Evidence map›Paper›PMID 29862037›Full record

ArticlePilot and feasibility studies2018

Development of a supported self-management intervention for adults with type 2 diabetes and a learning disability.

Allan House, Gary Latchford, Amy M Russell, Louise Bryant, Judy Wright, Elizabeth Graham, Alison Stansfield, Ramzi Ajjan, OK Diabetes team

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Pilot and feasibility studies, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact, top 92% of its field
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

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

  1. Easy Read Health Information for People With Intellectual Disabilities: A Systematic Review of the Evidence.Journal of applied research in intellectual disabilities : JARID · 2026
    Pooled it
  2. Article
  3. Article
  4. Breaking the cycle of inequalities for people with a learning disability.The British journal of general practice : the journal of the Royal College of General Practitioners · 2022
    Article
  5. 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

9 authors at 1 institution in 1 country.

Allan House1Leeds Institute of Health Sciences, University of Leeds, Worsley Building, Leeds, LS2 9NL UK.ORCID 0000-0001-8721-8026
Gary Latchford1Leeds Institute of Health Sciences, University of Leeds, Worsley Building, Leeds, LS2 9NL UK.
Amy M Russell1Leeds Institute of Health Sciences, University of Leeds, Worsley Building, Leeds, LS2 9NL UK.
Louise Bryant1Leeds Institute of Health Sciences, University of Leeds, Worsley Building, Leeds, LS2 9NL UK.
Judy Wright1Leeds Institute of Health Sciences, University of Leeds, Worsley Building, Leeds, LS2 9NL UK.
Elizabeth Graham2Leeds Institute of Clinical Trials Research, University of Leeds, Worsley Building, Leeds, LS2 9NL UK.
Alison Stansfield3Leeds York Partnership NHS Foundation Trust, Leeds, UK.
Ramzi Ajjan4Division of Cardiovascular and Diabetes Research, University of Leeds, Leeds, UK.
OK Diabetes team
University of Leeds · GB

Funding

Department of Health 10/102/03
6 · The paper itself

Abstract

backgroundAlthough supported self-management is a well-recognised part of chronic disease management, it has not been routinely used as part of healthcare for adults with a learning disability. We developed an intervention for adults with a mild or moderate learning disability and type 2 diabetes, building on the principles of supported self-management with reasonable adjustments made for the target population.

methodsIn five steps, we:Clarified the principles of supported self-management as reported in the published literatureIdentified the barriers to effective self-management of type 2 diabetes in adults with a learning disabilityReviewed existing materials that aim to support self-management of diabetes for people with a learning disabilitySynthesised the outputs from the first three phases and identified elements of supported self-management that were (a) most relevant to the needs of our target population and (b) most likely to be acceptable and useful to themImplemented and field tested the intervention.

resultsThe final intervention had four standardised components: (1) establishing the participant's daily routines and lifestyle, (2) identifying supporters and their roles, (3) using this information to inform setting realistic goals and providing materials to the patient and supporter to help them be achieved and (4) monitoring progress against goals.Of 41 people randomised in a feasibility RCT, thirty five (85%) completed the intervention sessions, with over three quarters of all participants (78%) attending at least three sessions.Twenty-three out of 40 (58%) participants were deemed to be very engaged with the sessions and 12/40 (30%) with the materials; 30 (73%) participants had another person present with them during at least one of their sessions; 15/41 (37%) were reported to have a very engaged main supporter, and 18/41 (44%) had a different person who was not their main supporter but who was engaged in the intervention implementation.

conclusionsThe intervention was feasible to deliver and, as judged by participation and engagement, acceptable to participants and those who supported them.

trial registrationCurrent Controlled Trials ISRCTN41897033 (registered 21/01/2013).

Indexed as

Learning disabilitySupported self-managementType 2 diabetes

Identifiers

PMID29862037
PMCPMC5975532
OpenAlexW2805674635

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.