Evidence map›Paper›PMID 30860486›Full record

ArticleJMIR diabetes2019

Electronic Health Lifestyle Coaching Among Diabetes Patients in a Real-Life Municipality Setting: Observational Study.

Anastasija Komkova, Carl Joakim Brandt, Daniel Hansen Pedersen, Martha Emneus, Camilla Sortsø

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in JMIR diabetes, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04880005 (Protocol for the Digital, Individualized, and Collaborative Treatment of Type 2 Diabetes in General Practice Based on Decision Aid), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
4.3field-weighted citation impact, top 6% 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.

NCT04880005 narecruitingnot on this mapstarted 2021, after this paper: background citation

Protocol for the Digital, Individualized, and Collaborative Treatment of Type 2 Diabetes in General Practice Based on Decision Aid (DICTA) - A Randomized Controlled Trial

TypeinterventionalSponsorUniversity of Southern DenmarkRan2021 to 2025Enrolled400ConditionsDiabetes type2ArmsClinical decision support, Digital Lifestyle Coaching, Integration to Standard Electronic Health Record
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 21 citations in OpenAlex.

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  12. Astana declaration: a new pathway for primary health care.International journal of public health · 2020
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  13. Living withDigital health
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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 1 institution in 1 country.

Anastasija KomkovaInstitute of Applied Economics and Health Research Aps, Copenhagen, Denmark.ORCID http://orcid.org/0000-0003-2719-7053
Carl Joakim BrandtResearch Unit of General Practice, Department of Public Health, University of Southern Denmark, Odense, Denmark.ORCID http://orcid.org/0000-0002-3268-0595
Daniel Hansen PedersenThe Maersk Mc-Kinney Moller Institute, University of Southern Denmark, Odense, Denmark.ORCID http://orcid.org/0000-0002-5450-6125
Martha EmneusInstitute of Applied Economics and Health Research Aps, Copenhagen, Denmark.ORCID http://orcid.org/0000-0002-1387-6357
Camilla SortsøInstitute of Applied Economics and Health Research Aps, Copenhagen, Denmark.ORCID http://orcid.org/0000-0002-6831-954X
University of Southern Denmark · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInternet and mobile interventions aiming to promote healthy lifestyle have attracted much attention because of their scalability and accessibility, low costs, privacy and user control, potential for use in real-life settings, as well as opportunities for real-time modifications and interactive advices. A real-life electronic health (eHealth) lifestyle coaching intervention was implemented in 8 Danish municipalities between summer 2016 and summer 2018.

objectiveThe aim of this study was to assess the effects associated with the eHealth intervention among diabetes patients in a real-life municipal setting. The eHealth intervention is based on an initial meeting, establishing a strong empathic relationship, followed by digital lifestyle coaching and collaboration supported by a Web-based community among patients.

methodsWe conducted an observational study examining the effect of an eHealth intervention on self-reported weight change among 103 obese diabetes patients in a real-life municipal setting. The patients in the study participated in the eHealth intervention between 3 and 12 months. A weight change was observed at 6, 9, and 12 months. We used regression methods to estimate the impacts of the intervention on weight change.

resultsWe found that the eHealth intervention significantly reduced weight among diabetes patients, on average 4.3% of the initial body mass, which corresponds to 4.8 kg over a mean period of 7.3 months. Patients who were in intervention for more than 9 months achieved a weight reduction of 6.3% or 6.8 kg.

conclusionsThis study brings forward evidence of a positive effect of a real-life eHealth lifestyle intervention on diabetes patients' lifestyle in a municipal setting. Future research is needed to show if the effect is sustainable from a long-term perspective.

Indexed as

diabetes mellituseHealthhealthy lifestylesobesityweight reduction

Identifiers

PMID30860486
PMCPMC6434397
OpenAlexW2907204064

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.