Evidence mapPaperPMID 31265147Full record

ArticleDiabetic medicine : a journal of the British Diabetic Association2020

Development of a group structured education programme to support safe exercise in people with Type 1 diabetes: the EXTOD education programme.

P Narendran, S Greenfield, J Troughton, Y Doherty, N Quann, C Thompson, I Litchfield, R C Andrews, EXTOD Education Programme Development Team

Abstract read
In one paragraph

Article in Diabetic medicine : a journal of the British Diabetic Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Observational
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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

9 authors.

P NarendranDepartment of Diabetes, University Hospitals Birmingham NHS Foundation Trust, Birmingham.ORCID 0000-0002-4583-8793
S GreenfieldInstitute of Applied Health Research, University of Birmingham, Birmingham.
J TroughtonLeicester Diabetes Centre, University Hospitals Leicester, Leicester.
Y DohertyDepartment of Psychological Medicine, York Teaching Hospitals NHS Foundation Trust, York.
N QuannLeicester Clinical Trials Unit, College of Life Sciences, University of Leicester, Leicester.ORCID 0000-0001-8870-3437
C ThompsonDepartment of Diabetes, Taunton and Somerset NHS Foundation Trust, Taunton.
I LitchfieldInstitute of Applied Health Research, University of Birmingham, Birmingham.
R C AndrewsDepartment of Diabetes, Taunton and Somerset NHS Foundation Trust, Taunton.ORCID 0000-0003-4939-1738
EXTOD Education Programme Development Team

Funding

Department of Health PB-PG-1013-32096National Institute for Health Research PB-PG-1013-32096
6 · The paper itself

Abstract

aimTo develop a structured education programme for individuals with Type 1 diabetes who are engaging in regular exercise.

methodA multidisciplinary team of experts in supporting exercise and physical activity for people with Type 1 diabetes, alongside researchers with experience of developing self-management education, developed an exercise programme using the Medical Research Council framework. The programme was informed by a review of the evidence relating to Type 1 diabetes and exercise, the behaviour change literature (including the behaviour change taxonomy), and qualitative interviews with stakeholders. The programme and supporting resources were refined using an iterative process of testing, delivery and collecting feedback from participants and the wider development team.

resultsThe outcome of the intervention development was the design of a feasible and acceptable intervention for people with Type 1 diabetes to support safe exercise. The pilot allowed refinement of the intervention prior to testing in a two-site feasibility randomized controlled trial. Key findings from the pilot informed minor restructuring of the timetable (timings and order) and adaptation of supporting educational materials (participant handbook and teaching materials).

conclusionThe 'EXercise in people with Type One Diabetes' (EXTOD) education programme has been developed using robust methodology for the generation of educational interventions. It now needs testing in a randomized controlled trial.

Indexed as

Diabetes Mellitus, Type 1ExerciseProgram DevelopmentAdultFeasibility StudiesFemaleGlycemic ControlHumansMaleMiddle AgedPatient Acceptance of Health CarePatient Education as TopicPatient SafetyPilot ProjectsQualitative ResearchSelf-Management

Identifiers

PMID31265147
PMCPMC7317834

What Socratic holds

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LicenceCC BY
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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.