Evidence map›Paper›PMID 31904580›Full record

ArticleJMIR diabetes2020

Feasibility, Acceptability, and Impact of a Web-Based Structured Education Program for Type 2 Diabetes: Real-World Study.

Shoba Poduval, Louise Marston, Fiona Hamilton, Fiona Stevenson, Elizabeth Murray

Abstract read
In one paragraph

Article in JMIR diabetes, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 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

26 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

5 authors.

Shoba PoduvalResearch Department of Primary Care and Population Health, University College London, London, United Kingdom.ORCID https://orcid.org/0000-0002-3049-123X
Louise MarstonUniversity College London, London, United Kingdom.ORCID https://orcid.org/0000-0002-9973-1131
Fiona HamiltonResearch Department of Primary Care and Population Health, University College London, London, United Kingdom.ORCID https://orcid.org/0000-0002-3126-5074
Fiona StevensonResearch Department of Primary Care and Population Health, University College London, London, United Kingdom.ORCID https://orcid.org/0000-0003-2139-2309
Elizabeth MurrayResearch Department of Primary Care and Population Health, University College London, London, United Kingdom.ORCID https://orcid.org/0000-0002-8932-3695

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStructured education for people with type 2 diabetes improves outcomes, but uptake is low globally. In the United Kingdom in 2016, only 8.3% of people who were referred to education programs attended the program. We have developed a Web-based structured education program named Healthy Living for People with type 2 Diabetes (HeLP-Diabetes): Starting Out (HDSO), as an alternative to face-to-face courses. A Web-based program gives people more options for accessing structured education and may help improve overall uptake.

objectiveThe aim was to explore the feasibility and acceptability of delivering a Web-based structured education program (named HeLP-Diabetes: Starting Out) in routine primary health care and its potential impact on self-efficacy and diabetes-related distress.

methodsHDSO was delivered as part of routine diabetes services in primary health care in the United Kingdom, having been commissioned by local Clinical Commissioning Groups. Quantitative data were collected on uptake, use of the program, demographic characteristics, self-reported self-efficacy, and diabetes-related distress. A subsample of people with type 2 diabetes and health care professionals were interviewed about acceptability of the program.

resultsIt was feasible to deliver the program, but completion rates were low: of 791 people with type 2 diabetes registered, only 74 (9.0%) completed it. Completers improved their self-efficacy (change in median score 2.5, P=.001) and diabetes-related distress (change in median score 6.0, P=.001). Interview data suggested that the course was acceptable, and that uptake and completion may be related to nonprioritization of structured education.

conclusionsThe study provides evidence of the feasibility and acceptability of a Web-based structured education. However, uptake and completion rates were low, limiting potential population impact. Further research is needed to improve completion rates, and to determine the relative effectiveness of Web-based versus face-to-face education.

Indexed as

computer literacydiabetes mellitus, type 2digital dividehealth literacyinternetpatient educationself-managementsocial class

Identifiers

PMID31904580
PMCPMC6971513

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LicenceCC BY
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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.