Evidence map›Paper›PMID 35545657›Full record

ArticleNPJ digital medicine2022

Effect of self-managed lifestyle treatment on glycemic control in patients with type 2 diabetes.

Chinmay Dwibedi, Emelia Mellergård, Amaru Cuba Gyllensten, Kristoffer Nilsson, Annika S Axelsson, Malin Bäckman, Magnus Sahlgren, Stephen H Friend, Sofie Persson, Stefan Franzén and 3 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in NPJ digital medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04691973 (Evaluation of the Digital Health and Lifestyle Tool), which is not on this map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 12% 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.

NCT04691973 active not recruitingnot on this map

Evaluation of the Digital Health and Lifestyle Tool

TypeobservationalSponsorRegion SkaneRan2017 to 2026Enrolled300ConditionsDiabetes Mellitus, Type 2ArmsHealth and lifestyle tool, Usual care
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. 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

13 authors at 6 institutions in 2 countries.

Chinmay Dwibedi *Department of Neuroscience and Physiology, Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden.
Emelia Mellergård *Faculty of Medicine, Lund University, Lund, Sweden.ORCID http://orcid.org/0000-0002-3180-8550
Amaru Cuba GyllenstenResearch Institutes of Sweden, Göteborg, Sweden.
Kristoffer NilssonSwedish Institute for Health Economics, Lund, Sweden.
Annika S AxelssonDepartment of Neuroscience and Physiology, Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden.
Malin BäckmanFaculty of Medicine, Lund University, Lund, Sweden.
Magnus SahlgrenResearch Institutes of Sweden, Göteborg, Sweden.
Stephen H FriendDepartment of Psychiatry, University of Oxford, Oxford, United Kingdom.
Sofie PerssonSwedish Institute for Health Economics, Lund, Sweden.
Stefan FranzénRegisterCentrum Västra Götaland, Göteborg, Sweden.
Birgitta AbrahamssonDepartment of Neuroscience and Physiology, Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden.
Katarina Steen CarlssonSwedish Institute for Health Economics, Lund, Sweden.
Anders H RosengrenDepartment of Neuroscience and Physiology, Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden. anders.rosengren@gu.se.ORCID http://orcid.org/0000-0002-9333-5736
Lund University · SESwedish Institute for Health Economics · SEUniversity of Gothenburg · SERISE Research Institutes of Sweden · SECentre of Registers Vastra Gotaland · SEUniversity of Oxford · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The lack of effective, scalable solutions for lifestyle treatment is a global clinical problem, causing severe morbidity and mortality. We developed a method for lifestyle treatment that promotes self-reflection and iterative behavioral change, provided as a digital tool, and evaluated its effect in 370 patients with type 2 diabetes (ClinicalTrials.gov identifier: NCT04691973). Users of the tool had reduced blood glucose, both compared with randomized and matched controls (involving 158 and 204 users, respectively), as well as improved systolic blood pressure, body weight and insulin resistance. The improvement was sustained during the entire follow-up (average 730 days). A pathophysiological subgroup of obese insulin-resistant individuals had a pronounced glycemic response, enabling identification of those who would benefit in particular from lifestyle treatment. Natural language processing showed that the metabolic improvement was coupled with the self-reflective element of the tool. The treatment is cost-saving because of improved risk factor control for cardiovascular complications. The findings open an avenue for self-managed lifestyle treatment with long-term metabolic efficacy that is cost-saving and can reach large numbers of people.

Identifiers

PMID35545657
PMCPMC9095642
OpenAlexW4280550433

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.