Evidence map›Paper›PMID 36829179›Full record

Trial reportBMC health services research2023

Change in glycaemic control with structured diabetes self-management education in urban low-resource settings: multicentre randomised trial of effectiveness.

Roberta Lamptey, Mary Amoakoh-Coleman, Mary Moffett Barker, Samuel Iddi, Michelle Hadjiconstantinou, Melanie Davies, Daniel Darko, Irene Agyepong, Franklyn Acheampong, Mary Commey and 4 more

Registry-linked trialAbstract readRandomized Controlled TrialMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04780425 (A Randomised Parallel-group Multi-centre Study to Evaluate the Effect of Structured Diabetes Self-management Education Versus Standard of Care on Glycaemic Control, Self-efficacy and Quality of Life in Adults in Two Low Resource Settings in Accra Subsequent to COVID-19), which is not on this map. Cited by 13 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 4 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.

NCT04780425 nacompletednot on this map

A Randomised Parallel-group Multi-centre Study to Evaluate the Effect of Structured Diabetes Self-management Education Versus Standard of Care on Glycaemic Control, Self-efficacy and Quality of Life in Adults in Two Low Resource Settings in Accra Subsequent to COVID-19

TypeinterventionalSponsorKorle-Bu Teaching Hospital, Accra, GhanaRan2021 to 2021Enrolled206ConditionsDiabetes Mellitus, Type 2ArmsDESMOND, usual care
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Article
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  8. Review
  9. Review
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  13. Effectiveness of Diabetes Self-Management Education on Distress and HbA1C among Indian Type 2 Diabetes Mellitus Patients: A Randomized Controlled Trial.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine
    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

14 authors.

Roberta LampteyPolyclinic/ Family Medicine Department, Korle Bu Teaching Hospital, Accra, Ghana. r.lamptey@umcutrecht.nl.
Mary Amoakoh-ColemanJulius Center for Health Sciences and Primary Care, Julius Global Health, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
Mary Moffett BarkerDiabetes Research Centre, University of Leicester, Leicester, UK.
Samuel IddiDepartment of Statistics and Actuarial Science, University of Ghana, Legon, Ghana.
Michelle HadjiconstantinouDiabetes Research Centre, University of Leicester, Leicester, UK.
Melanie DaviesDiabetes Research Centre, University of Leicester, Leicester, UK.
Daniel DarkoFamily Medicine Department, Nyaho Medical Center, Accra, Ghana.
Irene AgyepongFaculty of Public Health, Ghana College of Physicians and Surgeons, Accra, Ghana.
Franklyn AcheampongOffice of Research, Korle Bu Teaching Hospital, Accra, Ghana.
Mary CommeyNon-Communicable Diseases Control Programme, Ghana Health Service, Accra, Ghana.
Alfred YawsonDepartment of Community Health, University of Ghana Medical School, Accra, Ghana.
Diederick E GrobbeeJulius Center for Health Sciences and Primary Care, Julius Global Health, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
George Obeng AdjeiCentre for Tropical Clinical Pharmacology and Therapeutics, University of Ghana Medical School, Accra, Ghana.
Kerstin Klipstein-GrobuschJulius Center for Health Sciences and Primary Care, Julius Global Health, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn high-resource settings, structured diabetes self-management education is associated with improved outcomes but the evidence from low-resource settings is limited and inconclusive.

aimTo compare, structured diabetes self-management education to usual care, in adults with type 2 diabetes, in low-resource settings. RESEARCH DESIGN AND

methods

designSingle-blind randomised parallel comparator controlled multi-centre trial. Adults (> 18 years) with type 2 diabetes from two hospitals in urban Ghana were randomised 1:1 to usual care only, or usual care plus a structured diabetes self-management education program. Randomisation codes were computer-generated, and allotment concealed in opaque numbered envelopes. The intervention effect was assessed with linear mixed models. MAIN OUTCOME: Change in HbA1c after 3-month follow-up. Primary analysis involved all participants. CLINICALTRIAL: gov identifier:NCT04780425, retrospectively registered on 03/03/2021.

resultsRecruitment: 22

conclusionIn low-resource settings, diabetes self-management education might not be associated with glycaemic control. Clinician's expectations from diabetes self-management education must therefore be guarded.

Indexed as

Diabetes Mellitus, Type 2Self-ManagementAdultFemaleGlycated HemoglobinGlycemic ControlHumansMaleMiddle AgedSingle-Blind MethodGlycated HemoglobinDiabetesDSMEHbA1cLow-resourceSelf-care

Identifiers

PMID36829179
PMCPMC9957611

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.