Evidence map›Paper›PMID 39741965›Full record

ArticleJournal of diabetes research2024

Redefining Diabetes Care: Evaluating the Impact of a Carbohydrate-Reduction, Health Coach Approach Model in New Zealand.

Caryn Zinn, Jessica L Campbell, Marina Po, Losi Sa'ulilo, Lily Fraser, Glen Davies, Marcus Hawkins, Olivia Currie, David Unwin, Catherine Crofts and 3 more

Abstract read
In one paragraph

Article in Journal of diabetes research, 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. Article
  2. Observational
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

13 authors.

Caryn ZinnHuman Potential Centre, Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland, New Zealand.ORCID https://orcid.org/0000-0001-6185-7663
Jessica L CampbellHuman Potential Centre, Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland, New Zealand.ORCID https://orcid.org/0000-0003-0119-2596
Marina PoHuman Potential Centre, Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland, New Zealand.
Losi Sa'uliloHuman Potential Centre, Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland, New Zealand.ORCID https://orcid.org/0009-0009-4879-0551
Lily FraserTuruki Healthcare, Mangere, Auckland, New Zealand.
Glen DaviesReversal NZ, Taupo, New Zealand.
Marcus HawkinsHighbrook Medical Centre, Highbrook, Auckland, New Zealand.ORCID https://orcid.org/0000-0002-5662-1944
Olivia CurrieReal Healthy Me, Christchurch Central, New Zealand.
David UnwinNorwood Surgery, Southport, UK.
Catherine CroftsHuman Potential Centre, Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland, New Zealand.ORCID https://orcid.org/0000-0001-6109-8513
Nigel HarrisHuman Potential Centre, Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland, New Zealand.ORCID https://orcid.org/0000-0003-1737-487X
Tom StewartHuman Potential Centre, Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland, New Zealand.ORCID https://orcid.org/0000-0001-5915-3843
Grant SchofieldHuman Potential Centre, Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland, New Zealand.ORCID https://orcid.org/0000-0001-8865-7821

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study explores a novel healthcare model employed in the primary care setting integrating a carbohydrate-reduction dietary approach and health coaching for managing prediabetes (PD) and Type 2 diabetes (T2D) in New Zealand. Using qualitative methods, we conducted focus groups with 46 patients and individual interviews with health coaches and general practitioners across two regions. Five major themes emerged from inductive thematic analysis: reduced carbohydrate lifestyles, health coaching, implementation, empowerment, and sustainability. Patients reported significant health improvements, including weight loss, reduced medication burden, and increased energy. Challenges included resistance from some medical professionals and negative public perceptions. Health coaching played a crucial role in patient care, providing individualised support and enhancing health literacy. The study found that this model both improved patient outcomes and also alleviated the burden on healthcare professionals by managing time-intensive aspects of patient care. Barriers to the adoption of this model include scepticism about low-carbohydrate diets and the need for more education and awareness among healthcare professionals. The findings suggest that this healthcare model has the potential to transform the management of PD and T2D in primary care, shifting patients from lifelong medication dependence to significant health improvements and potential disease remission or reversal.

Indexed as

Diabetes Mellitus, Type 2Diet, Carbohydrate-RestrictedFocus GroupsPrediabetic StatePrimary Health CareAdultAgedFemaleHealth LiteracyHumansMaleMentoringMiddle AgedNew ZealandQualitative Researchcarbohydrate reductionhealth coachinghealth system transformationlifestyle medicineprediabetesprimary caresustainability in healthcareT2D management

Identifiers

PMID39741965
PMCPMC11688139

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.