Evidence map›Paper›PMID 29596950›Full record

Trial reportDiabetes research and clinical practice2018

One-year effects of a group-based lifestyle intervention in adults with type 2 diabetes: A randomized encouragement trial.

David T Liss, Emily A Finch, Andrew Cooper, Avani Sheth, Ashantí D Tejuosho, Nicola Lancki, Ronald T Ackermann

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Diabetes research and clinical practice, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01435603 (Community Translation of a Lifestyle Intervention to Improve Health in Diabetes), which is not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing 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.

NCT01435603 nacompletednot on this map

Community Translation of a Lifestyle Intervention to Improve Health in Diabetes

TypeinterventionalSponsorNorthwestern UniversityRan2011 to 2016Enrolled331ConditionsDiabetes Mellitus, Hyperglycemia, Obesity, Glucose Metabolism DisordersArmsStandard Lifestyle Advice, Advice Plus Lifestyle Intervention
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Article
  7. 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.

David T LissCenter for Community Health, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, United States; Division of General Internal Medicine and Geriatrics, Northwestern University Feinberg School of Medicine, Chicago, IL, United States. Electronic address: david.liss@northwestern.edu.
Emily A FinchCenter for Community Health, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, United States; Division of General Internal Medicine and Geriatrics, Northwestern University Feinberg School of Medicine, Chicago, IL, United States.
Andrew CooperCenter for Community Health, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, United States; Division of General Internal Medicine and Geriatrics, Northwestern University Feinberg School of Medicine, Chicago, IL, United States.
Avani ShethDepartment of Family and Community Medicine, Cook County Health and Hospitals System, Chicago, IL, United States.
Ashantí D TejuoshoCenter for Community Health, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, United States; Division of General Internal Medicine and Geriatrics, Northwestern University Feinberg School of Medicine, Chicago, IL, United States.
Nicola LanckiDivision of General Internal Medicine and Geriatrics, Northwestern University Feinberg School of Medicine, Chicago, IL, United States.
Ronald T AckermannCenter for Community Health, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, United States; Division of General Internal Medicine and Geriatrics, Northwestern University Feinberg School of Medicine, Chicago, IL, United States.

Funding

Northwestern University Clinical & Translational Sciences Institute (NUCATS) 2.0U54TR001018 · NCATS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI LLOYD-JONES, DONALD M · 2014 to 2014
$4.2M
Community Translation of a Lifestyle Intervention to Improve Health in DiabetesR18DK083941 · NIDDK · NORTHWESTERN UNIVERSITY AT CHICAGO · PI ACKERMANN, RONALD T. · 2010 to 2014
$2.7M
NCATS NIH HHS U54 TR001018NIDDK NIH HHS R18 DK083941
6 · The paper itself

Abstract

aimsTo estimate the real-world effects of offering a group-based lifestyle intervention (GLI) to adults with diabetes.

methodsThis randomized encouragement trial included adult primary care patients in metropolitan Chicago with type 2 diabetes and body mass index ≥24 kg/m

resultsOf 331 participants, 167 were randomized to standard care and 164 to the GLI encouragement arm. About one third of participants were non-Hispanic White (34.4%). In the GLI arm, 75 (45.7%) attended ≥1 GLI visits. In the primary intention-to-treat analysis, the effect of GLI encouragement was 0.95% weight loss at six months (95% confidence interval [CI], 0.13-1.77%; P = 0.02), and 1.20% weight loss at 12 months (95% CI, 0.05-2.36%; P = 0.04). At 12 months, there was a 0.30% (3.3 mmol/mol) reduction in hemoglobin A1c, but this result did not achieve statistical significance (P = 0.054). In instrumental variable analysis estimating effects among the subgroup of participants who attended any GLI visits, the effect of GLI attendance was 2.30% weight loss at six months (95% CI, 0.30-4.30%; P = 0.02), and 2.07% weight loss at 12 months (95% CI, 0.25-3.88%; P = 0.02). We detected no significant blood pressure or cholesterol effects.

conclusionsAmong adults with type 2 diabetes, a group-based lifestyle intervention in a community-based setting achieved modest weight loss at 6 and 12 months. CLINICAL

trial registrationClinicalTrials.gov Identifier NCT01435603.

Indexed as

AdultDiabetes Mellitus, Type 2FemaleHumansIntention to Treat AnalysisMaleMiddle AgedRisk Reduction BehaviorTime FactorsWeight LossCardiovascular riskDiabetesMinoritiesPrimary careWeight loss

Identifiers

PMID29596950
PMCPMC5990453

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.