Evidence map›Paper›PMID 39349794›Full record

Trial reportInternational journal of behavioral medicine2025

Long-Term Effects of Transtheoretical Model-Based Lifestyle Intervention on Self-efficacy and Self-management in Patients with Type 2 Diabetes - Randomised Controlled Trial.

Annalena Dunkel, Katja von Storch, Martin Hochheim, Susanne Zank, Maria Cristina Polidori, Christiane Woopen

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in International journal of behavioral medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 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.

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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. 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

6 authors.

Annalena DunkelNRW Graduate School GROW - Gerontological Research on Well-Being, Faculty of Medicine and Faculty of Human Sciences, University of Cologne, Albertus-Magnus-Platz, 50923, Cologne, Germany. a.dunkel@uni-koeln.de.ORCID http://orcid.org/0000-0001-8220-9876
Katja von StorchNRW Graduate School GROW - Gerontological Research on Well-Being, Faculty of Medicine and Faculty of Human Sciences, University of Cologne, Albertus-Magnus-Platz, 50923, Cologne, Germany.
Martin HochheimGenerali Health Solutions GmbH, Cologne, Germany.
Susanne ZankRehabilitative Gerontology, Faculty of Human Sciences, University of Cologne, Cologne, Germany.
Maria Cristina PolidoriDepartment II of Internal Medicine and Center for Molecular Medicine Cologne, Ageing Clinical Research, University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany.
Christiane WoopenCenter for Life Ethics, University of Bonn, Bonn, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSelf-efficacy and self-management are fundamental factors for successful treatment of type 2 diabetes, but long-term studies are rare. The aim of the present study is to investigate whether the effects achieved in the context of a lifestyle intervention based on the transtheoretical model can be maintained by the patients in the long term.

methodA two-arm randomised controlled trial examined whether long-term effects of self-efficacy, self-management, and Hb

resultsThe intervention group achieved significantly better self-management after 12 and 24 months (12M, 1.11 (0.81; 1.41) p < .000; 24M, 0.52 (0.19; 0.85) p = .002) as well as self-efficacy (12M, 1.18 (0.83; 1.52) p < .000; 24M, 0.76 (0.39; 1.13) p < .000) and Hb

conclusionTTM-based lifestyle interventions show a long-term effect beyond the duration of the intervention in most areas, and behavioural changes can be sustained by patients.

Indexed as

Diabetes Mellitus, Type 2Life StyleSelf CareSelf EfficacySelf-ManagementTranstheoretical ModelAgedFemaleGlycated HemoglobinHumansMaleMiddle AgedTelemedicineGlycated HemoglobinHbA1cLifestyle modificationSelf-managementTelemedicineType 2 diabetes

Identifiers

PMID39349794
PMCPMC11790748

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.