Evidence map›Paper›PMID 32459651›Full record

Trial reportJMIR mHealth and uHealth2020

A Wearable Technology Delivering a Web-Based Diabetes Prevention Program to People at High Risk of Type 2 Diabetes: Randomized Controlled Trial.

Emily Staite, Adam Bayley, Ebaa Al-Ozairi, Kurtis Stewart, David Hopkins, Jennifer Rundle, Neel Basudev, Zahra Mohamedali, Khalida Ismail

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

Trial report in JMIR mHealth and uHealth, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02919397 (Effectiveness of Integrating Motivational Instant Messaging Into an E-diabetes Prevention Programme in People at High Risk of Type 2 Diabetes), which is not on this map. Cited by 21 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 5 pooled it
2.7field-weighted citation impact, top 9% 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.

NCT02919397 nacompletednot on this map

Effectiveness of Integrating Motivational Instant Messaging Into an E-diabetes Prevention Programme in People at High Risk of Type 2 Diabetes: a Prospective, Parallel-group, Randomised Controlled Trial (Diabetes Stopwatch)

TypeinterventionalSponsorKing's College LondonRan2016 to 2018Enrolled200ConditionsPre-diabetesArmsWearable technology, Diabetes Prevention Programme educational material, Motivational messaging
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 5 syntheses or guidelines pooled it, 42 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

9 authors at 4 institutions in 2 countries.

Emily StaiteInstitute of Psychiatry, Psychology and Neurosciences, King's College London, London, United Kingdom.ORCID 0000-0003-0414-9892
Adam BayleyInstitute of Psychiatry, Psychology and Neurosciences, King's College London, London, United Kingdom.ORCID 0000-0002-0912-9279
Ebaa Al-OzairiFaculty of Medicine, Department of Medicine & Dasman Diabetes Institute, Kuwait University, Al Kuwayt, Kuwait.ORCID 0000-0001-5006-4369
Kurtis StewartInstitute of Psychiatry, Psychology and Neurosciences, King's College London, London, United Kingdom.ORCID 0000-0003-3730-9733
David HopkinsKing's College Hospital NHS Foundation Trust, King's Health Partners, London, United Kingdom.ORCID 0000-0002-0451-0900
Jennifer RundleSouth Thames Cleft Service, St Thomas' Hospital, London, United Kingdom.ORCID 0000-0002-8617-2895
Neel BasudevHealth Innovation Network, London, United Kingdom.ORCID 0000-0003-1762-1981
Zahra MohamedaliInstitute of Psychiatry, Psychology and Neurosciences, King's College London, London, United Kingdom.ORCID 0000-0001-6895-4538
Khalida IsmailInstitute of Psychiatry, Psychology and Neurosciences, King's College London, London, United Kingdom.ORCID 0000-0001-6084-449X
King's College London · GBKing's College Hospital NHS Foundation Trust · GBKuwait University · KWSt Thomas' Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntensive lifestyle interventions are effective in reducing the risk of type 2 diabetes, but the implementation of learnings from landmark studies is expensive and time consuming. The availability of digital lifestyle interventions is increasing, but evidence of their effectiveness is limited.

objectiveThis randomized controlled trial (RCT) aimed to test the feasibility of a web-based diabetes prevention program (DPP) with step-dependent feedback messages versus a standard web-based DPP in people with prediabetes.

methodsWe employed a two-arm, parallel, single-blind RCT for people at high risk of developing diabetes. Patients with a hemoglobin A

resultsWe enrolled 200 participants: 98 were randomized to the intervention and 102 were randomized to the control group. The follow-up rate was higher in the control group (87/102, 85.3%) than in the intervention group (69/98, 70%) at 12 months. There was no treatment effect on weight at 6 months (mean difference 0.15; 95% CI -0.93 to 1.23) or 12 months (mean difference 0.07 kg; 95% CI -1.29 to 1.44) or for physical activity levels at 6 months (mean difference -382.90 steps; 95% CI -860.65 to 94.85) or 12 months (mean difference 92.64 steps; 95% CI -380.92 to 566.20). We did not observe a treatment effect on the secondary outcomes measured at the 6-month or 12-month follow-up. For the intervention group, the mean weight was 92.33 (SD 15.67) kg at baseline, 91.34 (SD 16.04) kg at 6 months, and 89.41 (SD 14.93) kg at 12 months. For the control group, the mean weight was 92.59 (SD 17.43) kg at baseline, 91.71 (SD 16.48) kg at 6 months, and 91.10 (SD 15.82) kg at 12 months. In the intervention group, the mean physical activity was 7308.40 (SD 4911.93) steps at baseline, 5008.76 (SD 2733.22) steps at 6 months, and 4814.66 (SD 3419.65) steps at 12 months. In the control group, the mean physical activity was 7599.28 (SD 3881.04) steps at baseline, 6148.83 (SD 3433.77) steps at 6 months, and 5006.30 (SD 3681.1) steps at 12 months.

conclusionsThis study demonstrates that it is feasible to successfully recruit and retain patients in an RCT of a web-based DPP.

trial registrationClinicalTrials.gov NCT02919397; http://clinicaltrials.gov/ct2/show/NCT02919397.

Indexed as

Diabetes Mellitus, Type 2Internet-Based InterventionWearable Electronic DevicesFeasibility StudiesFemaleHumansMaleMiddle AgedRisk Assessmentdiabetes prevention programlifestylemobile phonemotivational interviewingtheory of planned behaviortype 2 diabetes mellituswearable technology

Identifiers

PMID32459651
PMCPMC7391669
OpenAlexW3007413194

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.