Evidence map›Paper›PMID 37635378›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2023

A codesigned integrated kidney and diabetes model of care improves patient activation among patients from culturally and linguistically diverse backgrounds.

Edward Zimbudzi, Clement Lo, Sanjeeva Ranasinha, Tim Usherwood, Kevan R Polkinghorne, Gregory Fulcher, Martin Gallagher, Stephen Jan, Alan Cass, Rowan Walker and 4 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 13% of its field
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

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

  1. Pooled it
  2. Article
  3. Article
  4. A codesigned integrated kidney and diabetes model of care improves patient activation among patients from culturally and linguistically diverse backgrounds.Health expectations : an international journal of public participation in health care and health policy · 2023
    Article
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

14 authors at 7 institutions in 1 country.

Edward ZimbudziSchool of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.ORCID 0000-0002-2423-9193
Clement LoSchool of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Sanjeeva RanasinhaSchool of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Tim UsherwoodThe George Institute for Global Health, University of New South Wales, Sydney, New South Wales, Australia.
Kevan R PolkinghorneSchool of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Gregory FulcherDepartment of Diabetes, Endocrinology and Metabolism, Royal North Shore Hospital, University of Sydney, Sydney, New South Wales, Australia.
Martin GallagherThe George Institute for Global Health, University of New South Wales, Sydney, New South Wales, Australia.
Stephen JanThe George Institute for Global Health, University of New South Wales, Sydney, New South Wales, Australia.
Alan CassThe George Institute for Global Health, University of New South Wales, Sydney, New South Wales, Australia.
Rowan WalkerDepartment of Renal Medicine, Alfred Health, Melbourne, Victoria, Australia.
Grant RussellSchool of Primary Health Care, Monash University, Melbourne, Victoria, Australia.
Greg JohnsonDiabetes Australia, Canberra, Australian Capital Territory, Australia.
Peter G KerrDepartment of Nephrology, Monash Health, Melbourne, Victoria, Australia.
Sophia ZoungasSchool of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Monash Health · AUThe University of Sydney · AUMonash University · AUAlfred Health · AUCharles Darwin University · AUDiabetes Australia · AUUNSW Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLittle is known about the relationship between patients' cultural and linguistic backgrounds and patient activation, especially in people with diabetes and chronic kidney disease (CKD). We examined the association between culturally and linguistically diverse (CALD) background and patient activation and evaluated the impact of a codesigned integrated kidney and diabetes model of care on patient activation by CALD status in people with diabetes and CKD.

methodsThis longitudinal study recruited adults with diabetes and CKD (Stage 3a or worse) who attended a new diabetes and kidney disease service at a tertiary hospital. All completed the patient activation measure at baseline and after 12 months and had demographic and clinical data collected. Patients from CALD backgrounds included individuals who spoke a language other than English at home, while those from non-CALD backgrounds spoke English only as their primary language. Paired t-tests compared baseline and 12-month patient activation scores by CALD status.

resultsPatients from CALD backgrounds had lower activation scores (52.1 ± 17.6) compared to those from non-CALD backgrounds (58.5 ± 14.6) at baseline. Within-group comparisons showed that patient activation scores for patients from CALD backgrounds significantly improved by 7 points from baseline to 12 months follow-up (52.1 ± 17.6-59.4 ± 14.7), and no significant change was observed for those from non-CALD backgrounds (58.5 ± 14.6-58.8 ± 13.6).

conclusionsAmong patients with diabetes and CKD, those from CALD backgrounds report worse activation scores. Interventions that support people from CALD backgrounds with comorbid diabetes and CKD, such as the integrated kidney and diabetes model of care, may address racial and ethnic disparities that exist in patient activation and thus improve clinical outcomes. PATIENT OR PUBLIC CONTRIBUTION: Patients, caregivers and national consumer advocacy organisations (Diabetes Australia and Kidney Health Australia) codesigned a new model of care in partnership with healthcare professionals and researchers. The development of the model of care was informed by focus groups of patients and healthcare professionals and semi-structured interviews of caregivers and healthcare professionals. Patients and caregivers also provided a rigorous evaluation of the new model of care, highlighting its strengths and weaknesses.

Indexed as

Diabetes MellitusRenal Insufficiency, ChronicAdultCultural DiversityHumansKidneyLongitudinal StudiesPatient Participationchronic kidney diseaseculturally and linguistically diverse backgrounddiabetesintegrated kidney and diabetes model of carepatient activation

Identifiers

PMID37635378
PMCPMC10632627
OpenAlexW4386209575

What Socratic holds

Textmetadata
LicenceCC BY
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.