Evidence map›Paper›PMID 30348188›Full record

ArticleTrials2018

Community-based intervention for management of diabetes in Nepal (COBIN-D trial): study protocol for a cluster-randomized controlled trial.

Bishal Gyawali, Dinesh Neupane, Abhinav Vaidya, Annelli Sandbæk, Per Kallestrup

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in Trials, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03304158 (Community Based Intervention for Management of Diabetes in Nepal), which is not on this map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
2.6field-weighted citation impact, top 9% 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.

NCT03304158 nacompletednot on this map

Community Based Intervention for Management of Diabetes in Nepal (COBIN-D): A Cluster Randomised Controlled Trial

TypeinterventionalSponsorUniversity of AarhusRan2017 to 2019Enrolled224ConditionsType 2 Diabetes MellitusArmsFCHV visit
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 32 citations in OpenAlex.

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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 at 3 institutions in 3 countries.

Bishal GyawaliDepartment of Public Health, Aarhus University, Aarhus, Denmark. bishal@ph.au.dk.
Dinesh NeupaneNepal Development Society, Bharatpur, Nepal.
Abhinav VaidyaDepartment of Community Medicine, Kathmandu Medical College, Kathmandu, Nepal.
Annelli SandbækDepartment of Public Health, Aarhus University, Aarhus, Denmark.
Per KallestrupDepartment of Public Health, Aarhus University, Aarhus, Denmark.
Aarhus University · DKKathmandu Medical College Teaching Hospital · NPNepal Red Cross Society · NP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundType 2 diabetes is one of the fastest emerging chronic diseases in low- and middle-income countries. Population-based approaches, such as involvement of lay health workers offering culturally appropriate diabetes health promotion, may be the blueprint for the management of type 2 diabetes. This study aims to examine the effectiveness of a family-based home health education intervention on type 2 diabetes provided by female community health volunteers (FCHVs) in a semi-urban area of Lekhnath Municipality of Nepal.

methodsThe COmmunity-Based INtervention for management of Diabetes in Nepal (COBIN-D) trial is a community-based, open-label, two-armed, cluster-randomized trial with seven randomly selected intervention and seven wait-list control clusters. A total of 112 subjects with type 2 diabetes will be recruited from the intervention clusters and 112 subjects from the wait-list control clusters. Based on the Health Belief Model and Social Support Theory, a 12-month family-based lifestyle intervention will be administered through FCHVs. Wait-list control clusters will continue to manage their glycemic condition as usual and their intervention will be delayed for 12 months. Participants will be measured at the beginning of the study and 12 months later. The primary outcome measure of the study will be difference in mean change (from baseline to 1 year) in fasting blood glucose between the two study arms. Impacts will be estimated using intention-to-treat analysis. DISCUSSION: The COBIN-D is the first study investigating the effect of family-based home health education and screening on blood sugar levels in adults by FCHVs at community level in Nepal. The perspective of this study is to develop and implement, in collaboration with the community, a community-based, culturally sensitive diabetes prevention and control program. It is anticipated that the study can act as a feasible and affordable tool for evidence-based integrated care for improvement of diabetes management and outcomes in Nepal as well as in other low- and middle-income countries.

trial registrationClinicalTrials.gov, Identifier: NCT03304158 . Registered retrospectively on 03 October 2017.

Indexed as

Community Health ServicesHealth BehaviorRisk Reduction BehaviorAdultBiomarkersBlood GlucoseCommunity Health WorkersDiabetes Mellitus, Type 2Family RelationsFastingFemaleHealth Knowledge, Attitudes, PracticeHumansMaleMiddle AgedNepalBiomarkersBlood GlucoseCommunity-basedCommunity health workerFemale community health volunteersNepalNon-communicable diseasesPrimary healthcareType 2 diabetes

Identifiers

PMID30348188
PMCPMC6196417
OpenAlexW2896984816

What OpenQuestion holds

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LicenceCC BY
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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.