Evidence map›Paper›PMID 31965526›Full record

Trial reportJournal of general internal medicine2020

Effectiveness of Lifestyle Intervention for Type 2 Diabetes in Primary Care: the REAL HEALTH-Diabetes Randomized Clinical Trial.

Linda M Delahanty, Douglas E Levy, Yuchiao Chang, Bianca C Porneala, Valerie Goldman, Jeanna McCarthy, Laurie Bissett, Anthony Romeo Rodriguez, Barbara Chase, Rajani LaRocca and 2 more

2 registry-linked trialsOpen access · bronzeAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of general internal medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 17 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 4 pooled it
6.8field-weighted citation impact, top 3% 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.

NCT02320253 nacompletednot on this map

REAL HEALTH-Diabetes: Reach Ahead for Lifestyle and Health-Diabetes

TypeinterventionalSponsorMassachusetts General HospitalRan2014 to 2021Enrolled211ConditionsType 2 Diabetes Mellitus, ObesityArmsIn Person Group (IP), Telephone Conference Call Group (TCC), Medical Nutrition Therapy (MNT)
NCT05527392 naactive not recruitingnot on this mapstarted 2023, after this paper: background citation

Assessing the Effect of Virtual Navigation Interventions to Improve Health Insurance Literacy and Decrease Financial Burden: A Childhood Cancer Survivor Study Randomized Trial (HINTII)

TypeinterventionalSponsorMassachusetts General HospitalRan2023 to 2027Enrolled529ConditionsChildhood Cancer SurvivorsArmsHealth Insurance Navigation Tools Program
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 4 syntheses or guidelines pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Article
  10. Article
  11. Article
  12. Uses of Virtual Care in Primary Care: Scoping Review.Journal of medical Internet research · 2025
    Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
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 3 institutions in 1 country.

Linda M DelahantyDiabetes Unit, Department of Medicine, Massachusetts General Hospital (MGH) Diabetes Research Center, Boston, MA, USA. delahanty.linda@mgh.harvard.edu.
Douglas E LevyHarvard Medical School, Boston, MA, USA.
Yuchiao ChangHarvard Medical School, Boston, MA, USA.
Bianca C PornealaDivision of General Internal Medicine, Massachusetts General Hospital, Boston, MA, USA.
Valerie GoldmanDiabetes Unit, Department of Medicine, Massachusetts General Hospital (MGH) Diabetes Research Center, Boston, MA, USA.
Jeanna McCarthyDiabetes Unit, Department of Medicine, Massachusetts General Hospital (MGH) Diabetes Research Center, Boston, MA, USA.
Laurie BissettDiabetes Unit, Department of Medicine, Massachusetts General Hospital (MGH) Diabetes Research Center, Boston, MA, USA.
Anthony Romeo RodriguezDiabetes Unit, Department of Medicine, Massachusetts General Hospital (MGH) Diabetes Research Center, Boston, MA, USA.
Barbara ChaseDivision of General Internal Medicine, Massachusetts General Hospital, Boston, MA, USA.
Rajani LaRoccaHarvard Medical School, Boston, MA, USA.
Amy WheelerHarvard Medical School, Boston, MA, USA.
Deborah J WexlerDiabetes Unit, Department of Medicine, Massachusetts General Hospital (MGH) Diabetes Research Center, Boston, MA, USA.
Massachusetts General Hospital · USMGH Institute of Health Professions · USHarvard University · US

Funding

New York Regional Center for Diabetes Translation Research - Translational Intervention Methodology CoreP30DK111022 · NIDDK · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI JEFFREY GONZALEZ · 2016 to 2026
$7.8M
REAL HEALTH-Diabetes: REach Ahead for Lifestyle and Health-DiabetesR18DK102737 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI DELAHANTY, LINDA MICHELE, WEXLER, DEBORAH J · 2014 to 2018
$3.2M
NIDDK NIH HHS P30 DK111022NIDDK NIH HHS R18 DK102737NIDDK NIH HHS R18DK102737
6 · The paper itself

Abstract

backgroundIntensive lifestyle interventions (LI) improve outcomes in obesity and type 2 diabetes but are not currently available in usual care.

objectiveTo compare the effectiveness and costs of two group LI programs, in-person LI and telephone conference call (telephone LI), to medical nutrition therapy (MNT) on weight loss in primary care patients with type 2 diabetes.

designA randomized, assessor-blinded, practice-based clinical trial in three community health centers and one hospital-based practice affiliated with a single health system.

participantsA total of 208 primary care patients with type 2 diabetes, HbA1c 6.5 to < 11.5, and BMI > 25 kg/m

interventionsDietitian-delivered in-person or telephone group LI programs with medication management or MNT referral. MAIN MEASURES: Primary outcome: mean percent weight change. SECONDARY OUTCOMES: 5% and 10% weight loss, change in HbA1c, and cost per kilogram lost. KEY

resultsParticipants' mean age was 62 (SD 10) years, 45% were male, and 77% were White, with BMI 35 (SD 5) kg/m

conclusionsIn-person LI or telephone group LI can achieve good weight loss outcomes in primary care type 2 diabetes patients at a reasonable cost. CLINICAL

trial registrationClinicalTrials.gov Identifier: NCT02320253.

Indexed as

Diabetes Mellitus, Type 2AgedFemaleHumansLife StyleMaleMiddle AgedObesityPrimary Health CareWeight Losscost-effectivenesslifestyle interventionprimary caretype 2 diabetesweight loss interventions

Identifiers

PMID31965526
PMCPMC7458982
OpenAlexW3002478094

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.