Evidence map›Paper›PMID 38408067›Full record

ArticlePloS one2024

Empowering patients with comorbid diabetes and hypertension through a multi-component intervention of mobile app, health coaching and shared decision-making: Protocol for an effectiveness-implementation of randomised controlled trial.

Yu Heng Kwan, Sungwon Yoon, Bee Choo Tai, Chuen Seng Tan, Jie Kie Phang, Wee Boon Tan, Ngiap Chuan Tan, Cynthia Yan Ling Tan, David Koot, Yan Ling Quah and 2 more

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05486390 (EMPOWERing Patients With Chronic Diseases Through Smartphone App, Health Coaching and Shared Decision Making), which is not on this map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 9% 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.

NCT05486390 naunknown statusnot on this map

EMPOWERing Patients With Chronic Diseases Through Smartphone App, Health Coaching and Shared Decision Making

TypeinterventionalSponsorSingapore General HospitalRan2023 to 2025Enrolled320ConditionsDiabetes Mellitus, Type 2, HypertensionArmsNudge, health coaching and shared decision-making
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Article
  3. 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

12 authors at 4 institutions in 1 country.

Yu Heng KwanCentre for Population Health Research and Implementation (CPHRI), SingHealth Regional Health System, SingHealth, Singapore, Singapore.
Sungwon YoonCentre for Population Health Research and Implementation (CPHRI), SingHealth Regional Health System, SingHealth, Singapore, Singapore.ORCID 0000-0001-9458-6097
Bee Choo TaiSaw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore, Singapore.
Chuen Seng TanSaw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore, Singapore.
Jie Kie PhangCentre for Population Health Research and Implementation (CPHRI), SingHealth Regional Health System, SingHealth, Singapore, Singapore.ORCID 0000-0003-1357-8568
Wee Boon TanSingHealth Polyclinics, Singapore, Singapore.
Ngiap Chuan TanSingHealth Polyclinics, Singapore, Singapore.
Cynthia Yan Ling TanSingHealth Polyclinics, Singapore, Singapore.
David KootSingHealth Polyclinics, Singapore, Singapore.
Yan Ling QuahSingHealth Polyclinics, Singapore, Singapore.
Hock Hai TeoSchool of Computing, National University of Singapore, Singapore, Singapore.
Lian Leng LowCentre for Population Health Research and Implementation (CPHRI), SingHealth Regional Health System, SingHealth, Singapore, Singapore.ORCID 0000-0003-4228-2862
National University of Singapore · SGSingHealth · SGSingHealth Polyclinics · SGSingHealth Duke-NUS Academic Medical Centre · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDiabetes and hypertension are prevalent and costly to the health system. We have developed a mobile app (EMPOWER app) which enables remote monitoring and education through personalised nudges. We aim to study the effectiveness of a multi-component intervention comprising the EMPOWER mobile app with health coaching and shared decision-making for diabetes and hypertension.

methodsWe will conduct a two-arm, open-label, pragmatic randomised controlled trial (RCT). Participants with comorbid diabetes and hypertension enrolled from public primary care clinics will be randomised to either intervention or control in a 1:1 ratio. The intervention group participants will have access to health coaching with shared decision-making interventions in addition to the EMPOWER app and their usual primary care. The control group participants will continue to receive usual primary care and will neither receive the EMPOWER app nor health coaching and shared decision-making interventions. Our primary outcome is change in HbA1c level over 9 months. Secondary outcomes include change in systolic blood pressure, quality of life, patient activation, medication adherence, physical activity level, diet, and healthcare cost (direct and indirect) over 9 months. DISCUSSION: Our trial will provide key insights into clinical- and cost-effectiveness of a multi-component intervention comprising EMPOWER mobile app, health coaching and shared decision-making in diabetes and hypertension management. This trial will also offer evidence on cost-effective and sustainable methods for promoting behavioural changes among patients with comorbid diabetes and hypertension.

trial registrationThis study was registered on clintrials.gov on August 3, 2022, with the trial registration number: NCT05486390.

Indexed as

Diabetes MellitusHypertensionMentoringMobile ApplicationsHumansPower, PsychologicalPragmatic Clinical Trials as TopicRandomized Controlled Trials as Topic

Identifiers

PMID38408067
PMCPMC10896544
OpenAlexW4392154172

What Socratic holds

Textmetadata
LicenceCC BY
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.