Evidence map›Paper›PMID 33853796›Full record

Trial reportBMJ open2021

Use of patient-reported outcome measures (PROMs) in clinical diabetes consultations: the DiaPROM randomised controlled pilot trial.

Ingvild Hernar, Marit Graue, David A Richards, Ragnhild B Strandberg, Roy Miodini Nilsen, Magne Rekdal, Karianne Fjeld Løvaas, Tone V Madsen, Grethe S Tell, Anne Haugstvedt

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03471104 (The Use of Patient-Reported Outcome Measures), which is not on this map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 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.

NCT03471104 nawithdrawnnot on this map

The Use of Patient-Reported Outcome Measures (PROMs) to Promote Quality of Clinical Diabetes Consultations

TypeinterventionalSponsorHaukeland University HospitalRan2018 to 2023Enrolled0ConditionsDiabetes Mellitus, Type 1ArmsPAID in clinical diabetes consultations
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Mapping the Problem Areas in Diabetes (PAID) and Diabetes Distress Scale (DDS) to the EQ-5D-5L in diabetes care.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
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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

10 authors.

Ingvild HernarDepartment of Health and Caring Sciences, Western Norway University of Applied Sciences, Bergen, Norway ingvild.hernar@hvl.no.ORCID 0000-0001-7185-6234
Marit GraueDepartment of Health and Caring Sciences, Western Norway University of Applied Sciences, Bergen, Norway.ORCID 0000-0002-3149-6227
David A RichardsDepartment of Health and Caring Sciences, Western Norway University of Applied Sciences, Bergen, Norway.ORCID 0000-0002-8821-5027
Ragnhild B StrandbergDepartment of Health and Caring Sciences, Western Norway University of Applied Sciences, Bergen, Norway.ORCID 0000-0003-0256-438X
Roy Miodini NilsenFaculty of Health and Social Sciences, Western Norway University of Applied Sciences, Bergen, Norway.ORCID 0000-0002-0228-1550
Magne RekdalDips AS, Bergen, Norway.
Karianne Fjeld LøvaasNorwegian Diabetes Register for Adults, Norwegian Organisation for Quality Improvement of Laboratory Examinations (Noklus), Haraldsplass Deaconess Hospital, Bergen, Norway.ORCID 0000-0002-1658-0973
Tone V MadsenNorwegian Diabetes Register for Adults, Norwegian Organisation for Quality Improvement of Laboratory Examinations (Noklus), Haraldsplass Deaconess Hospital, Bergen, Norway.
Grethe S TellDepartment of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.ORCID 0000-0003-1386-1638
Anne HaugstvedtDepartment of Health and Caring Sciences, Western Norway University of Applied Sciences, Bergen, Norway.ORCID 0000-0002-9742-295X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo pilot test the proposed DiaPROM trial components and address uncertainties associated with conducting a full-scale randomised controlled trial (RCT) to evaluate whether such a trial is feasible.

designTwo-arm pilot RCT.

participantsAdults aged ≥18-39 years, with minimum 1 year type 1 diabetes duration, attending outpatient follow-up. Exclusion criteria were pregnancy, severe cognitive, somatic or psychiatric conditions and impaired vision. RANDOMISATION AND

interventionAll participants completed electronic Patient-Reported Outcome Measures (PROMs) prior to the annual diabetes consultation. Using computer-generated block-randomisation without blinding, we assigned participants in a 1:1 ratio stratified by sex to receive standard care or an intervention. Physicians reviewed diabetes distress scores ( OUTCOMES: Recruitment and retention rates; participants perceptions about intervention components. Variance and estimated between-group differences in follow-up scores (

resultsWe randomised 80 participants to the control or intervention arm (one participant was later excluded). 23/39 intervention arm participants qualified for additional consultations and 17 attended. 67/79 attended the 12-month follow-up (15.2% attrition); 5/17 referred to additional consultations were lost to follow-up (29.4% attrition). Participants reported PROMs as relevant (84.6%) and acceptable (97.4%) but rated the usefulness of consultations as moderate to low. Baseline mean±SD DDS score was 2.1±0.69; DDS SD was 0.71 (95% CI: 0.60 to 0.86) at follow-up; correlation between baseline and follow-up DDS scores was 0.8 (95% CI: 0.7 to 0.9).

conclusionsThe pilot trial revealed need for intervention modifications ahead of a full-scale trial to evaluate use of PROMs in diabetes consultations. Specifically, participant acceptability and intervention implementation need further investigation.

Indexed as

Diabetes Mellitus, Type 1Patient Reported Outcome MeasuresAdolescentAdultHumansPilot ProjectsReferral and ConsultationYoung Adultdiabetes & endocrinologygeneral diabetesquality in health care

Identifiers

PMID33853796
PMCPMC8054082

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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.