Filling gaps in type 1 diabetes and exercise research: a scoping review and priority-setting project.
exercise
patient-oriented research
type 1
Journal
BMJ open diabetes research & care
ISSN: 2052-4897
Titre abrégé: BMJ Open Diabetes Res Care
Pays: England
ID NLM: 101641391
Informations de publication
Date de publication:
03 2020
03 2020
Historique:
received:
05
11
2019
revised:
19
12
2019
accepted:
22
01
2020
entrez:
7
3
2020
pubmed:
7
3
2020
medline:
30
10
2020
Statut:
ppublish
Résumé
Our team examined the characteristics of patient engagement (PE) practices in exercise-based randomized trials in type 1 diabetes (T1D), and facilitated T1D stakeholders in determining the top 10 list of priorities for exercise research. Two methodological approaches were employed: a scoping review and a modified James Lind Alliance priority-setting partnership. Published (Medline, Embase, CINAHL and Central databases) and grey literature (www.clinicaltrials.gov) were searched to identify randomized controlled trials of exercise interventions lasting minimum 4 weeks and available in English. We extracted information on PE and patient-reported outcomes (PROs) to identify if patient perspectives had been implemented. Based on results, we set out to determine exercise research priorities as a first step towards a patient-engaged research agenda. An online survey was distributed across Canada to collect research questions from patients, caregivers and healthcare providers. We qualitatively analyzed submitted questions and compiled a long list that a 12-person stakeholder steering committee used to identify the top 10 priority research questions. Of 9962 identified sources, 19 published trials and 4 trial registrations fulfilled inclusion criteria. No evidence of PE existed in any included study. Most commonly measured PROs were frequency of hypoglycemia (n=7) and quality of life (n=4). The priority-setting survey yielded 194 submitted research questions. Steering committee rankings identified 10 priorities focused on lifestyle factors and exercise modifications to maintain short-term glycemic control. Recent exercise-based randomized trials in T1D have not included PE and PROs. Patient priorities for exercise research have yet to be addressed with adequately designed clinical trials.
Identifiants
pubmed: 32139601
pii: 8/1/e001023
doi: 10.1136/bmjdrc-2019-001023
pmc: PMC7059416
pii:
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Review
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : CIHR
ID : SCA-145101
Pays : Canada
Informations de copyright
© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: JLH was supported by a CIHR Vanier Scholarship. KMS holds a Canada Research Chair in Integrated Knowledge Translation in Rehabilitation Sciences. JEY received personal fees and/or non-financial support from Dexcom Canada, Abbott Nutrition Canada and LifeScan Canada, outside the submitted work. NMDK was supported by a University of Manitoba Graduate Fellowship award.
Références
J Diabetes Metab Disord. 2015 Apr 24;14:36
pubmed: 26064863
PLoS One. 2014 Sep 19;9(9):e108019
pubmed: 25237905
Front Physiol. 2019 Apr 24;10:450
pubmed: 31110479
J Diabetes Complications. 2017 Apr;31(4):735-741
pubmed: 28143733
Nurs Res Pract. 2012;2012:905934
pubmed: 23213497
BMJ. 2017 Aug 2;358:j3453
pubmed: 28768629
Diabetes Res Clin Pract. 2014 Dec;106(3):393-400
pubmed: 25451913
Syst Rev. 2016 Dec 5;5(1):210
pubmed: 27919275
J Biomed Inform. 2019 Jul;95:103208
pubmed: 31078660
Diabet Med. 2017 Nov;34(11):1521-1531
pubmed: 28905421
J Biomed Inform. 2009 Apr;42(2):377-81
pubmed: 18929686
J Clin Hypertens (Greenwich). 2017 Nov;19(11):1063-1069
pubmed: 28944609
Diabet Med. 2012 Oct;29(10):1321-6
pubmed: 22823450
Front Endocrinol (Lausanne). 2019 Feb 06;10:42
pubmed: 30787908
Diabetes Spectr. 2015 Jan;28(1):32-8
pubmed: 25717276
BMC Pediatr. 2018 Feb 7;18(1):37
pubmed: 29415687
Clin Rehabil. 2011 Apr;25(4):349-59
pubmed: 21112904
J Clin Nurs. 2011 Mar;20(5-6):681-91
pubmed: 21320197
PLoS One. 2018 Mar 2;13(3):e0193579
pubmed: 29499043
Qual Health Res. 2005 Nov;15(9):1277-88
pubmed: 16204405
Diabetol Metab Syndr. 2010 Jul 11;2(1):47
pubmed: 20618996
Patient. 2014;7(4):387-95
pubmed: 25034612
Diabetologia. 2012 Mar;55(3):542-51
pubmed: 22189486
Int J Nurs Pract. 2012 Apr;18(2):188-94
pubmed: 22435983
J Pediatr Nurs. 2012 Apr;27(2):119-26
pubmed: 22341190
J Nurs Scholarsh. 2019 May;51(3):337-345
pubmed: 30895735
BJU Int. 2011 Oct;108(7):1040-3
pubmed: 21914107
PLoS One. 2013;8(3):e58861
pubmed: 23554942
Prev Med. 2016 Oct;91:138-143
pubmed: 27527572
J Diabetes Complications. 2016 Jan-Feb;30(1):167-77
pubmed: 26439754
Diabet Med. 2014 Oct;31(10):1163-73
pubmed: 24965376
Ann Intern Med. 2018 Oct 2;169(7):467-473
pubmed: 30178033
Trials. 2017 Dec 19;18(1):602
pubmed: 29258565
Diabetes Care. 2008 Nov;31(11):2108-9
pubmed: 18689694
J Sports Med Phys Fitness. 2011 Sep;51(3):393-400
pubmed: 21904277
J Gen Intern Med. 2014 Dec;29(12):1692-701
pubmed: 24893581
J Med Internet Res. 2012 May 08;14(3):e70
pubmed: 22564332
Pediatr Exerc Sci. 2007 Nov;19(4):408-19
pubmed: 18089908
Health Expect. 2011 Dec;14(4):439-48
pubmed: 21176014
Diabetes Care. 2019 Dec;42(12):2330-2333
pubmed: 31530660
Health Policy. 2010 Apr;95(1):10-23
pubmed: 19963299
Health Qual Life Outcomes. 2006 Oct 11;4:79
pubmed: 17034633
Diabet Med. 2016 Feb;33(2):192-203
pubmed: 26248789
Diabetes Educ. 2016 Aug;42(4):408-17
pubmed: 27161932
Appl Physiol Nutr Metab. 2014 Apr;39(4):465-71
pubmed: 24669988
BMJ Open. 2018 Jan 24;8(1):e017813
pubmed: 29371269
Lancet Diabetes Endocrinol. 2017 May;5(5):377-390
pubmed: 28126459