Trial reportJournal of the American Board of Family Medicine : JABFM
A Cluster Randomized Trial Comparing Strategies for Translating Self-Management Support into Primary Care Practices.
Trial report in Journal of the American Board of Family Medicine : JABFM. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.
- Effectiveness of Quality Improvement Coaching on Process Outcomes in Health Care Settings: A Systematic Review.Journal of general internal medicine · 2022Pooled it
- Intervention to Improve Psychosocial Care for People with Type 2 Diabetes.Journal of the American Board of Family Medicine : JABFM · 2025Trial
- The impact of enhancing self-management support for diabetes in Community Health Centers through patient engagement and relationship building: a primary care pragmatic cluster-randomized trial.Translational behavioral medicine · 2022Trial
- Lifestyle Medicine Perspectives from Nursing in Community Care Setting: A Narrative Review.Nursing reports (Pavia, Italy) · 2026Review
- Current Status of Integrated Palliative Care Among Parkinson Foundation Centers of Excellence in the United States.Neurology. Clinical practice · 2024Article
- Factors associated with self-management in older adults with multiple chronic conditions: a qualitative study.Frontiers in public health · 2024Article
- An Assessment of Weight Loss Management in Health System Primary Care Practices.Journal of the American Board of Family Medicine : JABFM · 2023Article
- Article
- Feasibility and Acceptability of a Digital Patient-Reported Outcome Tool in Routine Outpatient Diabetes Care: Mixed Methods Formative Pilot Study.JMIR formative research · 2021Article
- Implementation of Technology-Delivered Diabetes Self-care Interventions in Clinical Care: a Narrative Review.Current diabetes reports · 2020Review
- Can the Routine Use of Patient-Reported Outcome Measures Improve the Delivery of Person-Centered Diabetes Care? A Review of Recent Developments and a Case Study.Current diabetes reports · 2019Review
- "We Need to Know These Things": Use Cases for Combined Social and Clinical Data Among Primary Care-Based Clinical and Social Care Providers.Journal of primary care & community healthArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 1 institution in 1 country.
Funding
Abstract
introductionSelf-management support (SMS) is a key factor in diabetes care, but true SMS has not been widely adopted by primary care practices. Interactive behavior-change technology (IBCT) can provide efficient methods for adoption of SMS in primary care. Practice facilitation has been effective in assisting practices in implementing complex evidence-based interventions, such as SMS. This study was designed to study the incremental impact of practice education, the Connection to Health (CTH) IBCT tool, and practice facilitation as approaches to enhance the translation of SMS for patients with diabetes in primary care practices.
methodsA cluster-randomized trial compared the effectiveness of 3 implementation strategies for enhancing SMS for patients with diabetes in 36 primary care practices: 1) SMS education (SMS-ED); 2) SMS-ED plus CTH availability (CTH); and 3) SMS-ED, CTH availability, plus brief practice facilitation (CTH + PF). Outcomes including hemoglobin A1c (HbA1c) levels and SMS activities were assessed at 18 months post study initiation in a random sample of patients through medical record reviews.
resultsA total of 488 patients enrolled in the CTH system (141 CTH, 347 CTH + PF). In the intent-to-treat analysis of patients with medical record reviews, HbA1c slopes did not differ between study arms (CTH vs SMS-ED:
conclusionAn interactive behavior change technology tool such as CTH can increase primary care practice SMS activities and improve patient HbA1c levels. Even brief practice facilitation assists practices in implementing SMS.
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What OpenQuestion holds
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.