Evidence map›Paper›PMID 31079517›Full record

Trial reportJournal of primary care & community health

Evaluation of a Community-Based Diabetes Prevention Program in Thailand: A Cluster Randomized Controlled Trial.

Wichai Aekplakorn, Valla Tantayotai, Sakawduan Numsangkul, Nutchanat Tatsato, Pranee Luckanajantachote, Thep Himathongkam

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of primary care & community health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06265662 (A Digital Health Program for Non-Communicable Disease Prevention in a Workplace Setting in Thailand), which is not on this map. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing 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.

NCT06265662 naunknown statusnot on this map

A Digital Health Program for Non-Communicable Disease Prevention in a Workplace Setting in Thailand: A Quasi-Experimental Study

TypeinterventionalSponsorChulalongkorn UniversityRan2024 to 2025Enrolled150ConditionsChronic Disease, Noncommunicable DiseasesArmsA Digital Health Program for Non-Communicable Disease Prevention in a Workplace Setting in Thailand
3 · Its place in the literature

Who cites it

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

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  14. Association Between Dietary Habits and Type 2 Diabetes Mellitus in Thai Adults: A Case-Control Study.Diabetes, metabolic syndrome and obesity : targets and therapy · 2024
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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

6 authors.

Wichai Aekplakorn1 Department of Community Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.ORCID 0000-0002-3292-510X
Valla Tantayotai2 Walailak University, Thasala, Nakhon Si Thammarat, Thailand.
Sakawduan Numsangkul3 Khonburi Hospital, Ministry of Public Health, Khonburi District, Nakhon Ratchasima, Thailand.
Nutchanat Tatsato4 Thasala Hospital, Ministry of Public Health, Thasala District, Nakhon Si Thammarat, Thailand.
Pranee Luckanajantachote5 Samutsakhon Hospital, Ministry of Public Health, Muang District, Samutsakhon, Thailand.
Thep Himathongkam6 Theptarin Hospital, Bangkok, Thailand.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesLifestyle interventions have been shown to effectively reduce the incidence of diabetes, but evidence from middle-income countries is scarce. We evaluated the effectiveness of a lifestyle program to prevent diabetes in primary-care settings in Thailand.

methodsA matched-pair cluster randomized controlled trial was conducted in 68 primary care units in 8 provinces. The primary care units were randomly assigned to intervention or control arms. Individuals aged 30 to 65 years with impaired oral glucose tolerance were recruited and followed up for 2 years. The intervention included periodic group-based activities on healthy lifestyle behaviors; the control group received a one-time education program. The primary outcome was the incidence rate of type 2 diabetes at 24 months after the intervention.

resultsA total of 1903 individuals participated (873 in the control group and 1030 in the intervention group). At baseline, participants' characteristics did not differ between groups. After 24 months, the incidence rates (per 100 person-year) of diabetes was 12.1% (95% CI 10.7% to 13.8%) in the intervention group, and 16.6% (95% CI 14.6 to 18.8%) in the control group ( P < .001). Overall, the adjusted hazard ratio for diabetes incidence was 0.72 (95% CI 0.60 to 0.86). A mean body weight reduction of 1.5 kg was observed in the intervention group, whereas, an increase of 0.4 kg was observed in the control group ( P < .001).

conclusionA community-based lifestyle modification through participatory group activities can prevent or delay the incidence of diabetes among Thai populations with impaired glucose tolerance.

Indexed as

Primary Health CareRisk Reduction BehaviorAdaptation, PsychologicalAdultAgedBlood GlucoseBody Mass IndexBody WeightCholesterolCholesterol, HDLCholesterol, LDLDiabetes Mellitus, Type 2Diet, HealthyEmotional RegulationExerciseGlucose IntoleranceBlood GlucoseCholesterolCholesterol, HDLCholesterol, LDLTriglyceridesdiabetes incidencediabetes preventionimpaired glucose tolerancelife style modificationprimary care

Identifiers

PMID31079517
PMCPMC6537248

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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.