Evidence map›Paper›PMID 20299481›Full record

Trial reportDiabetes care2010

Online diabetes self-management program: a randomized study.

Kate Lorig, Philip L Ritter, Diana D Laurent, Kathryn Plant, Maurice Green, Valarie Blue Bird Jernigan, Siobhan Case

3 registry-linked trialsAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Diabetes care, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 156 papers, 24 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
156citing papers in PubMed, 24 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.

NCT02804620 nacompletednot on this mapstarted 2014, after this paper: background citation

From Clinic to Community: Using Peer Support as a Transition Model for Improving Long-term Diabetes-related Health Outcomes

TypeinterventionalSponsorUniversity of British ColumbiaRan2014 to 2018Enrolled196ConditionsPeer Support, Diabetes Self-managementArmsPeer-led, Empowerment-based Approach to Self-management efforts in Diabetes
NCT04669340 nacompletednot on this mapstarted 2021, after this paper: background citation

E-learning in Patient Education to Patients With Rheumatoid Arthritis - An Evaluation of the Effectiveness, the Patient Perspective and the Implementation

TypeinterventionalSponsorAarhus University HospitalRan2021 to 2024Enrolled181ConditionsRheumatoid Arthritis, Patient Involvement, Self EfficacyArmsE-learning patient education, Standard face-to-face patient education
NCT05541120 nawithdrawnnot on this mapstarted 2022, after this paper: background citation

Effect of Remote Patient Monitoring and Patient Education on Patient Activation and Glycemic Control in Individuals With Type 2 Diabetes

TypeinterventionalSponsorTracy Jalbuena MDRan2022 to 2026Enrolled0ConditionsDiabetes Mellitus, Type 2ArmsRemote Patient Monitoring
3 · Its place in the literature

Who cites it

156 citing papers in PubMed, 24 syntheses or guidelines pooled it.

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  12. Effect of telemedicine on glycated hemoglobin in diabetes: a systematic review and meta-analysis of randomized trials.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2017
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96 more citing papers are in PubMed but not listed here.

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

7 authors.

Kate LorigStanford Patient Education Research Center, Stanford University School of Medicine, Palo Alto, California, USA.
Philip L Ritter
Diana D Laurent
Kathryn Plant
Maurice Green
Valarie Blue Bird Jernigan
Siobhan Case

Funding

CARDIOVASCULAR DISEASE PREVENTION TRAINING PROGRAMT32HL007034 · NHLBI · STANFORD UNIVERSITY · PI GARDNER, CHRISTOPHER D · 1985 to 2020
$8.7M
Internet Diabetes Self Management EvaluationR18DK065729 · NIDDK · STANFORD UNIVERSITY · PI LORIG, KATE R · 2004 to 2007
$2.2M
NHLBI NIH HHS T32 HL007034NIDDK NIH HHS 1R18DK065729NIDDK NIH HHS R18 DK065729
6 · The paper itself

Abstract

objectiveWe hypothesized that people with type 2 diabetes in an online diabetes self-management program, compared with usual-care control subjects, would 1) demonstrate reduced A1C at 6 and 18 months, 2) have fewer symptoms, 3) demonstrate increased exercise, and 4) have improved self-efficacy and patient activation. In addition, participants randomized to listserve reinforcement would have better 18-month outcomes than participants receiving no reinforcement. RESEARCH DESIGN AND

methodsA total of 761 participants were randomized to 1) the program, 2) the program with e-mail reinforcement, or 3) were usual-care control subjects (no treatment). This sample included 110 American Indians/Alaska Natives (AI/ANs). Analyses of covariance models were used at the 6- and 18-month follow-up to compare groups.

resultsAt 6 months, A1C, patient activation, and self-efficacy were improved for program participants compared with usual care control subjects (P < 0.05). There were no changes in other health or behavioral indicators. The AI/AN program participants demonstrated improvements in health distress and activity limitation compared with usual-care control subjects. The subgroup with initial A1C >7% demonstrated stronger improvement in A1C (P = 0.01). At 18 months, self-efficacy and patient activation were improved for program participants. A1C was not measured. Reinforcement showed no improvement.

conclusionsAn online diabetes self-management program is acceptable for people with type 2 diabetes. Although the results were mixed they suggest 1) that the program may have beneficial effects in reducing A1C, 2) AI/AN populations can be engaged in and benefit from online interventions, and 3) our follow-up reinforcement appeared to have no value.

Indexed as

Disease ManagementInternetAdultDiabetes Mellitus, Type 2Electronic MailFemaleGlycated HemoglobinHumansMaleMiddle AgedOutcome Assessment, Health CareYoung AdultGlycated Hemoglobin

Identifiers

PMID20299481
PMCPMC2875437

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.