Evidence map›Paper›PMID 20714820›Full record

Trial reportJournal of general internal medicine2010

Outcomes of minimal and moderate support versions of an internet-based diabetes self-management support program.

Russell E Glasgow, Deanna Kurz, Diane King, Jennifer M Dickman, Andrew J Faber, Eve Halterman, Tim Wooley, Deborah J Toobert, Lisa A Strycker, Paul A Estabrooks and 2 more

Abstract readComparative StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of general internal medicine, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 14 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 14 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.

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

50 citing papers in PubMed, 14 syntheses or guidelines pooled it.

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  13. Meta-analysis of internet-delivered interventions to increase physical activity levels.The international journal of behavioral nutrition and physical activity · 2012
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  17. Participation, Retention, and Utilization of a Web-Based Chronic Disease Self-Management Intervention Among Older Adults.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2019
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  18. Engagement with a social networking intervention for cancer-related distress.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2015
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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

12 authors.

Russell E GlasgowInstitute for Health Research, Kaiser Permanente Colorado, Denver, CO 80237-8066, USA. russg@re-aim.net
Deanna Kurz
Diane King
Jennifer M Dickman
Andrew J Faber
Eve Halterman
Tim Wooley
Deborah J Toobert
Lisa A Strycker
Paul A Estabrooks
Diego Osuna
Debra Ritzwoller

Funding

MED OFFICE INTERVENTION TO IMPROVE DIABETES SELF-CARER01DK035524 · NIDDK · UNIVERSITY OF ALASKA ANCHORAGE · PI KING, DIANE K · 1986 to 2011
$4.0M
Linking Self-Management and Primary Care for DiabetesR37DK035524 · NIDDK · KAISER FOUNDATION RESEARCH INSTITUTE · PI GLASGOW, RUSSELL E · 2007 to 2009
$1.8M
NIDDK NIH HHS DK35524NIDDK NIH HHS R01 DK035524NIDDK NIH HHS R37 DK035524
6 · The paper itself

Abstract

objectiveInternet and other interactive technology-based programs offer great potential for practical, effective, and cost-efficient diabetes self-management (DSM) programs capable of reaching large numbers of patients. This study evaluated minimal and moderate support versions of an Internet-based diabetes self-management program, compared to an enhanced usual care condition. RESEARCH DESIGN AND

methodsA three-arm practical randomized trial was conducted to evaluate minimal contact and moderate contact versions of an Internet-based diabetes self-management program, offered in English and Spanish, compared to enhanced usual care. A heterogeneous sample of 463 type 2 patients was randomized and 82.5% completed a 4-month follow-up. Primary outcomes were behavior changes in healthy eating, physical activity, and medication taking. Secondary outcomes included hemoglobin A1c, body mass index, lipids, and blood pressure.

resultsThe Internet-based intervention produced significantly greater improvements than the enhanced usual care condition on three of four behavioral outcomes (effect sizes [d] for healthy eating = 0.32; fat intake = 0.28; physical activity= 0.19) in both intent-to-treat and complete-cases analyses. These changes did not translate into differential improvements in biological outcomes during the 4-month study period. Added contact did not further enhance outcomes beyond the minimal contact intervention.

conclusionsThe Internet intervention meets several of the RE-AIM criteria for potential public health impact, including reaching a large number of persons, and being practical, feasible, and engaging for participants, but with mixed effectiveness in improving outcomes, and consistent results across different subgroups. Additional research is needed to evaluate longer-term outcomes, enhance effectiveness and cost-effectiveness, and understand the linkages between intervention processes and outcomes.

Indexed as

InternetRisk Reduction BehaviorAgedDiabetes Mellitus, Type 2FemaleFollow-Up StudiesHumansMaleMiddle AgedSelf CareTreatment Outcome

Identifiers

PMID20714820
PMCPMC2988142

What Socratic holds

Textmetadata
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 Socratic graph.