Evidence map›Paper›PMID 30555727›Full record

ArticleBMJ global health2018

Using a cross-contextual reciprocal learning approach in a multisite implementation research project to improve self-management for type 2 diabetes.

Josefien van Olmen, Peter Delobelle, David Guwatudde, Pilvikki Absetz, David Sanders, Helle Mölsted Alvesson, Thandi Puoane, Claes-Goran Ostenson, Göran Tomson, Roy William Mayega and 3 more

Abstract read
In one paragraph

Article in BMJ global health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 citing papers in PubMed.

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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

13 authors.

Josefien van OlmenDepartment of Public Health, Institute of Tropical Medicine, Antwerp, Belgium.ORCID 0000-0001-9724-1887
Peter DelobelleChronic Disease Initiative for Africa, Faculty of Health Sciences - University of Cape Town, Cape Town, South Africa.
David GuwatuddeDepartment of Epidemiology and Biostatistics, School of Public Health, Makerere University College of Health Sciences, Kampala, Uganda.
Pilvikki AbsetzDepartment of Public Health and Clinical Nutrition, University of Eastern Finland, Kuopio, Finland.
David SandersSchool of Public Health, University of the Western Cape, Cape Town, South Africa.
Helle Mölsted AlvessonDepartment of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.
Thandi PuoaneSchool of Public Health, University of Western Cape, Bellville, South Africa.
Claes-Goran OstensonDepartment of Molecular Medicine and Surgery, Diabetes and Endocrine Unit, Karolinska Institutet, Stockholm, Sweden.
Göran TomsonDepartment of Public Health Sciences, Karolinska Institutet and Swedish Institute for Global Health Transformation (SIGHT), Stockholm, Sweden.
Roy William MayegaDepartment of Epidemiology and Biostatistics, School of Public Health, Makerere University College of Health Sciences, Kampala, Uganda.
Carl Johan SundbergDepartment of Learning, Informatics, Management and Ethics, Karolinska Institutet, Stockholm, Sweden.
Stefan PetersonDepartment of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.
Meena DaivadanamDepartment of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This paper reports on the use of reciprocal learning for identifying, adopting and adapting a type 2 diabetes self-management support intervention in a multisite implementation trial conducted in a rural setting in a low-income country (Uganda), a periurban township in a middle-income country (South Africa) and socioeconomically disadvantaged suburbs in a high-income country (Sweden). The learning process was guided by a framework for knowledge translation and structured into three learning cycles, allowing for a balance between evidence, stakeholder interaction and contextual adaptation. Key factors included commitment, common goals, leadership and partnerships. Synergistic outcomes were the cocreation of knowledge, interventions and implementation methods, including reverse innovations such as adaption of community-linked models of care. Contextualisation was achieved by cross-site exchanges and local stakeholder interaction to balance intervention fidelity with local adaptation. Interdisciplinary and cross-site collaboration resulted in the establishment of learning networks. Limitations of reciprocal learning relate to the complexity of the process with unpredictable outcomes and the limited generalisability of results.

Indexed as

community interventionsdiabetesglobal healthhealth policieshealth services researchhealth systemsimplementation researchinternational collaborationlow and middle income countrymulti-country studyprevention strategiesresearch partnershipsreverse innovationself-managementtype 2 diabetes

Identifiers

PMID30555727
PMCPMC6267315

What OpenQuestion holds

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LicenceCC BY-NC
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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.