Evidence map›Paper›PMID 29884161›Full record

Trial reportBMC public health2018

Randomised-controlled trial of a web-based dietary intervention for patients with type 2 diabetes: changes in health cognitions and glycemic control.

Amutha Ramadas, Carina Ka Yee Chan, Brian Oldenburg, Zanariah Hussein, Kia Fatt Quek

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

Trial report in BMC public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01246687 (Dietary Intervention Among Patients With Type 2 Diabetes Mellitus), which is not on this map. Cited by 39 papers, 14 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 14 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.

NCT01246687 nacompletednot on this map

Dietary Intervention Among Patients With Type 2 Diabetes Mellitus: An e-Approach

TypeinterventionalSponsorMonash UniversityRan2010 to 2011Enrolled134ConditionsDiabetes Mellitus, Type 2, Intervention Studies, BehaviorArmse-Intervention
3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 14 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

5 authors.

Amutha RamadasJeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia, Jalan Lagoon Selatan, 47500, Bandar Sunway, Selangor Darul Ehsan, Malaysia. amutha.ramadas@monash.edu.ORCID 0000-0002-8238-9659
Carina Ka Yee ChanSchool of Psychology, Australian Catholic University, Brisbane, Australia.
Brian OldenburgMelbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia.
Zanariah HusseinDepartment of Medicine, Putrajaya Hospital, Putrajaya, Malaysia.
Kia Fatt QuekJeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia, Jalan Lagoon Selatan, 47500, Bandar Sunway, Selangor Darul Ehsan, Malaysia.

Funding

Building the Asian NCoD Research Network for Regional Research CapacityD43TW008332 · FIC · MONASH UNIVERSITY · PI FISHER, EDWIN B, KADIR, KHALID · 2010 to 2014
$1.0M
FIC NIH HHS D43 TW008332FIC NIH HHS D43TW008332Monash University Malaysia MED2009-CM (SG)-004-QKF
6 · The paper itself

Abstract

backgroundIncreasing prevalence and disease burden has led to an increasing demand of programs and studies focused on dietary and lifestyle habits, and chronic diseases such as type 2 diabetes mellitus (T2DM). We evaluated the effects of a 6-month web-based dietary intervention on Dietary Knowledge, Attitude and Behaviour (DKAB), Dietary Stages of Change (DSOC), fasting blood glucose (FBG) and glycosylated haemoglobin (HbA1c) in patients with uncontrolled HbA1c (> 7.0%) in a randomised-controlled trial (myDIDeA) in Malaysia.

methodsThe e-intervention group (n = 62) received a 6-month web-delivered intensive dietary intervention while the control group (n = 66) continued with their standard hospital care. Outcomes (DKAB and DSOC scores, FBG and HbA1c) were compared at baseline, post-intervention and follow-up.

resultsWhile both study groups showed improvement in total DKAB score, the margin of improvement in mean DKAB score in e-intervention group was larger than the control group at post-intervention (11.1 ± 0.9 vs. 6.5 ± 9.4,p < 0.001) and follow-up (19.8 ± 1.1 vs. 7.6 ± 0.7,p < 0.001), as compared to the baseline. Although there was no significant difference between intervention and control arms with respect to DSOC score and glycaemic control, the e-intervention group showed improved DSOC score (199.7 ± 18.2 vs193.3 ± 14.6,p = 0.046), FBG (7.9 ± 2.5 mmol/L vs. 8.9 ± 3.9 mmol/L,p = 0.015) and HbA1c (8.5 ± 1.8% vs. 9.1 ± 2.0%,p = 0.004) at follow-up compared to the baseline, whereas such improvement was not seen in the control group.

conclusionsMost important impact of myDIDeA was on the overall DKAB score. This study is one of the first to demonstrate that an e-intervention can be a feasible method for implementing chronic disease management in developing countries. Concerns such as self-monitoring, length of intervention, intense and individualized intervention, adoption of other domains of Transtheoretical Model and health components, and barriers to change have to be taken into consideration in the development of future intervention programs.

trial registrationClinicalTrials.gov NCT01246687 .

Indexed as

InternetAdultDiabetes Mellitus, Type 2DietFeasibility StudiesFemaleGlycated HemoglobinHealth Knowledge, Attitudes, PracticeHealth PromotionHumansMalaysiaMaleMiddle AgedPatient Education as TopicProgram EvaluationGlycated HemoglobinDiabetes mellitus, type 2Diet therapyRandomised-controlled trialTelemedicine

Identifiers

PMID29884161
PMCPMC5994015

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.