| Title |
The Low Carb Program for people with type 2 diabetes and pre-diabetes: a mixed methods feasibility study of signposting from general practice
|
|---|---|
| Published in |
BJGP Open, September 2021
|
| DOI | 10.3399/bjgpo.2021.0137 |
| Pubmed ID | |
| Authors |
Emma Scott, Mishkat Shehata, Arjun Panesar, Charlotte Summers, Jeremy Dale |
| Abstract |
Evidence shows type 2 diabetes mellitus (T2DM) can be effectively treated with a reduced-carbohydrate diet to support weight loss. Digital apps are increasingly used to support weight loss, yet little is known about their use as part of general practice diabetes care. Determine the feasibility of signposting from routine NHS general practice to a digital weight management tool (Low Carb Program) for patients with T2DM and pre-diabetes. Mixed-methods feasibility study implemented within routine general practice consultations at four practices in the Midlands, England. General practices offered signposting to eligible patients attending consultations of any type during a four-week recruitment period. Rates of offering and accepting signposting were recorded, with program registration, program completion and self-reported health outcomes (weight, HbA1c). Signposting was offered to 351 patients; 160 (45.6%) accepted, 103 (29.3%) registered with the intervention and 43 (26.9% of patients accepting signposting) completed the programme. GPs reported that signposting added between 1-4 minutes to the consultation length. Patients completing the programme reported greater weight loss (7.2 kg vs 1.6 kg, P<.001) and HbA1c improvements (-9.1 mmol/mol vs 1.7 mmol/mol, P<.001) compared to those who did not, and were more likely to reduce the number of general practice-prescribed diabetes medications. Signposting from real-world general practice to the Low Carb Programme is feasible and can potentially improve diabetes outcomes. Further research should explore whether the process of signposting can be enhanced to increase registration, identify whether additional practice-led support leads to increased programme completion, and confirm the intervention's clinical and cost-effectiveness. |
X Demographics
The data shown below were collected from the profiles of 28 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United Kingdom | 11 | 39% |
| South Africa | 2 | 7% |
| United States | 1 | 4% |
| India | 1 | 4% |
| Australia | 1 | 4% |
| Unknown | 12 | 43% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 19 | 68% |
| Practitioners (doctors, other healthcare professionals) | 7 | 25% |
| Scientists | 2 | 7% |
Mendeley readers
The data shown below were compiled from readership statistics for 31 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 31 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 4 | 13% |
| Student > Bachelor | 4 | 13% |
| Other | 3 | 10% |
| Researcher | 2 | 6% |
| Student > Ph. D. Student | 1 | 3% |
| Other | 1 | 3% |
| Unknown | 16 | 52% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 7 | 23% |
| Nursing and Health Professions | 4 | 13% |
| Business, Management and Accounting | 1 | 3% |
| Psychology | 1 | 3% |
| Neuroscience | 1 | 3% |
| Other | 0 | 0% |
| Unknown | 17 | 55% |
Attention Score in Context
This research output has an Altmetric Attention Score of 29. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 22 February 2022.
All research outputs
#1,339,987
of 25,187,238 outputs
Outputs from BJGP Open
#63
of 621 outputs
Outputs of similar age
#30,783
of 427,707 outputs
Outputs of similar age from BJGP Open
#7
of 27 outputs
Altmetric has tracked 25,187,238 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 94th percentile: it's in the top 10% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 621 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 14.1. This one has done particularly well, scoring higher than 90% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 427,707 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 92% of its contemporaries.
We're also able to compare this research output to 27 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 77% of its contemporaries.