ArticleBMC primary care2025
A cluster randomized trial of a health coach-led patient activation program in type 2 diabetes in Singapore - a study protocol.
Article in BMC primary care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06444074 (The PACT), which is not on this map. Cited by 1 paper.
What it found
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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.
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.
The PACT (Patient Activation Through Conversations) Study - A Cluster Randomised Trial of a Health Coach-led Patient Activation Program in Type 2 Diabetes.
Who cites it
1 citing paper in PubMed.
- Use of cost analysis in examinations of health coaching interventions: a scoping review.BMJ open · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
Abstract
backgroundSelf-management of type 2 diabetes is the cornerstone of diabetes care. Health coaching, with its focus on developing intrinsic motivation, is a promising intervention for improving self-care behaviors and suboptimal glycemic levels. Studies evaluating the effectiveness of utilizing trained lay persons as health coaches in Asia are lacking. This study aims to assess the effectiveness of the Patient Activation through Conversations (PACT) program, a 3-month health coaching program, compared to usual care, in improving glycemic control among adults with type 2 diabetes. METHODS/
designA pragmatic cluster-randomized controlled trial will be conducted, randomizing 18 Teamlets from 3 polyclinics (large publicly-funded primary care clinics) to PACT or Usual Care. A total of 432 participants, aged 21-64, with HbA1c ≥ 8.0%, will be recruited. The PACT program is a 3-month health coaching program led by a health coach (trained lay person), and involves review of a PACT report, assisted goal setting and support via telephone or messaging. A mixed-methods evaluation will be conducted. The primary outcome is change in Glycated Hemoglobin (HbA1c) levels, measured at 3, 6, 12 and 24 months. Secondary outcomes include blood pressure, Body Mass Index (BMI), Low Density Lipoprotein-Cholesterol (LDL-C), lifestyle behaviors, diabetes-related distress, self-efficacy, and health-related quality of life. Cost-effectiveness will be evaluated, and a qualitative study will be conducted at 3 months to better understand participants' experiences of the PACT program. DISCUSSION: Health coaching addresses gaps in traditional diabetes care through personalized support and behavioral modification, utilizing trained lay persons as health coaches. This study, the first randomized control trial of health coaching in type 2 diabetes in Singapore, aims to inform clinical practice and healthcare policy, with potential for broader applicability to other chronic diseases.
trial registrationClinicaltrials.gov, NCT06444074. Retrospectively registered on 11 June 2024.
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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.