Evidence map›Paper›PMID 40147990›Full record

ArticleBMJ open2025

DIAMONDS-a diabetes self-management intervention for people with severe mental illness: protocol for an individually randomised controlled multicentre trial.

Grace Catherine O'Carroll, Jennifer V E Brown, Claire Carswell, Charlie Peck, Gregor Russell, R A Ajjan, Jan Rasmus Boehnke, Peter A Coventry, Michelle Hadjiconstantinou, Catherine Hewitt and 12 more

Abstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

22 authors.

Grace Catherine O'CarrollDepartment of Health Sciences, University of York, York, UK.ORCID http://orcid.org/0000-0002-2154-4619
Jennifer V E BrownDepartment of Health Sciences, University of York, York, UK jennifer.brown@york.ac.uk.ORCID http://orcid.org/0000-0003-0943-5177
Claire CarswellDepartment of Health Sciences, University of York, York, UK.
Charlie PeckDepartment of Health Sciences, University of York, York, UK.
Gregor RussellBradford District Care NHS Foundation Trust, Saltaire, Bradford, UK.
R A AjjanLeeds Institute for Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, UK.
Jan Rasmus BoehnkeSchool of Health Sciences, University of Dundee, Dundee, UK.ORCID http://orcid.org/0000-0003-0249-1870
Peter A CoventryDepartment of Health Sciences, University of York, York, UK.
Michelle HadjiconstantinouDiabetes Research Centre, University of Leicester, Leicester, UK.
Catherine HewittDepartment of Health Sciences, University of York, York, UK.
Richard Ian Gregory HoltHuman Development and Health Academic Unit, University of Southampton, Southampton, UK.ORCID http://orcid.org/0000-0001-8911-6744
Vicki JohnsonLeicester Diabetes Centre, University Hospitals of Leicester NHS Trust, Leicester, UK.
Ian KellarSchool of Psychology, The University of Sheffield, Sheffield, UK.ORCID http://orcid.org/0000-0003-1608-5216
Jinshuo LiDepartment of Health Sciences, University of York, York, UK.ORCID http://orcid.org/0000-0003-1496-7450
Laura MandefieldDepartment of Health Sciences, University of York, York, UK.
David OsbornDivision of Psychiatry, University College London, London, UK.
Steve ParrottDepartment of Health Sciences, University of York, York, UK.
Lucy SheehanDepartment of Health Sciences, University of York, York, UK.ORCID http://orcid.org/0000-0001-7622-9109
David ShiersPsychosis Research Unit, Greater Manchester Mental Health NHS Foundation Trust, Manchester, UK.
Judith WatsonDepartment of Health Sciences, University of York, York, UK.ORCID http://orcid.org/0000-0003-0694-3854
Najma SiddiqiDepartment of Health Sciences, University of York, York, UK.ORCID http://orcid.org/0000-0003-1794-2152
DIAMONDS Research Team

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionType 2 diabetes mellitus (T2DM) is two to three times more common in people with severe mental illness (SMI) than in the general population. Supporting self-management in diabetes is fundamental to improving clinical outcomes. The DIAMONDS trial aims to evaluate the clinical and cost effectiveness of a novel, codesigned, supported diabetes self-management programme for people with T2DM and SMI. METHODS AND ANALYSIS: This multicentre, two-armed, parallel, individually randomised controlled trial will be conducted in National Health Service mental health trusts across England. We will recruit 380 participants (≥18 years old) with a diagnosis of SMI (schizophrenia, bipolar disorder, schizoaffective disorder, psychosis and severe depression) and T2DM. Eligible and consenting participants will be randomised to the DIAMONDS intervention or treatment as usual. The intervention group will receive one-to-one sessions with a trained DIAMONDS Coach for six months. These sessions will focus on goal setting, action planning and diabetes self-management education, supported by a paper-based workbook and an optional digital application. Individuals allocated to the control group will continue to receive usual care and may be offered National Institute for Health and Care Excellence-recommended generic diabetes self-management education programmes in line with usual practice. The primary outcome is the difference in glycated haemoglobin (HbA1c) between both groups at 12 months postrandomisation. The secondary outcomes include measures of physical and mental health, diabetes complications and physical activity. Economic and process evaluations will also be performed. Outcomes will be collected at baseline and at six and 12 month post-randomisation. ETHICS AND DISSEMINATION: This study received ethics approval by the West of Scotland Research Ethics Committee 3 (22/WS/0117). Findings will be published in peer-reviewed, academic and professional journals. We will also be producing plain language summaries, infographics and audio summaries on the website, as well as attending conferences and dissemination events. A summary of the results will be distributed to all participants and other relevant stakeholders, and we will use social media channels, websites and knowledge exchange events to communicate our findings beyond academic audiences. TRIAL REGISTRATION NUMBER: ISRCTN22275538.

Indexed as

Diabetes Mellitus, Type 2Mental DisordersPatient Education as TopicSelf-ManagementAdultCost-Benefit AnalysisEnglandFemaleGlycated HemoglobinHumansMaleMulticenter Studies as TopicRandomized Controlled Trials as TopicGlycated HemoglobinDiabetes Mellitus, Type 2MENTAL HEALTHSelf-Management

Identifiers

PMID40147990
PMCPMC11956296

What OpenQuestion holds

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Registered trials

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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.