Evidence map›Paper›PMID 38588447›Full record

Trial reportScandinavian journal of primary health care2024

Interprofessional follow-up for people at risk of type 2 diabetes in primary healthcare - a randomized controlled trial with embedded qualitative interviews.

Marit Graue, Jannicke Igland, Bjørg Frøysland Oftedal, Anne Haugstvedt, Hilde Kristin Refvik Riise, Vibeke Zoffmann, Anne Karen Jenum, David Richards, Beate-Christin Hope Kolltveit

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Scandinavian journal of primary health care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Trial
  2. 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

9 authors.

Marit GraueDepartment of Health and Caring Sciences, Western Norway University of Applied Sciences, Bergen, Norway.ORCID 0000-0002-3149-6227
Jannicke IglandDepartment of Health and Caring Sciences, Western Norway University of Applied Sciences, Bergen, Norway.
Bjørg Frøysland OftedalDepartment of Health Sciences, University of Stavanger, Stavanger, Norway.
Anne HaugstvedtDepartment of Health and Caring Sciences, Western Norway University of Applied Sciences, Bergen, Norway.
Hilde Kristin Refvik RiiseDepartment of Health and Caring Sciences, Western Norway University of Applied Sciences, Bergen, Norway.
Vibeke ZoffmannJulie Marie Centre, Rigshospitalet, Research unit for Women`s and Children`s Health, Copenhagen, Denmark.
Anne Karen JenumGeneral Practice Research Unit, Department of General Practice, Institute of Health and Society, University of Oslo, Oslo, Norway.
David RichardsDepartment of Health and Caring Sciences, Western Norway University of Applied Sciences, Bergen, Norway.
Beate-Christin Hope KolltveitDepartment of Health and Caring Sciences, Western Norway University of Applied Sciences, Bergen, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo examine the effects of an empowerment-based interprofessional lifestyle intervention program among people at risk of type 2 diabetes on knowledge, skills, and confidence in self-management, health, psychological well-being, and lifestyle characteristics, and to explore the participants' perceptions of participating in the intervention. DESIGN AND

methodsIn line with the Medical Research Council complex interventions research methods framework, we conducted a randomized controlled trial with embedded qualitative interviews in primary healthcare clinics in Norway between 2019-2021. Of the patients at risk (The Finnish Diabetes Risk Score Calculator (FINDRISC) ≥15 or Body Mass Index (BMI) ≥30) 142 accepted the invitation, and 14 participants from the intervention group participated in individual interviews after the 12-month follow-up. Our primary outcome was the Patient Activation Measure (PAM-13). Secondary outcomes were EQ-5D-5L, EQ-VAS, WHO-Overall health, WHO-Overall QOL, weight, height, waist circumference, and regularity of physical activity. We used thematic analysis to analyse the qualitative data.

resultsThere was no clinically relevant differences of neither the primary nor the secondary endpoints between intervention and control group. As to the qualitative data, we identified two distinct features: 'Meaningful perspectives on lifestyle changes' and 'Lifestyle change is not a linear process due to challenges faced along the way' putting ownership of their choices in life into picture.

conclusionThe negative results of the RCT stand in contrast to the findings given by the participants voices, perceiving the intervention as a key eye opener placing their health challenges in perspective. How to interpret these seemingly conflicting findings of participants being seen, heard, and understood, helping them to take more conscious ownership of their choices in life, and at the same time demonstrating no improvements in symptoms or measures, is a dilemma that needs further exploration. We should be careful to implement interventions that do not demonstrate any effects on the quantitative outcomes.

Indexed as

Diabetes Mellitus, Type 2Primary Health CareQualitative ResearchAdultAgedBody Mass IndexEmpowermentExerciseFemaleFollow-Up StudiesHealth Knowledge, Attitudes, PracticeHumansInterviews as TopicLife StyleMaleMiddle Agedprimary healthcarequalitativerandomized controlled trialself-managementType 2 diabetes

Identifiers

PMID38588447
PMCPMC11332301

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.