Evidence map›Paper›PMID 30943939›Full record

Trial reportBMC public health2019

SKIP (Supporting Kids with diabetes In Physical activity): Feasibility of a randomised controlled trial of a digital intervention for 9-12 year olds with type 1 diabetes mellitus.

Emily Knox, Cris Glazebrook, Tabitha Randell, Paul Leighton, Boliang Guo, James Greening, E Bethan Davies, Lori Amor, Holly Blake

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 3 pooled it
–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

11 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  4. Review
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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

9 authors.

Emily KnoxUniversity of Nottingham, School of Health Sciences, Nottingham, UK.
Cris GlazebrookUniversity of Nottingham, School of Medicine, Nottingham, UK.
Tabitha RandellNottingham University Hospitals NHS Trust, Nottingham, UK.
Paul LeightonUniversity of Nottingham, School of Medicine, Nottingham, UK.
Boliang GuoUniversity of Nottingham, School of Medicine, Nottingham, UK.
James GreeningUniversity Hospitals of Leicester NHS Trust, Leicester, UK.
E Bethan DaviesUniversity of Nottingham, School of Medicine, Nottingham, UK.
Lori AmorNIHR MindTech MedTech Co-operative, Institute of Mental Health, University of Nottingham, Triumph Road, Nottingham, UK.
Holly BlakeUniversity of Nottingham, School of Health Sciences, Nottingham, UK. holly.blake@nottingham.ac.uk.ORCID http://orcid.org/0000-0003-3080-2306

Funding

Department of Health PB-PG-0215-36024Research for Patient Benefit Programme PB-PG-0215-36024
6 · The paper itself

Abstract

backgroundPhysical activity and self-monitoring are important for children with type 1 diabetes mellitus (T1DM) but it is unclear whether interventions delivered online are feasible, acceptable to patients and efficacious. The aim was to assess the feasibility and acceptability of an internet-based physical activity and self-monitoring programme for children with T1DM, and of a randomised controlled trial (RCT) to evaluate efficacy.

methodsA total of 49 children aged 9-12 with T1DM were randomly assigned to usual care only or to an interactive intervention group combining a website (STAK-D) and a PolarActive activity watch (PAW; Polar Electro (UK) Ltd.), alongside usual care. Participants completed self-report measures on their health, self-efficacy and physical activity at baseline (T0), eight weeks (T1) and six months (T2). They also wore a PAW to measure physical activity for one week at the end of T0, T1 and T2. Intervention participants were interviewed about their experiences at T2. Explanatory variables were examined using multi-level modelling and examination of change scores, 95% confidence intervals and p-values with alpha set at 0.95. Descriptive analysis was undertaken of the 'end-of-study questionnaire'. Qualitative analysis followed a framework approach.

resultsCompletion rates for all self-report items and objective physical activity data were above 85% for the majority of measures. HbA1c data was obtained for 100% of participants, although complete clinical data was available for 63.3% to 63.5% of participants at each data collection time-point. Recruitment and data collection processes were reported to be acceptable to participants and healthcare professionals. Self-reported sedentary behaviour (-2.28, p=0.04, 95% CI=-4.40, -0.16; p = 0.04; d

conclusionsThe trial design was feasible and acceptable to participants and healthcare providers. Intervention engagement was low and technical challenges were evident in both online and activity watch elements, although enjoyment was high among users. Reported outcome improvements were observed at 8 weeks but were not sustained.

trial registrationISRCTN 48994721 (prospectively registered). Date of registration: 28.09.2016.

Indexed as

Diabetes Mellitus, Type 1ExerciseInternetPatient SatisfactionProgram EvaluationAttitude of Health PersonnelChildFeasibility StudiesFemaleHealth PersonnelHealth StatusHumansMaleMonitoring, AmbulatorySedentary BehaviorSelf EfficacyChildrenFeasibilityHealthInterventionPhysical activityType 1 diabetes mellitusWebsite

Identifiers

PMID30943939
PMCPMC6446303

What OpenQuestion holds

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Registered trials

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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.