Evidence map›Paper›PMID 32560689›Full record

ArticleBMC family practice2020

The Patient Activation through Community Empowerment/Engagement for Diabetes Management (PACE-D) protocol: a non-randomised controlled trial of personalised care and support planning for persons living with diabetes.

Wee Hian Tan, Victor Weng Keong Loh, Kavita Venkataraman, Shoon Thai Choong, Yii Jen Lew, Meena Sundram, Keith Tsou, Soon Guan Tan, Brent Gibbons, Vikki Entwistle and 3 more

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMC family practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04288362 (The Patient Activation Through Community Empowerment/Engagement for Diabetes Management), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.0field-weighted citation impact, top 23% 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.

NCT04288362 nacompletednot on this map

The Patient Activation Through Community Empowerment/Engagement for Diabetes Management (PACE-D) Protocol: A Non-randomised Controlled Trial of Personalised Care and Support Planning for Persons Living With Diabetes

TypeinterventionalSponsorNational University Health System, SingaporeRan2019 to 2022Enrolled1,620ConditionsDiabetes Mellitus, Chronic Disease, Patient Care Planning, Patient ParticipationArmsIntervention Group, Control Group
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 12 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. 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

13 authors at 2 institutions in 1 country.

Wee Hian TanNational University Polyclinics, National University Health System, Singapore, Singapore. wee_hian_tan@nuhs.edu.sg.ORCID 0000-0003-1114-4133
Victor Weng Keong LohDivision of Family Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Kavita VenkataramanSaw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.
Shoon Thai ChoongNational University Polyclinics, National University Health System, Singapore, Singapore.
Yii Jen LewNational University Polyclinics, National University Health System, Singapore, Singapore.
Meena SundramNational University Polyclinics, National University Health System, Singapore, Singapore.
Keith TsouNational University Polyclinics, National University Health System, Singapore, Singapore.
Soon Guan TanSaw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.
Brent GibbonsSaw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.
Vikki EntwistleCentre for Biomedical Ethics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Doris YoungDivision of Family Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
E Shyong TaiDivision of Endocrinology, University Medicine Cluster, National University Health System, Singapore, Singapore.
Tong Wei YewDivision of Endocrinology, University Medicine Cluster, National University Health System, Singapore, Singapore.
National University Health System · SGNational University of Singapore · SG

Funding

Singapore Ministry of Health MH34:31/2
6 · The paper itself

Abstract

backgroundPersonalised care and support planning (CSP) has been shown to improve diabetes outcomes, patient experience and provider morale in the care of persons living with diabetes. However, this has not been confirmed in controlled studies. Patient Activation through Community Empowerment/Engagement for Diabetes Management (PACE-D) is a pragmatic controlled trial that evaluates the effectiveness of personalised CSP in persons living with diabetes in the public primary care setting in Singapore.

methodsTeamlet-empanelled patients with diabetes at four polyclinics are recruited for this study. Participants who attend either of the two Intervention clinics are sent their investigation results in a care planning letter (CPL) to prepare them for the CSP conversation. This conversation is facilitated by a trained CSP practitioner who engages them in discussion of concerns, goals and action plans, and documents their plans for subsequent review. Participants in the two Control clinics will receive standard diabetes care. Participants will complete two or more CSP conversations (Intervention) or regular consultations (Control) at the annual review visits within the 18 months of the study. The sample size is calculated at 1620 participants, with glycated haemoglobin (HbA1c) as the primary outcome measure. Secondary outcome measures include patient activation (as measured by PAM-13) and changes in healthcare utilisation and cost. DISCUSSION: This study is a pragmatic trial that evaluates the effectiveness of personalised CSP in persons living with diabetes in a real world setting. It promises to provide insights with regard to the implementation of this model of care in Singapore and the region.

trial registrationClinicalTrials.gov Identifier NCT04288362. Retrospectively registered on 28 February 2020.

Indexed as

Diabetes Mellitus, Type 2Patient-Centered CarePatient ParticipationCommunity Health ServicesHumansModels, OrganizationalPatient NavigationPragmatic Clinical Trials as TopicPrimary Health CareSingaporeCare and support planningDiabetes mellitus.Long term conditions.Patient activation.Primary care.Self-management.

Identifiers

PMID32560689
PMCPMC7305581
OpenAlexW3035771919

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.