ArticleBJGP open2018
Effectiveness of an integrated diabetes care package at primary healthcare facilities: a cluster randomised trial in Pakistan.
Article in BJGP open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Quality improvement strategies for diabetes care: Effects on outcomes for adults living with diabetes.The Cochrane database of systematic reviews · 2023Pooled it
- Health system interventions for adults with type 2 diabetes in low- and middle-income countries: A systematic review and meta-analysis.PLoS medicine · 2020Pooled it
- Effect of patient-centered self-management intervention on glycemic control, self-efficacy, and self-care behaviors in South Asian adults with type 2 diabetes mellitus: A multicenter randomized controlled trial.Journal of diabetes · 2024Trial
- Implementing an early childhood development intervention with routine immunization visits in India: a feasibility trial.European journal of pediatrics · 2022Trial
- Integration of Cardiovascular Disease Services within Primary Health Care Systems: Insights from South Asia.Current atherosclerosis reports · 2026Review
- Enhancing Type 2 Diabetes Management Involving Healthcare Professionals in Primary Care.Healthcare (Basel, Switzerland) · 2026Review
- Prevalence and Impact of Psychological Disorders on Pharmacotherapy of Diabetic Patients in Low Resource Settings: A Prospective Assessment in Primary Healthcare Settings.Patient preference and adherence · 2024Article
- Article
- mHealth guideline training for non-communicable diseases in primary care facilities in Nigeria: a mixed methods pilot study.BMJ open · 2022Article
- Effectiveness of health education intervention on diabetes mellitus among the teachers working in public sector schools of Pakistan.BMC endocrine disorders · 2022Article
- Adapting and implementing training, guidelines and treatment cards to improve primary care-based hypertension and diabetes management in a fragile context: results of a feasibility study in Sierra Leone.BMC public health · 2020Article
- Decentralising NCD management in rural southern Africa: evaluation of a pilot implementation study.BMC public health · 2020Article
- Process evaluation of integrated diabetes management at primary healthcare facilities in Pakistan: a mixed-methods study.BJGP open · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere were an estimated 7 million people living with diabetes in Pakistan in 2014, and this is predicted to reach 11.4 million by 2030.
aimTo assess if an integrated care package can achieve better control of diabetes. DESIGN &
settingThe pragmatic cluster randomised controlled trial (cRCT) was conducted from December 2014-June 2016 at 14 primary healthcare facilities in Sargodha district. Opportunistic screening, diagnostic testing, and patient recording processes were introduced in both the control 'testing, treating, and recording' (TTR) arm, and the intervention 'additional case management' (ACM) arm, which also included a clinical care guide and pictorial flipbook for lifestyle education, associated clinician training, and mobile phone follow-up.
methodClinics were randomised on a 1:1 basis (sealed envelope lottery method) and 250 patients recruited in the ACM arm and 245 in the TTR-only arm (age ≥25 years and HbA1c >7%). The primary outcome was mean change in HbA1c (%) from baseline to 9-month follow-up. Patients and staff were not blinded.
resultsThe primary outcome was available for
conclusionThe ACM intervention in public healthcare facilities did not show a statistically significant effect on HbA1c reduction compared to the control (TTR-only) arm. Future evaluation should assess changes after a longer follow-up period, and minimal care enhancement in the comparator (control) arm.
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Registered trials
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