Evidence map›Paper›PMID 30823909›Full record

ArticleBMC public health2019

Digitally supported program for type 2 diabetes risk identification and risk reduction in real-world setting: protocol for the StopDia model and randomized controlled trial.

Jussi Pihlajamäki, Reija Männikkö, Tanja Tilles-Tirkkonen, Leila Karhunen, Marjukka Kolehmainen, Ursula Schwab, Niina Lintu, Jussi Paananen, Riia Järvenpää, Marja Harjumaa and 8 more

2 registry-linked trialsOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
9.6field-weighted citation impact, top 2% 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.

NCT03156478 narecruitingnot on this map

STOP DIABETES - Knowledge-based Solutions

TypeinterventionalSponsorUniversity of Eastern FinlandRan2017 to 2037Enrolled10,000ConditionsType2 Diabetes, Life Style, Diet Habit, Physical ActivityArmsDigital lifestyle intervention group, Combined digital and face-to-face lifestyle intervention group
NCT05377398 nacompletednot on this mapstarted 2022, after this paper: background citation

Effective Promotion of Healthy Lifestyles, Mental Health and Wellbeing Among Disadvantaged Groups

TypeinterventionalSponsorUniversity of Eastern FinlandRan2022 to 2023Enrolled68ConditionsMental Health, Well-Being, Life StyleArmsDigital individual-level intervention (Bit Habit), Group-based healthy lifestyle and green power intervention, Individual-level healthy lifestyle intervention, Mini-intervention for substance use
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 40 citations in OpenAlex.

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  17. Formation and Validation of the Healthy Diet Index (HDI) for Evaluation of Diet Quality in Healthcare.International journal of environmental research and public health · 2021
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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

18 authors at 4 institutions in 1 country.

Jussi PihlajamäkiDepartment of Clinical Nutrition, Institute of Public Health and Clinical Nutrition, University of Eastern Finland, 70210, Kuopio, Finland. jussi.pihlajamaki@uef.fi.ORCID http://orcid.org/0000-0002-6241-6859
Reija MännikköDepartment of Clinical Nutrition, Institute of Public Health and Clinical Nutrition, University of Eastern Finland, 70210, Kuopio, Finland.
Tanja Tilles-TirkkonenDepartment of Clinical Nutrition, Institute of Public Health and Clinical Nutrition, University of Eastern Finland, 70210, Kuopio, Finland.
Leila KarhunenDepartment of Clinical Nutrition, Institute of Public Health and Clinical Nutrition, University of Eastern Finland, 70210, Kuopio, Finland.
Marjukka KolehmainenDepartment of Clinical Nutrition, Institute of Public Health and Clinical Nutrition, University of Eastern Finland, 70210, Kuopio, Finland.
Ursula SchwabDepartment of Clinical Nutrition, Institute of Public Health and Clinical Nutrition, University of Eastern Finland, 70210, Kuopio, Finland.
Niina LintuInstitute of Biomedicine, School of Medicine, University of Eastern Finland, Kuopio, Finland.
Jussi PaananenInstitute of Biomedicine, School of Medicine, University of Eastern Finland, Kuopio, Finland.
Riia JärvenpääPublic Health Solutions, National Institute for Health and Welfare, Helsinki, Finland.
Marja HarjumaaVTT Technical Research Centre of Finland Ltd., Espoo, Finland.
Janne MartikainenSchool of Pharmacy, University of Eastern Finland, Kuopio, Finland.
Johanna KohlVTT Technical Research Centre of Finland Ltd., Espoo, Finland.
Kaisa PoutanenVTT Technical Research Centre of Finland Ltd., Espoo, Finland.
Miikka ErmesVTT Technical Research Centre of Finland Ltd., Espoo, Finland.
Pilvikki AbsetzDepartment of Clinical Nutrition, Institute of Public Health and Clinical Nutrition, University of Eastern Finland, 70210, Kuopio, Finland.
Jaana LindströmPublic Health Solutions, National Institute for Health and Welfare, Helsinki, Finland.
Timo A LakkaInstitute of Biomedicine, School of Medicine, University of Eastern Finland, Kuopio, Finland.
StopDia study group
University of Eastern Finland · FIFinnish Institute for Health and Welfare · FIVTT Technical Research Centre of Finland · FICollaborative Care Systems Finland · FI

Funding

Strategic Research Council 303537
6 · The paper itself

Abstract

backgroundThe StopDia study is based on the convincing scientific evidence that type 2 diabetes (T2D) and its comorbidities can be prevented by a healthy lifestyle. The need for additional research is based on the fact that the attempts to translate scientific evidence into actions in the real-world health care have not led to permanent and cost-effective models to prevent T2D. The specific aims of the StopDia study following the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework are to 1) improve the Reach of individuals at increased risk, 2) evaluate the Effectiveness and cost-effectiveness of the digital lifestyle intervention and the digital and face-to-face group lifestyle intervention in comparison to routine care in a randomized controlled trial (RCT), and 3) evaluate the Adoption and Implementation of the StopDia model by the participants and the health care organizations at society level. Finally, we will address the Maintenance of the lifestyle changes at participant level and that of the program at organisatory level after the RCT.

methodsThe StopDia study is carried out in the primary health care system as part of the routine actions of three provinces in Finland, including Northern Savo, Southern Carelia, and Päijät-Häme. We estimate that one fifth of adults aged 18-70 years living in these areas are at increased risk of T2D. We recruit the participants using the StopDia Digital Screening Tool, including questions from the Finnish Diabetes Risk Score (FINDRISC). About 3000 individuals at increased risk of T2D (FINDRISC ≥12 or a history of gestational diabetes, impaired fasting glucose, or impaired glucose tolerance) participate in the one-year randomized controlled trial. We monitor lifestyle factors using the StopDia Digital Questionnaire and metabolism using laboratory tests performed as part of routine actions in the health care system. DISCUSSION: Sustainable and scalable models are needed to reach and identify individuals at increased risk of T2D and to deliver personalized and effective lifestyle interventions. With the StopDia study we aim to answer these challenges in a scientific project that is fully digitally integrated into the routine health care.

trial registrationClinicalTials.gov . Identifier: NCT03156478 . Date of registration 17.5.2017.

Indexed as

AdolescentAdultAgedCost-Benefit AnalysisDiabetes Mellitus, Type 2FemaleFinlandHealth PromotionHealthy LifestyleHumansMaleMass ScreeningMiddle AgedPrimary Health CareRandomized Controlled Trials as TopicRisk AssessmentDigital health behavior change interventionEffectivenessLifestyle interventionPreventionRandomized controlled trialScalabilityType 2 diabetes

Identifiers

PMID30823909
PMCPMC6397451
OpenAlexW2931826777

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.