Evidence map›Paper›PMID 42203730›Full record

Trial reportDiabetes, obesity & metabolism2026

Randomised Controlled Feasibility Trial of Face-To-Face Diabetes Self-Management Education Shows High Completion Rates Are Needed to Improve Patient-Reported Outcomes.

Gemma A Lewis, David M Hughes, Greg J Irving, John P Wilding, Kevin J Hardy

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Diabetes, obesity & metabolism, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06419907 (A Feasibility Study Evaluating the Impact of Differing Completion Rates of a Face-to-face Diabetes Self-management Education Programme on Patient Reported Outcome Measures.), which is not on this map. Cited by 1 paper.

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

NCT06419907 nacompletednot on this map

A Feasibility Study Evaluating the Impact of Differing Completion Rates of a Face-to-face Diabetes Self-management Education Programme on Patient Reported Outcome Measures.

TypeinterventionalSponsorUniversity of LiverpoolRan2024 to 2025Enrolled120ConditionsDiabetes Mellitus, Type 2, Patient Education as TopicArmsType 2 Live Well (structured diabetes self management education programme)
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
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

5 authors.

Gemma A LewisDepartment of Cardiovascular and Metabolic Medicine, Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool, UK.ORCID 0009-0004-1802-6601
David M HughesDepartment of Health Data Science, Institute of Population Health, University of Liverpool, Liverpool, UK.
Greg J IrvingHealth Research Institute, Edge Hill University, Omskirk, UK.
John P WildingDepartment of Cardiovascular and Metabolic Medicine, Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool, UK.ORCID 0000-0003-2839-8404
Kevin J HardyDepartment of Diabetes and Endocrinology, St Helens Hospital, Mersey and West Lancashire Teaching Hospitals NHS Trust, St Helens, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo examine the dose-response relationship between diabetes self-management education (DSME) attendance and psychological outcomes in type 2 diabetes, assessing whether minimal attendance (10%) produces clinically meaningful improvements and comparing outcomes at the internationally adopted 60% completion benchmark with full (100%) completion. MATERIALS AND

methodsThis randomised feasibility trial enrolled 120 adults (≥ 18 years) due to attend a UK DSME programme. Participants were randomised to receive 100% (routine DSME), 60%, 10% or 0% (delayed DSME). Primary outcomes were changes in self-management skills; secondary outcomes included health-related quality of life (HRQoL) and diabetes distress.

resultsParticipants had a mean age of 61 years, mean HbA

conclusionsIn this randomised feasibility trial, clinically significant psychological benefits from DSME required full (100%) programme completion. Attendance thresholds of ≤ 10% or partial completion (≥ 60%) did not yield meaningful improvements in diabetes distress or HRQoL. These findings suggest that existing performance indicators based on partial attendance may not reflect meaningful benefits and support 100% DSME attendance as the gold standard.

trial registrationClinicaltrials.gov identifier: NCT06419907.

Indexed as

Diabetes Mellitus, Type 2Patient CompliancePatient Education as TopicPatient Reported Outcome MeasuresSelf-ManagementAgedFeasibility StudiesFemaleGlycated HemoglobinHumansMaleMiddle AgedQuality of LifeSelf CareGlycated Hemoglobinclinical trialdose–response relationshipeffectivenesspatient‐reported outcomesrandomised trialtype 2 diabetes

Identifiers

PMID42203730
PMCPMC13341371

What Socratic holds

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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.