Information Technologies in the NHS

July 9, 2012

Title: Information Technologies in the NHS: An Observational Study of Three Acute Hospitals

Source: National Institute for Health Research

Follow this link to view the full text

Date of publication: May 2012

Publication type: Report

In a nutshell: This study set out to understand the deisgn and implementation of IT technologies in 3 NHS trusts.  Case study research in Yorkshire and Humber SHA (Study 3) quantitatively evaluated the implementation of shared electronic patient records in diabetes services across NHS organisations.

Length of publication: 114 pages

Acknowledgements: NHS Networks


How much does screening bring forward the diagnosis of type 2 diabetes and reduce complications?

March 7, 2012

Source: Diabetologia Online First DOI: 10.1007/s00125-011-2441-9

Follow this link for the abstract

Date of publication:  Feb 2012

Publication type: Journal article

In a nutshell: Report of a  parallel-group, cohort study of people aged 40–65 years, free of known diabetes, identified from the population register of a general practice in Ely, Cambridgeshire.  The researchers concluded that diabetes screening resulted in cases being identified on average 3.3 years earlier, but further evidence is needed to justify the introduction of population-based screening.

Length of publication: Various

Some important notes:  If you cannot access this article with your NHS Athens, please contact your local NHS Library using this link.


Low goal ownership predicts drop-out from a weight intervention study in overweight patients with type 2

December 7, 2010

Source: International Journal of Behavioral Medicine, 01 September 2010, 17(3) p.176-181

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Date of publication: 1st September 2010

Publication type: Journal article

In a nutshell: This study examined the psychological predictors of drop-out from a weight reduction study in people with diabetes type 2. The article indicates that ‘goal ownership’ prior to commencement could be used to identify those motivated to participate and identify those who have low motivation.

Length of publication: 5 pages

Acknowledgement: Cinahl


An assessment of lifestyle video education for people newly diagnosed with type 2 diabetes

October 7, 2010

Source: Journal of Human Nutrition & Dietetics, 01 August 2010, 23 (4) p.353-359

Follow this link to view the abstract

Date of publication: August 2010

Publication type: Journal article

In a nutshell: This article evaluates the impact of a video based intervention for newly diagnosed patients on their changes in knowledge, biomedical indices and quality of life. It concludes that a video intervention increased diabetes knowledge amongst those newly diagnosed with diabetes type 2 and may be an effective educational intervention.

Length of publication: 6 pages

Some Important Notes: Please contact your local NHS library if you would like to access the full text. Please follow this link to contact your local NHS Library

Acknowledgement: Cinahl


A school-based intervention for diabetes risk reduction

October 7, 2010

Source: New England Journal of Medicine, 2010, 363(5) p.443-453

Follow this link to view the abstract

Date of publication: July 2010

Publication type: Journal article

In a nutshell: This study reports the results of a multicomponent school-based program for children at risk of type 2 diabetes. Whilst the intevention did not result in greater decreases in the prevalence of obesity than the control group, it did provide greater reductions in various indexes of adiposity. These changes may reduce the risk of childhood onset of diabetes type 2.

Length of publication: 10 pages

Some Important Notes: Please contact your local NHS library if you would like to access the full text. Please follow this link to contact your local NHS Library

Acknowledgement: HMIC


Trends in lower extremity amputations in people with and without diabetes in England, 1996-2005

June 7, 2010

Source: Diabetes Research & Clinical Practice, 01 February 2010, 87 (2) p.275-282

Follow this link for abstract 

Date of publication: February 2010

Publication type: Journal article

In a nutshell: This study of hospital activity data examined trends in non-traumatic lower extremity amputations (LEAs) between 1996 and 2005 in people with and without diabetes (DM) in England. The incidence of type 2 DM-related amputations increased by 43%, from 2.0 to 2.7/100,000 population. It concludes that a number of varying factors may be attributable to this increase but highlights the importance of diabetes prevention strategies and controlling risk factors for LEAs in people with diabetes.

Length of publication: 7 pages

Some Important Notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library.

Acknowledgement: Cinahl


An evaluation of patient participation groups for people with diabetes

April 29, 2009

Source: Practice Nursing 01 January 2009, 20 (1) p.41-46

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Date of publication: 2009

Publication type: Survey

In a nutshell: In Southwark Primary care Trust, a study was carried out to evaluate 4 patient participation groups with a view to developing this service. Patients stated that the groups: 1) helped them manage their disease; 2) 45% said it helped them manage their medication; 3) 47% reported improved diet 4) 65% indicated they were helped to eat more healthily. The study recommended that access to meetings was improved and funding secured.

Length of publication: 5 pages

Some important notes: You will need an NHS Athens password to access the full text of this resource.

Acknowledgement: Cinahl


Diabetes Community Health Profiles – prototype for consultation

April 24, 2009

Source: NLH Specialist Library – Diabetes

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Date of publication: 2009

Publication type: Statistics

In a nutshell: The Diabetes Community Health Profiles aim to bring together a range of data on diabetes and related health issues and diabetes services.  This tool allows you to download a diabetes profile for each PCT in England.  Published by YHPHO.

Length of Publication: 1 page

Some important notes: none

Acknowledgements: NLH Specialist Library – Diabetes


Comparison of different drugs as add-on treatments to metformin in type 2 diabetes: a meta-analysis

April 7, 2009

Source: NLH Diabetes Specialist Library

Link here to view selected item

Year of publication: 2009

In a nutshell: CRD commentary on Monami M, Lamanna C, Marchionni N, Mannucci E. Comparison of different drugs as add-on treatments to metformin in type 2 diabetes: a meta-analysis. Diabetes Research and Clinical Practice, 2008; 79(2): 196-203.
This review answered a clear research question, but by only including studies published in English the review may be at risk from publication and language bias. The authors also fail to report their methods in detail, which makes it difficult to assess the risk of reviewer error and bias. Not only the lack of any assessment of study quality but also the failure to report the level of heterogeneity between studies makes it difficult to assess the reliability of the data. The authors’ conclusions in some cases rely on unadjusted indirect comparisons based on placebo-controlled data, which again suggests that the data may not be reliable (although some findings are confirmed in trials making direct comparisons between different drugs). In some cases the authors themselves advise caution due a lack of comparative data. Overall, given concerns about the potential for bias in the review methods and the questionable validity of the data, the findings of the review may not be reliable.

Length of Publication: 1 page

Some important notes: Please contact your local NHS Library service for advice on accessing the original article.

Acknowledgements: NLH


Decision-making: initiating insulin therapy for adults with diabetes

April 7, 2009

Source: Journal of Advanced Nursing

For fulltext link here

Year of publication: 2009

Publication type: Survey

In a nutshell: This paper is a report of a study to describe nurses’ perceptions of decision-making and the evidence base for the initiation of insulin therapy.
Conclusion: Nurses working with people with diabetes need to encourage them to become more active partners in care. Clinical guidelines can assist in decision-making where nurses are least experienced in initiating insulin therapy.

Length of Publication: 9 pages

Some important notes: If you are unable to obtain the full text of this article, please contact your local NHS Library.

Acknowledgement: Cinahl


The effectiveness of a brief intervention using a pedometer and step-recording diary

April 7, 2009

Source: Health Promotion Journal of Australia

For Abstract link here

Year of publication
: 2008

Publication type: Journal article

In a nutshell: To evaluate the effectiveness of a brief intervention using a pedometer and step-recording diary on promoting physical activity in people with type 2 diabetes or impaired glucose tolerance (IGT).
Conclusion: A pedometer and a step-recording diary were useful tools to promote short-term increase in
physical activity in people diagnosed with type 2 diabetes or IGT. Future studies need to examine whether a longer intervention, individualised physical activity counselling and support for achieving step goals could result in increasing physical activity over the long term.

Length of Publication: 6 pages

Some important notes: Contact your local NHS Library if you would like to obtain the full text of this article

Acknowledgement: Cinahl


Translating the diabetes prevention program to primary care: a pilot study

April 7, 2009

Source: Nursing Research

For Abstract link here

Year of publication: 2009

Publication type: Pilot Study

In a nutshell: The objective of this study was to examine the reach, implementation, and efficacy of a 6-month lifestyle program implemented in primary care by nurse practitioners (NPs) for adults at risk of type 2 diabetes.
Conclusion: A lifestyle program can be implemented in primary care by NPs, reach the targeted population, and be modestly successful. Further research is indicated.

Length of Publication: 10 pages

Some important notes: If you would like to obtain the full text of this article please contact your local NHS library for assistance

Acknowledgement: Cinahl


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