Evidence map›Paper›PMID 35105649›Full record

ArticleBMJ open2022

Association between patient activation, self-management behaviours and clinical outcomes in adults with diabetes or related metabolic disorders: a systematic review and meta-analysis protocol.

Julia Mueller, Amy L Ahern, Stephen J Sharp, Rebecca Richards, Jack M Birch, Alan Davies, Simon J Griffin

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 33% 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.

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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. 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

7 authors at 2 institutions in 1 country.

Julia MuellerMRC Epidemiology Unit, University of Cambridge, Cambridge, UK julia.mueller@mrc-epid.cam.ac.uk.ORCID 0000-0002-4939-7112
Amy L AhernMRC Epidemiology Unit, University of Cambridge, Cambridge, UK.ORCID 0000-0001-5069-4758
Stephen J SharpMRC Epidemiology Unit, University of Cambridge, Cambridge, UK.ORCID 0000-0003-2375-1440
Rebecca RichardsMRC Epidemiology Unit, University of Cambridge, Cambridge, UK.ORCID 0000-0001-7122-6822
Jack M BirchMRC Epidemiology Unit, University of Cambridge, Cambridge, UK.ORCID 0000-0001-6292-1647
Alan DaviesDivision of Informatics, Imaging & Data Sciences, The University of Manchester, Manchester, UK.ORCID 0000-0001-5737-5629
Simon J GriffinMRC Epidemiology Unit, University of Cambridge, Cambridge, UK.
University of Cambridge · GBUniversity of Manchester · GB

Funding

Medical Research Council MC_UU_00006/6Medical Research Council MC_UU_12015/4
6 · The paper itself

Abstract

introductionDiabetes and related metabolic disorders such as obesity and cardiovascular diseases (CVD) are a growing global issue. Equipping individuals with the necessary 'knowledge, skills and confidence to self-manage their health' (ie, patient activation (PAct)) may lead to improvements in health outcomes. It is unclear whether existing evidence allows us to assume a causal relationship. We aim to synthesise and critically appraise evidence on the relationship between PAct and self-management behaviours and clinical outcomes of people living with diabetes and related metabolic disorders. METHODS AND ANALYSIS: The protocol is based on guidance on Preferred Reporting Items for Systematic Review and Meta-analysis Protocols. We will search Medline, Embase, CENTRAL, PsycInfo, Web of Science and CINAHL using search terms related to PAct, diabetes, pre-diabetes, obesity and CVD. Any quantitative study design is eligible provided studies assess the association between PAct and clinical outcomes and/or self-management behaviours of diabetes and related metabolic disorders. Outcomes include behavioural (eg, diet) and clinical (eg, blood pressure) outcomes. Two reviewers will independently screen titles/abstracts and full texts and assess risk of bias using the revised Cochrane risk-of-bias tool for randomised trials or the Risk of Bias Assessment Tool for Nonrandomised Studies (RoBANS).One reviewer will extract data, with independent checking by a second reviewer. We will critically assess the level of evidence available for assuming a causal association between PAct and outcomes. Data permitting, we will use the Hunter-Schmidt random-effects method to meta-analyse correlations across studies. ETHICS AND DISSEMINATION: Ethical approval is not required. The review will be disseminated in the form of a peer-reviewed journal article, at conferences and other presentations. The findings of the review will be of interest to clinical commissioning groups, policymakers and intervention deliverers/developers. PROSPERO REGISTRATION NUMBER: CRD42021230727.

Indexed as

Prediabetic StateSelf-ManagementAdultHumansMeta-Analysis as TopicObesityPatient ParticipationResearch DesignSystematic Reviews as Topicdiabetes & endocrinologyhealth services administration & managementsocial medicine

Identifiers

PMID35105649
PMCPMC8804633
OpenAlexW4210460725

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.