Trial reportJournal of general internal medicine2004
A practical randomized trial to improve diabetes care.
Trial report in Journal of general internal medicine, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03066596 (Promoting Asthma Guidelines and Management Through Technology-Based Intervention and Care Coordination), which is not on this map. Cited by 36 papers, 9 of them syntheses that pooled 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.
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.
Promoting Asthma Guidelines and Management Through Technology-Based Intervention and Care Coordination
Who cites it
36 citing papers in PubMed, 9 syntheses or guidelines pooled it, 94 citations in OpenAlex.
- Interventions to increase attendance for diabetic retinopathy screening.The Cochrane database of systematic reviews · 2018Pooled it
- Psychological interventions for diabetes-related distress in adults with type 2 diabetes mellitus.The Cochrane database of systematic reviews · 2017Pooled it
- Fidelity to and comparative results across behavioral interventions evaluated through the RE-AIM framework: a systematic review.Systematic reviews · 2015Pooled it
- The impact of interventions on appointment and clinical outcomes for individuals with diabetes: a systematic review.BMC health services research · 2015Pooled it
- Personalised care planning for adults with chronic or long-term health conditions.The Cochrane database of systematic reviews · 2015Pooled it
- An overview of chronic disease models: a systematic literature review.Global journal of health science · 2014Pooled it
- Interventions for providers to promote a patient-centred approach in clinical consultations.The Cochrane database of systematic reviews · 2012Pooled it
- The effect of feedback to general practitioners on quality of care for people with type 2 diabetes. A systematic review of the literature.BMC family practice · 2009Pooled it
- Interactive Health Communication Applications for people with chronic disease.The Cochrane database of systematic reviews · 2005Pooled it
- Trial
- Systems intervention to promote colon cancer screening in safety net settings: protocol for a community-based participatory randomized controlled trial.Implementation science : IS · 2013Trial
- Engagement in a diabetes self-management website: usage patterns and generalizability of program use.Journal of medical Internet research · 2011Trial
- Outcomes of minimal and moderate support versions of an internet-based diabetes self-management support program.Journal of general internal medicine · 2010Trial
- Online diabetes self-management program: a randomized study.Diabetes care · 2010Trial
- Improving Diabetes Care in Practice: findings from the TRANSLATE trial.Diabetes care · 2008Trial
- Reach, engagement, and retention in an Internet-based weight loss program in a multi-site randomized controlled trial.Journal of medical Internet research · 2007Trial
- Effects of Social Support Interventions on Medical Patient Survival: A Meta-Analysis of Non-Randomized Clinical Trials.Healthcare (Basel, Switzerland) · 2026Review
- Diabetic Foot Care: A Screening on Primary Care Providers' Attitude and Practice in Riyadh, Saudi Arabia.Medicina (Kaunas, Lithuania) · 2022Observational
- Disparities in Time to Treatment for Breast Cancer: Shifting Focus to the Root Cause.Annals of surgical oncology · 2022Article
- The Patient-Centered Approach: A Review of the Literature and Its Application for Acoustic Neuromas.Journal of neurological surgery. Part B, Skull base · 2020Article
Corrections and comments
- Commented on by
Authors and funding
9 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveThere is a well-documented gap between diabetes care guidelines and the services received by patients in almost all health care settings. This project reports initial results from a computer-assisted, patient-centered intervention to improve the level of recommended services received by patients from a wide variety of primary care providers. DESIGN AND SETTINGS: Eight hundred eighty-six patients with type 2 diabetes under the care of 52 primary care physicians participated in the Diabetes Priority Program. Physicians were stratified and randomized to intervention or control conditions and evaluated on 2 primary outcomes: number of recommended laboratory screenings and recommended patient-centered care activities completed. Secondary outcomes were evaluated using the Problem Areas in Diabetes scale and the Patient Health Questionnaire (PHQ)-9 depression scale, and the RE-AIM framework was used to evaluate potential for dissemination.
resultsThe program was well-implemented and significantly improved both number of recommended laboratory assays (3.4 vs 3.1; P <.001) and patient-centered aspects of diabetes care patients received (3.6 vs 3.2; P <.001) compared to those in randomized control practices. Activities that were increased most were foot exams (follow-up rates of 80% vs 52%; P <.003) and nutrition counseling (76% vs 52%; P <.001).
conclusionsPatients are very willing to participate in a brief computer-assisted intervention that is effective in enhancing quality of diabetes care. Staff in primary care offices can consistently deliver an intervention of this nature, but most physicians were unwilling to participate in this translation research study.
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What Socratic holds
Registered trials
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 Socratic graph.