Evidence map›Paper›PMID 39300369›Full record

ArticleBMC public health2024

Patients' and stakeholders' experiences of a personalized self-management SUPport program (P-SUP) for patients with type 2 diabetes mellitus and/or coronary heart disease: a qualitative process evaluation : Maximilian Scholl.

Maximilian Scholl, Jessica Amerkamp, Chloé Chermette, Friederike Frank, Christian Funke, Lisa Giesen, Viviana Haas, Martina Heßbrügge, Lucas Küppers, Larisa Pilic and 2 more

Erratum issuedAbstract read
In one paragraph

Article in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Maximilian SchollInstitute of Movement Therapy and Movement-oriented Prevention and Rehabilitation, German Sports University Cologne, Cologne, Germany. m.scholl@dshs-koeln.de.
Jessica AmerkampInstitute of Movement Therapy and Movement-oriented Prevention and Rehabilitation, German Sports University Cologne, Cologne, Germany.
Chloé ChermetteInstitute of Psychology, German Sports University Cologne, Cologne, Germany.
Friederike FrankInstitute for Digitalization and General Medicine, Medical Faculty, RWTH Aachen University, Aachen, Germany.
Christian FunkeIInstitute of General Practice, Heinrich Heine University Düsseldorf, Düsseldorf, Germany.
Lisa GiesenInstitute of Health Economics and Clinical Epidemiology, University Hospital Cologne, Cologne, Germany.
Viviana HaasIInstitute of General Practice, Heinrich Heine University Düsseldorf, Düsseldorf, Germany.
Martina HeßbrüggeInstitute of General Practice, University Duisburg-Essen, Essen, Germany.
Lucas KüppersInstitute of Family Medicine and General Practice, University of Bonn, Bonn, Germany.
Larisa PilicInstitute of General Practice, University of Cologne, Faculty of Medicine, Cologne, Germany.
Frank VitiniusDepartment of Psychosomatics and Psychotherapy, Faculty of Medicine, University Hospital and University of Cologne, Cologne, Germany.
Bianca BiallasInstitute of Movement Therapy and Movement-oriented Prevention and Rehabilitation, German Sports University Cologne, Cologne, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic diseases such as type 2 diabetes mellitus and coronary heart disease cause medical, social, and economic burdens worldwide. Disease management programs in Germany mostly lack components to improve patients' self-management and health-promoting lifestyles despite clear guideline recommendations. Therefore, a Personalized Self-Management Support Program (P-SUP) was developed, which includes: (1) peer support groups; (2) telephone coaching; (3) feedback reports and, (4) a web portal. This study aims to explore patients' and implementing stakeholders' experiences in the implementation of P-SUP to identify barriers and facilitators to the implementation of the intervention.

methodsA qualitative study was conducted using face-to-face focus group interviews with participating patients and telephone-based one-to-one expert interviews with implementing stakeholders, involved in the delivery of the intervention. The transcribed interview reports were analyzed using qualitative content analysis, and the contents were categorized according to Donabedian's Structure-Process-Outcome framework.

resultsA total of six themes among patients (N = 35) and five themes among implementing stakeholders (N = 32) represent the experiences. The patient themes were: (1) technical conditions, (2) indoor facilities, (3) group composition, (4) acceptance of digital components, (5) supervision and feedback and (6) impact on lifestyle behavior. The themes among the implementing stakeholders were: (1) multiprofessional approach, (2) human resources, (3) patient acceptance, (4) supervision and feedback and (5) impact on lifestyle behavior.

conclusionsMultiprofessional interventions such as P-SUP appear to be valuable for patients and implementing stakeholders. Although infrastructural barriers made the implementation of peer support and digital patient education difficult, patients rated the exchange with peers and experts on health-related topics positively. The lack of supervision and feedback during the course of the intervention might be compensated by regular telephone coaching. The findings from this study can be used in future studies to guide researchers and implementing stakeholders and to improve the feasibility and effectiveness of complex interventions in different contexts.

trial registrationThe P-SUP study was registered in the German Clinical Trials Register (DRKS) on 16/07/2020 under the registration number DRKS00020592.

Indexed as

Coronary DiseaseDiabetes Mellitus, Type 2Focus GroupsQualitative ResearchSelf-ManagementAdultAgedFemaleGermanyHumansMaleMiddle AgedProgram EvaluationStakeholder ParticipationComplex interventionDisease management programLifestyle modificationPeer supportProcess evaluationType 2 diabetes mellitus, coronary heart disease

Identifiers

PMID39300369
PMCPMC11414288

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.