control (mean difference -0.24%; 95% CI -0.44 to -0.049; p=0.014). There was no significant overall difference between groups in the mean PAID score (p=0.21), but prespecified subgroup analysis of participants who had been more recently diagnosed with diabetes showed a beneficial impact of the intervention in this group (p = 0.004). There were no reported harms.

conclusionsAccess to HeLP-Diabetes improved glycaemic control over 12 months. TRIAL REGISTRATION NUMBER: ISRCTN02123133.

Indexed as

Self-ManagementAdultBlood GlucoseDiabetes Mellitus, Type 2EnglandFemaleGlycated HemoglobinHumansInternetMalePrimary Health CareQuality of LifeSelf CareSelf ReportBlood GlucoseGlycated Hemoglobinhemoglobin A1c protein, humandiabetes mellitus,type 2internetprimary careself care

Identifiers

PMID28954789
PMCPMC5623569

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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.