Evidence map›Paper›PMID 35284389›Full record

ArticleFrontiers in public health2022

EMPOWERing Patients With Diabetes Using Profiling and Targeted Feedbacks Delivered Through Smartphone App and Wearable (EMPOWER): Protocol for a Randomized Controlled Trial on Effectiveness and Implementation.

Yu Heng Kwan, Sungwon Yoon, Chuen Seng Tan, Bee Choo Tai, Wee Boon Tan, Jie Kie Phang, Ngiap Chuan Tan, Cynthia Yan Ling Tan, Yan Ling Quah, David Koot and 2 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in Frontiers in public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06753643 (Implementing the National Frailty Policy in Singapore's Primary Care), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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.

NCT06753643 not yet recruitingnot on this mapstarted 2025, after this paper: background citation

Implementing the National Frailty Policy in Singapore's Primary Care: A Pilot Feasibility Study of The Intrinsic Capacity ProMotion in PrimAry Care for The Frail Program (IMPACTFrail)

TypeobservationalSponsorGeriatric Education and Research InstituteRan2025 to 2026Enrolled180ConditionsHealthy Ageing, FrailtyArmsThe IMPACTFrail programme
3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Article
  2. Review
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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

12 authors.

Yu Heng KwanDepartment of Pharmacy, National University of Singapore, Singapore, Singapore.
Sungwon YoonProgram in Health Services and Systems Research, Duke-NUS Medical School, Singapore, Singapore.
Chuen Seng TanSaw Swee Hock School of Public Health, National University of Singapore, National University Health System, Singapore, Singapore.
Bee Choo TaiSaw Swee Hock School of Public Health, National University of Singapore, National University Health System, Singapore, Singapore.
Wee Boon TanPopulation Health and Integrated Care Office, Singapore General Hospital, Singapore, Singapore.
Jie Kie PhangCentre for Population Health Research and Implementation, SingHealth Regional Health System, SingHealth, Singapore, Singapore.
Ngiap Chuan TanSingHealth Polyclinics, Singapore, Singapore.
Cynthia Yan Ling TanSingHealth Polyclinics, Singapore, Singapore.
Yan Ling QuahSingHealth Polyclinics, Singapore, Singapore.
David KootSingHealth Polyclinics, Singapore, Singapore.
Hock Hai TeoSchool of Computing, National University of Singapore, Singapore, Singapore.
Lian Leng LowCentre for Population Health Research and Implementation, SingHealth Regional Health System, SingHealth, Singapore, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Type 2 diabetes mellitus (T2DM) poses huge burden and cost on the healthcare system. Mobile health (mHealth) interventions that incorporate wearables may be able to improve diabetes self-management. The aim of this randomized controlled trial (RCT) is to investigate the clinical and cost-effectiveness of personalized educational and behavioral interventions delivered through an EMPOWER mobile application (app) among patients with T2DM. Methods: This is a parallel two-arm randomized controlled trial (RCT). Patients with T2DM recruited from primary care will be randomly allocated in a 1:1 ratio to either intervention or control group. The intervention group will receive personalized educational and behavioral interventions through the EMPOWER app in addition to their usual clinical care. The control group will receive the usual clinical care for their T2DM but will not have access to the EMPOWER app. Our primary outcome is patient activation score at 12 months. Secondary outcomes will include HbA1c, physical activity level and diet throughout 12 months; quality of life (QoL), medication adherence, direct healthcare cost and indirect healthcare cost at 6 and 12 months. Discussion: This RCT will provide valuable insights into the effectiveness and implementation of personalized educational and behavioral interventions delivered through mobile application in T2DM management. Findings from this study can help to achieve sustainable and cost-effective behavioral change in patients with T2DM, and this can be potentially scaled to other chronic diseases such as hypertension and dyslipidemia.

Indexed as

Diabetes Mellitus, Type 2Mobile ApplicationsWearable Electronic DevicesFeedbackHumansPower, PsychologicalRandomized Controlled Trials as Topicdiabetesnudgeprotocolrandomized controlled trialsmartphone application

Identifiers

PMID35284389
PMCPMC8913889

What OpenQuestion holds

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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.