Evidence map›Paper›PMID 34174860›Full record

ArticleBMC public health2021

Patient education program for Brazilians living with diabetes and prediabetes: findings from a development study.

Gabriela Lima de Melo Ghisi, Mariana Balbi Seixas, Daniele Sirineu Pereira, Ligia Loiola Cisneros, Danielle Guedes Andrade Ezequiel, Crystal Aultman, Nicole Sandison, Paul Oh, Lilian Pinto da Silva

Registry-linked trialAbstract read
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In one paragraph

Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03914924 (Effects of an Exercise and Lifestyle Education Program for People With Diabetes and Prediabetes), 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
–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.

NCT03914924 naunknown statusnot on this map

Effects of an Exercise and Lifestyle Education Program for People With Diabetes and Prediabetes: A Multicenter Randomized Controlled Trial

TypeinterventionalSponsorFederal University of Juiz de ForaRan2020 to 2025Enrolled240ConditionsDiabetes Mellitus, PrediabetesArmsExercise Program, Lifestyle Education Program
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  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

9 authors.

Gabriela Lima de Melo GhisiCardiovascular Prevention and Rehabilitation Program, Toronto Rehabilitation Institute, University Health Network, Toronto, M4G 1R7, ON, Canada.
Mariana Balbi SeixasFaculty of Physical Therapy, Federal University of Juiz de Fora, Juiz de Fora, MG, 36038-330, Brazil.
Daniele Sirineu PereiraDepartment of Physiotherapy, Federal University of Minas Gerais, Belo Horizonte, 31270-901, MG, Brazil.
Ligia Loiola CisnerosDepartment of Physiotherapy, Federal University of Minas Gerais, Belo Horizonte, 31270-901, MG, Brazil.
Danielle Guedes Andrade EzequielFaculty of Medicine, Federal University of Juiz de Fora, Juiz de Fora, 36038-330, MG, Brazil.
Crystal AultmanCardiovascular Prevention and Rehabilitation Program, Toronto Rehabilitation Institute, University Health Network, Toronto, M4G 1R7, ON, Canada.
Nicole SandisonCardiovascular Prevention and Rehabilitation Program, Toronto Rehabilitation Institute, University Health Network, Toronto, M4G 1R7, ON, Canada.
Paul OhCardiovascular Prevention and Rehabilitation Program, Toronto Rehabilitation Institute, University Health Network, Toronto, M4G 1R7, ON, Canada.
Lilian Pinto da SilvaFaculty of Physical Therapy, Federal University of Juiz de Fora, Juiz de Fora, MG, 36038-330, Brazil. lilian.pinto@ufjf.edu.br.ORCID 0000-0002-9352-1504

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGlobally, the incidence of diabetes is increasing and strategies to reach a comprehensive approach of care are needed, including education in self-management. This is particularly true in low and middle-income countries where the number of people living with diabetes is higher than in the high-income ones. This article describes the development of a structured patient education program for Brazilians living with diabetes or prediabetes.

methodsThese steps were undertaken: 1) a 4-phase needs assessment (literature search of local diabetes guidelines, environmental scan, evaluation of information needs of patients identified by diabetes experts, and patient focus groups); and, 2) the translation and cultural adaptation of the patient guide (preparation, translation, back-translation, back-translation review, harmonization, and proofreading).

resultsFour of the seven guidelines identified include educational aspects of diabetes management. No structured education program was reported from the environmental scan. Regarding the information needs, 15 diabetes experts identified their patients' needs, who referred that they have high information needs for topics related to their health condition. Finally, results from six patient focus groups were clustered into six themes (self-management, physical activity, eating habits, diabetes medication, psychosocial being, and sleep), all embedded into the new education program. Constructive theory, adult learning principles, and the Health Action Process Approach model were used in program development and will be used in delivery. The developed program consists of 18 educational sessions strategically mapped and sequenced to support the program learning outcomes and a patient guide with 17 chapters organized into five sections, matched with weekly lectures.

conclusionsThis program is a sequential and theoretical strategic intervention that can reach programs in Brazil to support diabetes and prediabetes patient education.

Indexed as

Diabetes MellitusPrediabetic StateSelf-ManagementAdultBrazilHumansPatient Education as TopicDiabetes mellitusNeeds assessmentPatient educationPrediabetes stateSelf-management

Identifiers

PMID34174860
PMCPMC8236150

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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.