Evidence map›Paper›PMID 37019487›Full record

Trial reportBMJ open2023

Older adults' experiences and perceived impacts of the Aging, Community and Health Research Unit-Community Partnership Program (ACHRU-CPP) for diabetes self-management in Canada: a qualitative descriptive study.

Marie-Lee Yous, Rebecca Ganann, Jenny Ploeg, Maureen Markle-Reid, Melissa Northwood, Kathryn Fisher, Ruta Valaitis, Tracey Chambers, William Montelpare, France Légaré and 8 more

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03664583 (ACHRU Community Partnership Program for Diabetes Self-Management for Older Adults - Canada), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.2field-weighted citation impact, top 11% 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.

NCT03664583 naunknown statusnot on this map

ACHRU Community Partnership Program for Diabetes Self-Management for Older Adults - Canada

TypeinterventionalSponsorMcMaster UniversityRan2019 to 2023Enrolled295ConditionsMultiple Chronic Conditions, Diabetes MellitusArmsACHRU-Community Partnership Program (CPP)
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 11 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Community Activities in Primary Care: A Literature Review.Journal of primary care & community health
    Review
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

18 authors at 3 institutions in 1 country.

Marie-Lee YousSchool of Nursing, McMaster University Faculty of Health Sciences, Hamilton, Ontario, Canada yousm@mcmaster.ca.ORCID 0000-0002-4271-0401
Rebecca GanannSchool of Nursing, Aging, Community and Health Research Unit, McMaster University Faculty of Health Sciences, Hamilton, Ontario, Canada.ORCID 0000-0002-7566-8932
Jenny PloegSchool of Nursing, Aging, Community and Health Research Unit, McMaster University Faculty of Health Sciences, Hamilton, Ontario, Canada.ORCID 0000-0001-8168-8449
Maureen Markle-ReidSchool of Nursing, Aging, Community and Health Research Unit, McMaster University Faculty of Health Sciences, Hamilton, Ontario, Canada.
Melissa NorthwoodSchool of Nursing, Aging, Community and Health Research Unit, McMaster University Faculty of Health Sciences, Hamilton, Ontario, Canada.ORCID 0000-0001-5043-8068
Kathryn FisherSchool of Nursing, Aging, Community and Health Research Unit, McMaster University Faculty of Health Sciences, Hamilton, Ontario, Canada.
Ruta ValaitisSchool of Nursing, Aging, Community and Health Research Unit, McMaster University Faculty of Health Sciences, Hamilton, Ontario, Canada.ORCID 0000-0002-3117-0542
Tracey ChambersSchool of Nursing, Aging, Community and Health Research Unit, McMaster University Faculty of Health Sciences, Hamilton, Ontario, Canada.ORCID 0000-0002-9325-6894
William MontelpareDepartment of Applied Human Sciences, Faculty of Science, University of Prince Edward Island, Charlottetown, Prince Edward Island, Canada.
France LégaréVITAM Centre de recherche en santé durable, Université Laval, Quebec, Quebec, Canada.ORCID 0000-0002-2296-6696
Ron BelenoSchool of Nursing, Aging, Community and Health Research Unit, McMaster University Faculty of Health Sciences, Hamilton, Ontario, Canada.
Gary GaudetDepartment of Applied Human Sciences, Faculty of Science, University of Prince Edward Island, Charlottetown, Prince Edward Island, Canada.
Luisa GiacomettiSchool of Nursing, Aging, Community and Health Research Unit, McMaster University Faculty of Health Sciences, Hamilton, Ontario, Canada.
Deborah LevelySchool of Nursing, Aging, Community and Health Research Unit, McMaster University Faculty of Health Sciences, Hamilton, Ontario, Canada.
Craig LindsaySchool of Nursing, Aging, Community and Health Research Unit, McMaster University Faculty of Health Sciences, Hamilton, Ontario, Canada.
Allan MorrisonDepartment of Applied Human Sciences, Faculty of Science, University of Prince Edward Island, Charlottetown, Prince Edward Island, Canada.
Frank TangSchool of Nursing, Aging, Community and Health Research Unit, McMaster University Faculty of Health Sciences, Hamilton, Ontario, Canada.
ACHRU-CPP Research Team
McMaster University · CAUniversity of Prince Edward Island · CAUniversité Laval · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess the experiences and perceived impacts of the Aging, Community and Health Research Unit-Community Partnership Program (ACHRU-CPP) from the perspectives of older adults with diabetes and other chronic conditions. The ACHRU-CPP is a complex 6-month self-management evidence-based intervention for community-living older adults aged 65 years or older with type 1 or type 2 diabetes and at least one other chronic condition. It includes home and phone visits, care coordination, system navigation support, caregiver support and group wellness sessions delivered by a nurse, dietitian or nutritionist, and community programme coordinator.

designQualitative descriptive design embedded within a randomised controlled trial was used.

settingSix trial sites offering primary care services from three Canadian provinces (ie, Ontario, Quebec and Prince Edward Island) were included.

participantsThe sample was 45 community-living older adults aged 65 years or older with diabetes and at least one other chronic condition.

methodsParticipants completed semistructured postintervention interviews by phone in English or French. The analytical process followed Braun and Clarke's experiential thematic analysis framework. Patient partners informed study design and interpretation.

resultsThe mean age of older adults was 71.7 years, and the mean length of time living with diabetes was 18.8 years. Older adults reported positive experiences with the ACHRU-CPP that supported diabetes self-management, such as improved knowledge in managing diabetes and other chronic conditions, enhanced physical activity and function, improved eating habits, and opportunities for socialisation. They reported being connected to community resources by the intervention team to address social determinants of health and support self-management.

conclusionsOlder adults perceived that a 6-month person-centred intervention collaboratively delivered by a team of health and social care providers helped support chronic disease self-management. There is a need for providers to help older adults connect with available health and social services in the community. TRIAL REGISTRATION NUMBER: ClinicalTrials.gov ID: NCT03664583; Results.

Indexed as

Diabetes Mellitus, Type 2Self-ManagementAgedAgingCanadaHumansQualitative ResearchDIABETES & ENDOCRINOLOGYPRIMARY CAREQUALITATIVE RESEARCH

Identifiers

PMID37019487
PMCPMC10083734
OpenAlexW4362606532

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.