Evidence map›Paper›PMID 30939923›Full record

Trial reportClinical trials (London, England)2019

Collaborative implementation of a community-based exercise intervention with a partnering rural American Indian community.

Jennifer Q Chadwick, Mary A Tullier, Lisa Wolbert, Charlotte Coleman, Dannielle E Branam, David F Wharton, Tamela K Cannady, Kenneth C Copeland, Kevin R Short

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical trials (London, England), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 3 pooled it
1.3field-weighted citation impact, top 17% 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.

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

6 citing papers in PubMed, 3 syntheses or guidelines pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
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

9 authors at 1 institution in 1 country.

Jennifer Q Chadwick1 Department of Pediatrics, The University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
Mary A Tullier2 Choctaw Nation of Oklahoma, Durant, OK, USA.
Lisa Wolbert2 Choctaw Nation of Oklahoma, Durant, OK, USA.
Charlotte Coleman2 Choctaw Nation of Oklahoma, Durant, OK, USA.
Dannielle E Branam2 Choctaw Nation of Oklahoma, Durant, OK, USA.
David F Wharton2 Choctaw Nation of Oklahoma, Durant, OK, USA.
Tamela K Cannady2 Choctaw Nation of Oklahoma, Durant, OK, USA.
Kenneth C Copeland1 Department of Pediatrics, The University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
Kevin R Short1 Department of Pediatrics, The University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
University of Oklahoma Health Sciences Center · US

Funding

TRAINING COREP20MD000528 · NIMHD · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI STEPHENS, LANCER · 2003 to 2016
$17.8M
NIMHD NIH HHS P20 MD000528
6 · The paper itself

Abstract

backgroundThe prevalence and socioeconomic burden of childhood obesity and diabetes has increased rapidly in the United States in the last 30 years. American Indians have the highest prevalence of type 2 diabetes among newly diagnosed youth in the country. Contributing factors include environmental, behavioral, and genetic components. Some American Indian tribal communities have explored innovative ways to combat this epidemic including collaborations with academic centers on community-based research.

methodFrom 2012 to 2017, the University of Oklahoma Health Science Center and the Choctaw Nation of Oklahoma partnered on a National Institutes of Health-funded project to determine if financial incentives would elicit an increase in physical activity in Native youth. This was a community-based behavioral intervention for overweight or obese American Indian youth ages 11-20 living in a rural community at risk for developing diabetes.

resultsTribal leaders and staff identified culturally appropriate strategies to aid implementation of the trial in their community. Their identified implementation strategies helped standardize the study in order to maintain study integrity. The mutually agreed strategies included co-review of the study by tribal and University research review boards (but designation of the Choctaw Nation review board as the "Board of Record"), training of community-based staff on research ethics and literacy, standardization of the informed consent process by videotaping all study information, creation of a viable and culturally appropriate timeline for study implementation, adapting tribal wellness center operations to accommodate youth, and development of effective two-way communication through training sessions, on-site coordination, and bi-monthly conference calls.

conclusionIn an effort to partner collectively on a randomized clinical research trial to combat childhood diabetes, tribal leaders and staff implemented strategies that resulted in a culturally appropriate and organized community-based behavioral intervention research project.

Indexed as

ExerciseIndians, North AmericanAdolescentChildCommunity-Based Participatory ResearchDiabetes Mellitus, Type 2FemaleHealth PromotionHumansMaleObesityOklahomaOverweightPediatric ObesityResearch DesignRisk FactorsAmerican Indian youthclinical study implementationCollaborative researchcommunity-based researchphysical activity intervention

Identifiers

PMID30939923
PMCPMC6663565
OpenAlexW2929296981

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.