ArticleBMC family practice2020
Evaluating the impact of onsite diabetes education teams in primary care on clinical outcomes.
Article in BMC family practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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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.
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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.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Potential Effectiveness of Registered Dietitian Nutritionists in Healthy Behavior Interventions for Managing Type 2 Diabetes in Older Adults: A Systematic Review.Frontiers in nutrition · 2021Pooled it
- Integrated self-management interventions improve oral and metabolic health in community-dwelling adults with type 2 diabetes and periodontitis.Scientific reports · 2026Trial
- Type 2 Diabetes and Lifestyle Discussions With Practice Nurses in Primary Health Care: A Scoping Review of Patient Experiences.Nursing open · 2025Article
- Cognitive Risk Stratification Score in Middle-aged and Older Adults With Type 2 Diabetes: A Cross-Sectional Study.The Journal of clinical endocrinology and metabolism · 2025Article
- Clinical and economic outcomes of multidisciplinary team members in primary care: a scoping review.BMC health services research · 2025Article
- Article
- The Effect of Mobile eHealth Education to Improve Knowledge, Skills, Self-Care, and Mobile eHealth Literacies Among Patients With Diabetes: Development and Evaluation Study.Journal of medical Internet research · 2023Article
- Addressing Insulin Injection Technique: A Follow-up Study of Canadian Patients with Diabetes.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2023Article
- Team-Based Diabetes Care in Ontario and Hong Kong: a Comparative Review.Current diabetes reports · 2023Review
- Insulin Injection Practices in a Population of Canadians with Diabetes: An Observational Study.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2020Article
- Internal Medicine Resident Adherence to Evidence-Based Practices in Management of Diabetes Mellitus.Journal of medical education and curricular developmentArticle
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
backgroundTo evaluate the impact of integrating diabetes education teams in primary care on glycemic control, lipid, and blood-pressure management in type 2 diabetes patients.
methodsA historical cohort design was used to assess the integration of teams comprising nurse and dietitian educators in 11 Ontario primary-care sites, which delivered individualized self-management education. Of the 771 adult patients with A1C ≥ 7% recruited, 487 patients attended appointments with the diabetes teams, while the remaining 284 patients did not. The intervention's primary goal was to increase the proportion of patients with A1C ≤7%. Secondary goals were to reduce mean A1C, low-density lipoprotein, total cholesterol-high density lipoprotein, and diastolic and systolic blood pressure, as recommended by clinical-practice guidelines.
resultsAfter 12 months, a higher proportion of intervention-group patients reached the target for A1C, compared with the control group. Mean A1C levels fell significantly among all patients, but the mean reduction was larger for the intervention group than the control group. Although more intervention-group patients reached targets for all clinical outcomes, the between-group differences were not statistically significant, except for A1C.
conclusionsNurse and dietitian diabetes-education teams can have a clinically meaningful impact on patients' ability to meet recommended A1C targets. Given the study's historical cohort design, results are generalizable and applicable to day-to-day primary-care practice. Longer follow-up studies are needed to investigate whether the positive outcomes of the intervention are sustainable.
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