Evidence map›Paper›PMID 29463488›Full record

ArticleJournal of medical Internet research2018

Digital Health Interventions for Adults With Type 2 Diabetes: Qualitative Study of Patient Perspectives on Diabetes Self-Management Education and Support.

Kingshuk Pal, Charlotte Dack, Jamie Ross, Susan Michie, Carl May, Fiona Stevenson, Andrew Farmer, Lucy Yardley, Maria Barnard, Elizabeth Murray

Registry-linked trialAbstract read
In one paragraph

Article in Journal of medical Internet research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06325917 (Effect of Self-management Education With Ongoing Support Using Social Media on Glycemic Control Among Patients With Diabetes Type 2.), which is not on this map. Cited by 83 papers, 13 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
83citing papers in PubMed, 13 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.

NCT06325917 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Effect of Self-management Education With Ongoing Support Using Social Media on Glycemic Control Among Patients With Diabetes Type 2.

TypeinterventionalSponsorUniversity of JordanRan2022 to 2024Enrolled140ConditionsDiabetes Mellitus, Type 2Armswhat's app ongoing support, usual care
3 · Its place in the literature

Who cites it

83 citing papers in PubMed, 13 syntheses or guidelines pooled it.

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  9. Digital Patient Experience: Umbrella Systematic Review.Journal of medical Internet research · 2022
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  10. Educational Processes for Health and Disease Self-Management in Public Health: A Systematic Review.International journal of environmental research and public health · 2021
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23 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

10 authors.

Kingshuk PalDepartment of Primary Care and Population Health, University College London, London, United Kingdom.ORCID 0000-0001-6630-6684
Charlotte DackDepartment of Psychology, University of Bath, Bath, United Kingdom.ORCID 0000-0002-5124-094X
Jamie RossDepartment of Primary Care and Population Health, University College London, London, United Kingdom.ORCID 0000-0001-8720-5911
Susan MichieCentre for Behaviour Change, University College London, London, United Kingdom.ORCID 0000-0003-0063-6378
Carl MayFaculty of Health Sciences, University of Southampton, Southampton, United Kingdom.ORCID 0000-0002-0451-2690
Fiona StevensonDepartment of Primary Care and Population Health, University College London, London, United Kingdom.ORCID 0000-0003-2139-2309
Andrew FarmerNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, United Kingdom.ORCID 0000-0002-6170-4402
Lucy YardleyDepartment of Psychology, University of Southampton, Southampton, United Kingdom.ORCID 0000-0002-3853-883X
Maria BarnardDepartment of Diabetic Medicine, Whittington Hospital, London, United Kingdom.ORCID 0000-0003-1643-2644
Elizabeth MurrayDepartment of Primary Care and Population Health, University College London, London, United Kingdom.ORCID 0000-0002-8932-3695

Funding

Department of Health RP-PG-0609-10135Medical Research Council MR/K023195/1
6 · The paper itself

Abstract

backgroundThe prevalence of type 2 diabetes is increasing globally, and health services in many countries are struggling with the morbidity, mortality, and costs associated with the complications of this long-term condition. Diabetes self-management education (DSME) and behavioral support can reduce the risks of developing diabetes-related complications and improve glycemic control. However, their uptake is low. Digital health interventions (DHI) can provide sustained support and may overcome challenges associated with attending diabetes self-management sessions. They have the potential for delivery at multiple locations at convenient times, anonymity, and presentation of content in attractive and tailored formats. This study investigates the needs and wants of patients with type 2 diabetes to inform the development of digital self-management education and support.

objectiveThe objective of this study was to explore patient perspectives on unmet needs for self-management and support and the role of DHI in adults living with type 2 diabetes.

methodsThis study used a qualitative approach based on data generated from 4 focus groups with 20 patients.

resultsThe data generated by the focus groups illustrated the significant burden that the diagnosis of diabetes places on many patients and the negative impacts on their emotional well-being, work, social life, and physical health. Although patients' experiences of the health care services varied, there was agreement that even the best services were unable to meet all users' needs to support the emotional regulation, psychological adjustment, and behavioral changes needed for successful self-management.

conclusionsBy focusing on medical management and information provision, existing health care services and education programs may not be adequately meeting all the needs of patients with type 2 diabetes. DHIs have the potential to improve access to DSME and behavioral support and extend the range of content offered by health services to fit with a wider range of patient needs. Features that could help DHIs address some of the unmet needs described by participants in this study included placing an emphasis on emotional and role management, being available at all times, having up-to-date evidence-based guidance for patients, and providing access to peer-generated and professional advice.

Indexed as

Qualitative ResearchSocial SupportAdultDiabetes Mellitus, Type 2Education, DistanceFemaleHumansMaleSelf-ManagementYoung Adultdiabetes mellitus, type 2eHealthmHealthpatient educationqualitative researchself-management

Identifiers

PMID29463488
PMCPMC5931778

What OpenQuestion holds

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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.