Evidence map›Paper›PMID 32217498›Full record

Trial reportJournal of medical Internet research2020

Improving Self-Care in Patients With Coexisting Type 2 Diabetes and Hypertension by Technological Surrogate Nursing: Randomized Controlled Trial.

Calvin Kalun Or, Kaifeng Liu, Mike K P So, Bernard Cheung, Loretta Y C Yam, Agnes Tiwari, Yuen Fun Emmy Lau, Tracy Lau, Pui Sze Grace Hui, Hop Chun Cheng and 2 more

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of medical Internet research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02799953 (Evaluating a Technology-augmented Self-monitoring Model for Glycemic and Blood Pressure Control and Medication Adherence in Type 2 Diabetes and Hypertension Patients), which is not on this map. Cited by 41 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 10 pooled it
8.6field-weighted citation impact, top 2% 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.

NCT02799953 nacompletednot on this map

Evaluating a Technology-augmented Self-monitoring Model for Glycemic and Blood Pressure Control and Medication Adherence in Type 2 Diabetes and Hypertension Patients: a Randomized Controlled Trial

TypeinterventionalSponsorThe University of Hong KongRan2016 to 2017Enrolled299ConditionsType 2 Diabetes Mellitus, HypertensionArmsTechnology-based self-management model
3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 10 syntheses or guidelines pooled it, 69 citations in OpenAlex.

  1. Pooled it
  2. Smartphone application-based interventions for cardiometabolic risk factor management: A systematic review and meta-analysis.Hypertension research : official journal of the Japanese Society of Hypertension · 2026
    Pooled it
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  5. Smartphone application-based intervention to lower blood pressure: a systematic review and meta-analysis.Hypertension research : official journal of the Japanese Society of Hypertension · 2025
    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

12 authors at 7 institutions in 3 countries.

Calvin Kalun OrDepartment of Industrial and Manufacturing Systems Engineering, University of Hong Kong, Hong Kong, Hong Kong.ORCID 0000-0002-9819-8865
Kaifeng LiuDepartment of Industrial and Manufacturing Systems Engineering, University of Hong Kong, Hong Kong, Hong Kong.ORCID 0000-0002-3993-1983
Mike K P SoDepartment of Information Systems, Business Statistics, and Operations Management, Hong Kong University of Science and Technology, Hong Kong, Hong Kong.ORCID 0000-0003-0781-8166
Bernard CheungDepartment of Medicine, University of Hong Kong, Hong Kong, Hong Kong.ORCID 0000-0001-9106-7363
Loretta Y C YamAmbulatory Diabetes Centre, Pamela Youde Nethersole Eastern Hospital, Hong Kong, Hong Kong.ORCID 0000-0001-7524-5860
Agnes TiwariSchool of Nursing, Hong Kong Sanatorium and Hospital, Hong Kong, Hong Kong.ORCID 0000-0002-8118-3608
Yuen Fun Emmy LauAmbulatory Diabetes Centre, Pamela Youde Nethersole Eastern Hospital, Hong Kong, Hong Kong.ORCID 0000-0002-8375-2050
Tracy LauAmbulatory Diabetes Centre, Pamela Youde Nethersole Eastern Hospital, Hong Kong, Hong Kong.ORCID 0000-0002-1364-9365
Pui Sze Grace HuiDiabetes Mellitus Centre, Tung Wah Eastern Hospital, Hong Kong, Hong Kong.ORCID 0000-0001-5599-2033
Hop Chun ChengDiabetes Mellitus Centre, Tung Wah Eastern Hospital, Hong Kong, Hong Kong.ORCID 0000-0003-0576-7684
Joseph TanDeGroote School of Business, McMaster University, Hamilton, ON, Canada.ORCID 0000-0002-7491-6885
Michael Tow CheungDepartment of Industrial and Manufacturing Systems Engineering, University of Hong Kong, Hong Kong, Hong Kong.ORCID 0000-0002-3491-9854
University of Hong Kong · HKChinese University of Hong Kong · HKPamela Youde Nethersole Eastern Hospital · CNTung Wah Hospital · CNHong Kong Sanatorium and Hospital · HKHong Kong University of Science and Technology · HKMcMaster University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTechnological surrogate nursing (TSN) derives from the idea that nurse-caregiver substitutes can be created by technology to support chronic disease self-care.

objectiveThis paper begins by arguing that TSN is a useful and viable approach to chronic disease self-care. The analysis then focuses on the empirical research question of testing and demonstrating the effectiveness and safety of prototype TSN supplied to patients with the typical complex chronic disease of coexisting type 2 diabetes and hypertension. At the policy level, it is shown that the data allow for a calibration of TSN technology augmentation, which can be readily applied to health care management.

methodsA 24-week, parallel-group, randomized controlled trial (RCT) was designed and implemented among diabetic and hypertensive outpatients in two Hong Kong public hospitals. Participants were randomly assigned to an intervention group, supplied with a tablet-based TSN app prototype, or to a conventional self-managing control group. Primary indices-hemoglobin A

resultsA total of 299 participating patients were randomized to the intervention group (n=151) or the control group (n=148). Statistically significant outcomes that directly indicated TSN effectiveness in terms of hemoglobin

conclusionsThe RCT's strong behavioral basis, as well as the importance of safety and effectiveness when complex chronic illness is proximately self-managed by layperson patients, prompted the formulation of the empirical joint hypothesis that TSN would improve patient self-care while satisfying the condition of patient self-safety. Statistical and decision analysis applied to the experimental outcomes offered support for this hypothesis. Policy relevance of the research is demonstrated by the derivation of a data-grounded operational calibration of TSN technology augmentation with ready application to health care management.

trial registrationClinicalTrials.gov NCT02799953; https://clinicaltrials.gov/ct2/show/NCT02799953.

Indexed as

Diabetes Mellitus, Type 2FemaleHumansHypertensionMaleMiddle AgedNursing CareSelf Carecomplex chronic diseasediabeteseHealthhypertensionpatient safetyself-caretechnological surrogate nursing

Identifiers

PMID32217498
PMCPMC7148548
OpenAlexW3013950847

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.