Evidence map›Paper›PMID 33151154›Full record

Trial reportJournal of medical Internet research2020

My Diabetes Coach, a Mobile App-Based Interactive Conversational Agent to Support Type 2 Diabetes Self-Management: Randomized Effectiveness-Implementation Trial.

Enying Gong, Shaira Baptista, Anthony Russell, Paul Scuffham, Michaela Riddell, Jane Speight, Dominique Bird, Emily Williams, Mojtaba Lotfaliany, Brian Oldenburg

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
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. Cited by 77 papers, 14 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
77citing papers in PubMed, 14 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

77 citing papers in PubMed, 14 syntheses or guidelines pooled it.

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17 more citing papers are in PubMed but not listed here.

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

10 authors.

Enying GongSchool of Population and Global Health, The University of Melbourne, Melbourne, Australia.ORCID 0000-0003-2203-0369
Shaira BaptistaSchool of Population and Global Health, The University of Melbourne, Melbourne, Australia.ORCID 0000-0001-9474-3590
Anthony RussellPrincess Alexandra Hospital,, Queensland, Australia.ORCID 0000-0003-4902-6693
Paul ScuffhamMenzies Health Institute Queensland, Griffith University, Queensland, Australia.ORCID 0000-0001-5931-642X
Michaela RiddellKirby Institute, University of New South Wales, Sydney, Australia.ORCID 0000-0001-8852-0569
Jane SpeightSchool of Population and Global Health, The University of Melbourne, Melbourne, Australia.ORCID 0000-0002-1204-6896
Dominique BirdCentre for Health Services Research, The University of Queensland, Brisbane, Australia.ORCID 0000-0003-0652-3067
Emily WilliamsFaculty of Health and Medical Sciences, University of Surrey, Surrey, United Kingdom.ORCID 0000-0002-9399-1960
Mojtaba LotfalianySchool of Population and Global Health, The University of Melbourne, Melbourne, Australia.ORCID 0000-0001-6594-9004
Brian OldenburgSchool of Population and Global Health, The University of Melbourne, Melbourne, Australia.ORCID 0000-0002-7712-5413

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDelivering self-management support to people with type 2 diabetes mellitus is essential to reduce the health system burden and to empower people with the skills, knowledge, and confidence needed to take an active role in managing their own health.

objectiveThis study aims to evaluate the adoption, use, and effectiveness of the My Diabetes Coach (MDC) program, an app-based interactive embodied conversational agent, Laura, designed to support diabetes self-management in the home setting over 12 months.

methodsThis randomized controlled trial evaluated both the implementation and effectiveness of the MDC program. Adults with type 2 diabetes in Australia were recruited and randomized to the intervention arm (MDC) or the control arm (usual care). Program use was tracked over 12 months. Coprimary outcomes included changes in glycated hemoglobin (HbA

resultsA total of 187 adults with type 2 diabetes (mean 57 years, SD 10 years; 41.7% women) were recruited and randomly allocated to the intervention (n=93) and control (n=94) arms. MDC program users (92/93 participants) completed 1942 chats with Laura, averaging 243 min (SD 212) per person over 12 months. Compared with baseline, the mean estimated HbA

conclusionsThe MDC program was successfully adopted and used by individuals with type 2 diabetes and significantly improved the users' HRQoL. These findings suggest the potential for wider implementation of technology-enabled conversation-based programs for supporting diabetes self-management. Future studies should focus on strategies to maintain program usage and HbA

trial registrationAustralia New Zealand Clinical Trials Registry (ACTRN) 12614001229662; https://anzctr.org.au/Trial/Registration/TrialReview.aspx?ACTRN=12614001229662.

Indexed as

AgedAged, 80 and overCommunicationDiabetes Mellitus, Type 2FemaleGlycated HemoglobinHumansMaleMiddle AgedMobile ApplicationsGlycated Hemoglobincoachingdigital technologyhealth-related quality of lifemobile phoneself-managementtype 2 diabetes mellitus

Identifiers

PMID33151154
PMCPMC7677021

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.