Evidence map›Paper›PMID 29357380›Full record

Trial reportPloS one2018

Structured peer-led diabetes self-management and support in a low-income country: The ST2EP randomised controlled trial in Mali.

Xavier Debussche, Stéphane Besançon, Maryvette Balcou-Debussche, Cyril Ferdynus, Hélène Delisle, Laetitia Huiart, Assa T Sidibe

2 registry-linked trialsAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 68 papers, 17 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 17 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.

NCT01485913 nacompletednot on this map

A Randomized Trial of an Intensive Education Intervention Using a Network of Involved Diabetic Patients (Peer Educators) to Improve Glycemic Control of Type 2 Diabetic Patients

TypeinterventionalSponsorSante Diabete MaliRan2011 to 2013Enrolled151ConditionsDiabetesArmsintensive education intervention using a network of involved diabetic patients (peer educators)
NCT07145983 nacompletednot on this mapstarted 2024, after this paper: background citation

Peer Support Intervention Effect on Medication Adherence, Self-care and Knowledge Among Patients With Diabetes: A Randomized Control Trial

TypeinterventionalSponsorAddis Ababa UniversityRan2024 to 2025Enrolled120ConditionsPeer Influence, Medication Adherence, Self CareArmsStructured Diabetes Education on medication Adherence and self care
3 · Its place in the literature

Who cites it

68 citing papers in PubMed, 17 syntheses or guidelines pooled it.

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8 more citing papers are in PubMed but not listed here.

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.

Xavier DebusscheDepartment of Endocrinology Diabetology Nutrition, Felix Guyon University Hospital, Saint-Denis, La Réunion.ORCID 0000-0003-3087-4297
Stéphane BesançonNon-Governmental Organisation Santé Diabète, Bamako, Mali.
Maryvette Balcou-DebusscheEA7389 Institut Coopératif Austral pour la Recherche en Education, University of Reunion, Saint-Denis, La Réunion.
Cyril FerdynusCentre d'Investigations Cliniques 1410 INSERM, Reunion University Hospital, Saint-Pierre, La Réunion.
Hélène DelisleDepartment of Nutrition, Medicine Faculty of Montreal University, Montreal, Quebec, Canada.
Laetitia HuiartCentre d'Investigations Cliniques 1410 INSERM, Reunion University Hospital, Saint-Pierre, La Réunion.
Assa T SidibeInternal Medicine, University Hospital, Bamako, Mali.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesOur objective was to evaluate the effectiveness of peer-led self-management education in improving glycaemic control in patients with type 2 diabetes in a low-income country (Mali).

methodsWe conducted an open-label randomised controlled trial. A total of 151 adults (76% women, mean age 52.5) with type 2 diabetes (HbA1c≥8%), treated in the diabetes consultation units of two secondary health centres in Bamako, were allocated to peer-led structured patient education (n = 76) or conventional care alone (n = 75). The intervention group received 1 year of culturally tailored structured patient education (3 courses of 4 sessions) delivered in the community by five trained peer educators. Both groups underwent conventional diabetes monitoring and follow-up. Primary outcome was the mean absolute change in HbA1c from baseline to 12 months.

results177 education sessions were delivered to the intervention group. Patient attrition was 8%. From baseline to 12 months, the decrease in HbA1c levels was 1.05% (SD = 2.0; CI95%: 1.54;-0.56) in the intervention group compared with 0.15% (SD = 1.7; CI95%: -0.56; 0.26) in the control group, p = 0.006. Mean BMI change was -1.65 kg/m2 (SD = 2.5; CI95%: -2.25; -1.06) in the intervention group and +0.05 kg/m2 (SD = 3.2; CI95%: -0.71; 0.81) in the control group, p = 0.0005. Mean waist circumference decreased by 3.34 cm (SD = 9.3; CI95%: -5.56;-1.13) in the intervention group and increased by 2.65 cm (SD = 10.3; CI95%: 0.20; 5.09) in the control group, p = 0.0003.

conclusionsPeer-led structured patient education delivered over 1 year to patients with poorly controlled type 2 diabetes in Mali yielded substantial improvements in glycaemic control and anthropometric parameters. This is of importance for the scaling up of efficient interventions in low-resource settings in the future.

trial registrationClinicalTrials.gov NCT01485913.

Indexed as

AdultDeveloping CountriesDiabetes Mellitus, Type 2FemaleGlycated HemoglobinHumansMaleMaliMiddle AgedOutcome Assessment, Health CarePatient Education as TopicPeer GroupSelf CareSelf-ManagementGlycated Hemoglobin

Identifiers

PMID29357380
PMCPMC5777645

What OpenQuestion holds

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LicenceCC BY
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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.