Evidence map›Paper›PMID 31673398›Full record

ArticlePilot and feasibility studies2019

Pilot randomized controlled trial of a complex intervention for diabetes self-management supported by volunteers, technology, and interprofessional primary health care teams.

Gina Agarwal, Jessica Gaber, Julie Richardson, Dee Mangin, Jenny Ploeg, Ruta Valaitis, Graham J Reid, Larkin Lamarche, Fiona Parascandalo, Dena Javadi and 2 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Pilot and feasibility studies, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02715791 (Teams Advancing Patient Experience), which is not on this map. Cited by 11 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 4 pooled it
1.0field-weighted citation impact, top 22% 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.

NCT02715791 nacompletednot on this map

Teams Advancing Patient Experience: Strengthening Quality for People Through Health Connectors for Diabetes Management (TAPESTRY-HC-DM): A Feasibility RCT

TypeinterventionalSponsorMcMaster UniversityRan2016 to 2017Enrolled50ConditionsType 2 Diabetes Mellitus, HypertensionArmsTAP-HC-DM, Usual Care
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 4 syntheses or guidelines pooled it, 29 citations in OpenAlex.

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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

12 authors at 5 institutions in 1 country.

Gina Agarwal1Department of Family Medicine, McMaster University, David Braley Health Sciences Centre, 5th Floor, 1280 Main Street West, Hamilton, Ontario L8S 4K1 Canada.ORCID 0000-0002-5691-4675
Jessica Gaber1Department of Family Medicine, McMaster University, David Braley Health Sciences Centre, 5th Floor, 1280 Main Street West, Hamilton, Ontario L8S 4K1 Canada.
Julie Richardson2School of Rehabilitation Science, McMaster University, 1280 Main Street West, Hamilton, Ontario L8S 4K1 Canada.
Dee Mangin1Department of Family Medicine, McMaster University, David Braley Health Sciences Centre, 5th Floor, 1280 Main Street West, Hamilton, Ontario L8S 4K1 Canada.
Jenny Ploeg3Department of Health, Aging and Society, Faculty of Health Sciences, McMaster University, 1280 Main Street West, Hamilton, Ontario L8S 4K1 Canada.
Ruta Valaitis1Department of Family Medicine, McMaster University, David Braley Health Sciences Centre, 5th Floor, 1280 Main Street West, Hamilton, Ontario L8S 4K1 Canada.
Graham J Reid5Departments of Psychology, Family Medicine, & Paediatrics, The University of Western Ontario, Westminster Hall, Room 319E, London, Ontario N6A 3K7 Canada.
Larkin Lamarche1Department of Family Medicine, McMaster University, David Braley Health Sciences Centre, 5th Floor, 1280 Main Street West, Hamilton, Ontario L8S 4K1 Canada.
Fiona Parascandalo1Department of Family Medicine, McMaster University, David Braley Health Sciences Centre, 5th Floor, 1280 Main Street West, Hamilton, Ontario L8S 4K1 Canada.
Dena Javadi1Department of Family Medicine, McMaster University, David Braley Health Sciences Centre, 5th Floor, 1280 Main Street West, Hamilton, Ontario L8S 4K1 Canada.
Daria O'Reilly6Department of Health Research Methods, Evidence, and Impact, McMaster University, CRL, 2nd Floor, 1280 Main Street West, Hamilton, Ontario L8S 4K1 Canada.
Lisa Dolovich1Department of Family Medicine, McMaster University, David Braley Health Sciences Centre, 5th Floor, 1280 Main Street West, Hamilton, Ontario L8S 4K1 Canada.
Health Sciences Centre · CAHamilton Health Sciences · CAImpact · CAMcMaster University · CAWestern University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMost health care for people with diabetes occurs in family practice, yet balancing the time and resources to help these patients can be difficult. An intervention empowering patients, leveraging community resources, and assisting self-management could benefit patients and providers. Thus, the feasibility and potential for effectiveness of "Health Teams Advancing Patient Experience, Strengthening Quality through Health Connectors for Diabetes Management" (Health TAPESTRY-HC-DM) as an approach supporting diabetes self-management was explored to inform development of a future large-scale trial.

methodsFour-month pilot randomized controlled trial (RCT), sequential explanatory qualitative component. Participants-patients of an interprofessional primary care team-were over age 18 years, diagnosed with diabetes and hypertension, and had Internet access and one of the following: uncontrolled HbA1c, recent diabetes diagnosis, end-stage/secondary organ damage, or provider referral. The Health TAPESTRY-HC-DM intervention focused on patient health goals/needs, integrating community volunteers, eHealth technologies, interprofessional primary care teams, and system navigation. Pilot outcomes included process measures (recruitment, retention, program participation), perceived program feasibility, benefits and areas for improvement, and risks or safety issues. The primary trial outcome was self-efficacy for managing diabetes. There were a number of secondary trial outcomes.

resultsOf 425 eligible patients invited, 50 signed consent (11.8%) and 35 completed the program (15 intervention, 20 control). Volunteers (

conclusionsHealth TAPESTRY-HC-DM was feasible; a large-scale randomized controlled trial seems possible. However, further attention needs to be paid to improving recruitment and retention. The intervention was well received, though was a better fit for some participants than others.

trial registrationClinicalTrials.gov, NCT02715791. Registered 22 March 2016-retrospectively registered.

Indexed as

Chronic conditionsDiabeteseHealthFeasibility trialHealth care volunteersHypertensionPrimary careSelf-management

Identifiers

PMID31673398
PMCPMC6815451
OpenAlexW2982181961

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.