Evidence map›Paper›PMID 30233805›Full record

ArticleBMJ open diabetes research & care2018

Patterns and correlates of use of evidence-based interventions to control diabetes by local health departments across the USA.

Rachel G Tabak, Renee G Parks, Peg Allen, Rebekah R Jacob, Stephanie Mazzucca, Katherine A Stamatakis, Allison R Poehler, Marshall H Chin, Maureen Dobbins, Debra Dekker and 1 more

Abstract read
In one paragraph

Article in BMJ open diabetes research & care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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.

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. Article
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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

11 authors.

Rachel G TabakPrevention Research Center in St Louis, Brown School, Washington University in St Louis, St Louis, Missouri, USA.ORCID 0000-0003-2967-3906
Renee G ParksPrevention Research Center in St Louis, Brown School, Washington University in St Louis, St Louis, Missouri, USA.
Peg AllenPrevention Research Center in St Louis, Brown School, Washington University in St Louis, St Louis, Missouri, USA.
Rebekah R JacobPrevention Research Center in St Louis, Brown School, Washington University in St Louis, St Louis, Missouri, USA.
Stephanie MazzuccaPrevention Research Center in St Louis, Brown School, Washington University in St Louis, St Louis, Missouri, USA.
Katherine A StamatakisDepartment of Epidemiology, College for Public Health and Social Justice, Saint Louis University, St Louis, Missouri, USA.
Allison R PoehlerPrevention Research Center in St Louis, Brown School, Washington University in St Louis, St Louis, Missouri, USA.
Marshall H ChinDepartment of Medicine and Chicago Center for Diabetes Translation Research, University of Chicago, Chicago, Illinois, USA.
Maureen DobbinsNational Collaborating Centre for Methods and Tools and Health Evidence, McMaster University, Hamilton, Ontario, Canada.
Debra DekkerNational Association of County and City Health Officials (NACCHO), District of Columbia, Washington, USA.
Ross C BrownsonPrevention Research Center in St Louis, Brown School, Washington University in St Louis, St Louis, Missouri, USA.

Funding

Washington University Center for Diabetes Translation Research P30DK092950 · NIDDK · WASHINGTON UNIVERSITY · PI Ross C Brownson, Debra Haire-Joshu · 2011 to 2026
$11.7M
Research Design, Data, and Analytics CoreP30DK092949 · NIDDK · UNIVERSITY OF CHICAGO · PI ELBERT S. HUANG · 2011 to 2026
$10.0M
Enhancing Evidence-based Diabetes Control Among Local Health DepartmentsR01DK109913 · NIDDK · WASHINGTON UNIVERSITY · PI BROWNSON, ROSS C · 2016 to 2020
$2.9M
NIDDK NIH HHS P30 DK092949NIDDK NIH HHS P30 DK092950NIDDK NIH HHS R01 DK109913
6 · The paper itself

Abstract

objectiveThe nearly 3000 local health departments (LHDs) nationwide are the front line of public health and are positioned to implement evidence-based interventions (EBIs) for diabetes control. Yet little is currently known about use of diabetes-related EBIs among LHDs. This study used a national online survey to determine the patterns and correlates of the Centers for Disease Control and Prevention Community Guide-recommended EBIs for diabetes control in LHDs. RESEARCH DESIGN AND

methodsA cross-sectional study was conducted to survey a stratified random sample of LHDs regarding department characteristics, respondent characteristics, evidence-based decision making within the LHD, and delivery of EBIs (directly or in collaboration) within five categories (diabetes-related, nutrition, physical activity, obesity, and tobacco). Associations between delivering EBIs and respondent and LHD characteristics and evidence-based decision making were explored using logistic regression models.

resultsAmong 240 LHDs there was considerable variation among the EBIs delivered. Diabetes prevalence in the state was positively associated with offering the Diabetes Prevention Program (OR=1.28 (95% CI 1.02 to 1.62)), diabetes self-management education (OR=1.32 (95% CI 1.04 to 1.67)), and identifying patients and determining treatment (OR=1.27 (95% CI 1.05 to 1.54)). Although all organizational supports for evidence-based decision making factors were related in a positive direction, the only significant association was between evaluation capacity and identifying patients with diabetes and determining effective treatment (OR=1.54 (95% CI 1.08 to 2.19)).

conclusionSupporting evidence-based decision making and increasing the implementation of these EBIs by more LHDs can help control diabetes nationwide.

Indexed as

chronic disease prevention and treatmentpreventionpublic health

Identifiers

PMID30233805
PMCPMC6135437

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Registered trials

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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.