Evidence map›Paper›PMID 35928807›Full record

ArticleWellcome open research2021

Self-management interventions for Type 2 Diabetes: systematic review protocol focusing on patient workload and capacity support.

Peter Hanlon, Iona Bryson, Holly Morrison, Qasim Rafiq, Kasey Boehmer, Michael R Gionfriddo, Katie Gallacher, Carl May, Victor Montori, Jim Lewsey and 2 more

Abstract read
In one paragraph

Article in Wellcome open research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 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.

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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. 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

12 authors.

Peter HanlonInstitute for Health and Wellbeing, University of Glasgow, Glasgow, UK.ORCID https://orcid.org/0000-0002-5828-3934
Iona BrysonInstitute for Health and Wellbeing, University of Glasgow, Glasgow, UK.ORCID https://orcid.org/0000-0002-6414-8026
Holly MorrisonInstitute for Health and Wellbeing, University of Glasgow, Glasgow, UK.
Qasim RafiqInstitute for Health and Wellbeing, University of Glasgow, Glasgow, UK.ORCID https://orcid.org/0000-0002-6028-4338
Kasey BoehmerKnowledge and Evaluation Research Unit, Mayo Clinic, Rochester, USA.
Michael R GionfriddoSchool of Pharmacy, Duquesne University, Pittsburgh, USA.ORCID https://orcid.org/0000-0003-1391-7072
Katie GallacherInstitute for Health and Wellbeing, University of Glasgow, Glasgow, UK.
Carl MayLondon School of Hygiene and Tropical Medicine, London, UK.
Victor MontoriKnowledge and Evaluation Research Unit, Mayo Clinic, Rochester, USA.
Jim LewseyInstitute for Health and Wellbeing, University of Glasgow, Glasgow, UK.
David A McAllisterInstitute for Health and Wellbeing, University of Glasgow, Glasgow, UK.
Frances S MairInstitute for Health and Wellbeing, University of Glasgow, Glasgow, UK.ORCID https://orcid.org/0000-0001-9780-1135

Funding

Medical Research Council MR/S021949/1Wellcome Trust
6 · The paper itself

Abstract

introductionPeople living with type 2 diabetes undertake a range of tasks to manage their condition, collectively referred to as self-management. Interventions designed to support self-management vary in their content, and efficacy. This systematic review will analyse self-management interventions for type 2 diabetes drawing on theoretical models of patient workload and capacity. METHODS AND ANALYSIS: Five electronic databases (Medline, Embase, CENTRAL, CINAHL and PsycINFO) will be searched from inception to 27th April 2021, supplemented by citation searching and hand-searching of reference lists. Two reviewers will independently review titles, abstracts and full texts. Inclusion criteria include Population: Adults with type 2 diabetes mellitus; Intervention: Randomised controlled trials of self-management support interventions; Comparison: Usual care; Outcomes: HbA1c (primary outcome) health-related quality of life (QOL), medication adherence, self-efficacy, treatment burden, healthcare utilization (e.g. number of appointment, hospital admissions), complications of type 2 diabetes (e.g. nephropathy, retinopathy, neuropathy, macrovascular disease) and mortality; Setting: Community. Study quality will be assessed using the Effective Practice and Organisation of Care (EPOC) risk of bias tool. Interventions will be classified according to the EPOC taxonomy and the PRISMS self-management taxonomy and grouped into similar interventions for analysis. Clinical and methodological heterogeneity will be assessed within subgroups, and random effects meta-analyses performed if appropriate. Otherwise, a narrative synthesis will be performed. Interventions will be graded on their likely impact on patient workload and support for patient capacity. The impact of these theoretical constructs on study outcomes will be explored using meta-regression. Conclusion This review will provide a broad overview of self-management interventions, analysed within the cumulative complexity model theoretical framework. Analyses will explore how the workload associated with self-management, and support for patient capacity, impact on outcomes of self-management interventions. REGISTRATION NUMBER: PROSPERO CRD42021236980.

Indexed as

Diabetespatient capacityself-managementtreatment burdentype 2 diabetes mellitus

Identifiers

PMID35928807
PMCPMC9308000

What OpenQuestion holds

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Registered trials

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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.