Evidence map›Paper›PMID 37945006›Full record

ArticleBJGP open2024

Personalised care and support planning in Singapore: qualitative interviews with people living with diabetes.

Monica Lazarus, Tong Wei Yew, Wee Hian Tan, Kavita Venkataraman, Jose Maria Valderas, Doris Yee Ling Young, E Shyong Tai, Victor Weng Keong Loh

Open access · goldAbstract read
In one paragraph

Article in BJGP open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 32% 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.

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

3 citing papers in PubMed, 2 citations in OpenAlex.

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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

8 authors at 2 institutions in 1 country.

Monica LazarusDepartment of Medicine, Yong Loo Lin School of Medicine, National University of Singapore (NUS), Singapore, Singapore.ORCID https://orcid.org/0000-0001-7718-343X
Tong Wei YewDepartment of Medicine, Yong Loo Lin School of Medicine, National University of Singapore (NUS), Singapore, Singapore.ORCID https://orcid.org/0000-0002-7349-3841
Wee Hian TanNational University Polyclinics (NUP), Singapore, Singapore.ORCID https://orcid.org/0000-0003-1114-4133
Kavita VenkataramanSaw Swee Hock School of Public Health, National University of Singapore (NUS), Singapore, Singapore.ORCID https://orcid.org/0000-0002-3139-6998
Jose Maria ValderasDepartment of Medicine, Yong Loo Lin School of Medicine, National University of Singapore (NUS), Singapore, Singapore.ORCID https://orcid.org/0000-0002-9299-1555
Doris Yee Ling YoungDepartment of Medicine, Yong Loo Lin School of Medicine, National University of Singapore (NUS), Singapore, Singapore.ORCID https://orcid.org/0000-0002-1533-3639
E Shyong TaiDepartment of Medicine, Yong Loo Lin School of Medicine, National University of Singapore (NUS), Singapore, Singapore.ORCID https://orcid.org/0000-0003-2929-8966
Victor Weng Keong LohDepartment of Medicine, Yong Loo Lin School of Medicine, National University of Singapore (NUS), Singapore, Singapore mdclwkv@nus.edu.sg.ORCID https://orcid.org/0000-0002-8836-7901
National University of Singapore · SGSingHealth Polyclinics · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPersonalised care and support planning (CSP) is a person-centred approach for the care of people living with long-term conditions. Patient Activation through Community Empowerment/Engagement for Diabetes Management (PACE-D) adapts the Year of Care Partnerships (YOCP) approach to CSP in the UK for people living with diabetes at Singapore polyclinics. Polyclinics are multi-storey primary care hubs that provide affordable, multidisciplinary, comprehensive, and high-throughput public health care for the multi-ethnic, multilingual Singapore population.

aimTo explore the experience of PACE-D-enrolled people living with diabetes with personalised CSP at Singapore polyclinics. DESIGN &

settingQualitative interviews of people living with diabetes who experienced personalised CSP at National University Polyclinics (NUP) in Singapore between July 2020 and November 2021.

methodPACE-D-enrolled people living with diabetes who experienced personalised CSP were purposively sampled. In-depth semi-structured interviews were recorded, transcribed, and analysed using Braun and Clarke's reflexive thematic analysis.

resultsFifty-two patients participated in the study. Four main themes were identified. Theme 1 was the importance of the care-planning letter. Patients reported that the CPL prompted reflection and patient preparation for CSP conversations. Theme 2 was the role of the programme coordinator. PACE-D programme coordinators amplified self-management by playing advocate and confidant beyond administrative duties. Theme 3 was the value of the personalised CSP conversation. CSP providers were perceived as partners in care, with more time to listen compared with usual consultations. Patient engagement was affected by language confidence. Theme 4 was agency in self-management. With adequate time and support, patients increased in confidence and agency both in CSP engagement and diabetes self-management.

conclusionWhile language confidence may affect patient engagement, personalised CSP shows promise for strengthening patient engagement and self-management among people living with diabetes at Singapore polyclinics.

Indexed as

diabetes mellituspersonalised care and support planningprimary health carequalitative research

Identifiers

PMID37945006
PMCPMC11169985
OpenAlexW4388530539

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.