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Patient-centred care, health behaviours and cardiovascular risk factor levels in people with recently diagnosed type 2 diabetes: 5-year follow-up of the ADDITION-Plus trial cohort

Overview of attention for article published in BMJ Open, January 2016
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Title
Patient-centred care, health behaviours and cardiovascular risk factor levels in people with recently diagnosed type 2 diabetes: 5-year follow-up of the ADDITION-Plus trial cohort
Published in
BMJ Open, January 2016
DOI 10.1136/bmjopen-2015-008931
Pubmed ID
Authors

Hajira Dambha-Miller, Andrew J M Cooper, Rebecca K Simmons, Ann Louise Kinmonth, Simon J Griffin, Ruhul Amin, Gisela Baker, Mark Betts, Adam Dickinson, Justin Basile Echouffo Tcheugui, Ulf Ekelund, Francis Finucane, Stefanie Mayle, Joanna Mitchell, Paul Roberts, Lincoln Sargeant, Matt Sims, Nick Wareham, Fiona Whittle, Judith Argles, Rebecca Bale, Roslyn Barling, Sue Boase, James Brimicombe, Ryan Butler, Tom Fanshawe, Philippa Gash, Julie Grant, Wendy Hardeman, Imogen Hobbis, Tom McGonigle, Nicola Popplewell, Jenny Smith, Megan Smith, Stephen Sutton, Fiona Whittle, Kate Williams

Abstract

To examine the association between the experience of patient-centred care (PCC), health behaviours and cardiovascular disease (CVD) risk factor levels among people with type 2 diabetes. Population-based prospective cohort study. 34 general practices in East Anglia, UK, delivering organised diabetes care. 478 patients recently diagnosed with type 2 diabetes aged between 40 and 69 years enrolled in the ADDITION-Plus trial. Self-reported and objectively measured health behaviours (diet, physical activity, smoking status), CVD risk factor levels (blood pressure, lipid levels, glycated haemoglobin, body mass index, waist circumference) and modelled 10-year CVD risk. Better experiences of PCC early in the course of living with diabetes were not associated with meaningful differences in self-reported physical activity levels including total activity energy expenditure (β-coefficient: 0.080 MET h/day (95% CI 0.017 to 0.143; p=0.01)), moderate-to-vigorous physical activity (β-coefficient: 5.328 min/day (95% CI 0.796 to 9.859; p=0.01)) and reduced sedentary time (β-coefficient: -1.633 min/day (95% CI -2.897 to -0.368; p=0.01)). PCC was not associated with clinically meaningful differences in levels of high-density lipoprotein cholesterol (β-coefficient: 0.002 mmol/L (95% CI 0.001 to 0.004; p=0.03)), systolic blood pressure (β-coefficient: -0.561 mm Hg (95% CI -0.653 to -0.468; p=0.01)) or diastolic blood pressure (β-coefficient: -0.565 mm Hg (95% CI -0.654 to -0.476; p=0.01)). Over an extended follow-up of 5 years, we observed no clear evidence that PCC was associated with self-reported, clinical or biochemical outcomes, except for waist circumference (β-coefficient: 0.085 cm (95% CI 0.015 to 0.155; p=0.02)). We found little evidence that experience of PCC early in the course of diabetes was associated with clinically important changes in health-related behaviours or CVD risk factors. ISRCTN99175498; Post-results.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 161 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 161 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 29 18%
Student > Master 16 10%
Researcher 15 9%
Student > Ph. D. Student 12 7%
Student > Postgraduate 8 5%
Other 29 18%
Unknown 52 32%
Readers by discipline Count As %
Nursing and Health Professions 27 17%
Medicine and Dentistry 26 16%
Sports and Recreations 14 9%
Psychology 9 6%
Social Sciences 6 4%
Other 21 13%
Unknown 58 36%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. 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 20 January 2016.
All research outputs
#15,169,949
of 25,374,917 outputs
Outputs from BMJ Open
#16,131
of 25,589 outputs
Outputs of similar age
#202,543
of 400,126 outputs
Outputs of similar age from BMJ Open
#313
of 434 outputs
Altmetric has tracked 25,374,917 research outputs across all sources so far. This one is in the 38th percentile – i.e., 38% of other outputs scored the same or lower than it.
So far Altmetric has tracked 25,589 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 18.2. This one is in the 34th percentile – i.e., 34% of its peers scored the same or lower than it.
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 400,126 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 47th percentile – i.e., 47% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 434 others from the same source and published within six weeks on either side of this one. This one is in the 26th percentile – i.e., 26% of its contemporaries scored the same or lower than it.