None listed
Conditions
Brief summary
The purpose is to test a simple, effective treatment package that can be delivered by non-doctor or non-nurse personnel but who are suitably trained in the delivery of the educational resources. The focus is on health literacy to improve self-care and connect to community support. We know that a comprehensive package is of benefit, but we don’t know which components of the package drive the benefit. We hypothesize that an In-hospital intervention in an Australian public hospital context for people identified as having Type 2 Diabetes will lead to improvements in blood sugars and reductions in diabetes related distress, and ultimately a lower probability of re-admission or if admitted and an admission of shorter duration.
Interventions
The intervention is delivery of a set of diabetes, self-management, health literacy packages and the effect on HbA1C at 6 weeks. The intervention study groups are as follows:
Study group 2:
Study_Self-care, Coping, Sleep, and National Diabetes Service Scheme (NDSS)_Healthy Food Choices
Study group 3:
Study_Self-care, Coping, Sleep, and Study_Eat whole foods and National Diabetes Service Scheme (NDSS) Physical activity
Study group 4:
Study_Self-care, Coping, Sleep AND Study_Eat whole foods
The intervention is delivery of a set of diabetes, self-management, health literacy packages and the effect on HbA1C at 6 weeks. The intervention study groups are as follows: Study group 2: Study_Self-care, Coping, Sleep, and National Diabetes Service Scheme (NDSS)_Healthy Food Choices Study group 3: Study_Self-care, Coping, Sleep, and Study_Eat whole foods and National Diabetes Service Scheme (NDSS) Physical activity Study group 4: Study_Self-care, Coping, Sleep AND Study_Eat whole foods and Study_ Muscle resistance activity. Summary content of health literacy tools developed through evidence and focus groups: 1. Eat fresh whole foods: page 1 the Diabetes wellness wheel, page 2 describes the benefits of healthy eating, page 3 the benefits of drinking water rather than fruit juice, soft drink, alcohol and flavored milk drinks, page 4 suggestions for how to replace processed foods with whole foods, page 5 suggested meal menus and their cost, page 6 shopping trolley quiz - choose what you would put in a healthy shopping basket. 2. Coping with Diabetes and reducing stress: page 1 the Diabetes wellness wheel, page 2 description of healthy environments, sense of belonging, healthy behaviours, coping, resilience and treatment of illness, page 3, make your own coping plan and what to do in an emergency. 3.Diabetes Self-care: page 1 the Diabetes wellness wheel, page 2 to be healthy we need to be aware of what medications you're taking, see a primary care health professional regularly, have regular health checks, advise on foot care, eye care and dental care, page 3 provides resources on how to contact helpful services and websites. 4. Good Sleep, Good Health: page 1 the Diabetes wellness wheel, page 2 the benefits of a good nights sleep, page 3 top tips for getting a good nights sleep, page 4 information about sleep apnoea, insomnia, and shift work and resources for extra help. 5. Muscle resistance Activity: page 1 the Diabetes wellness wheel, page 2 the benefits of physical activity, page 3 instructions on how to do some resistance activity for the upper body (bicep curls, overhead shoulder press, straight arm raise, slide arm raise, holding a 1kg weight in each hand, with 20 repetitions for each exercise and 1-2 mins rest in between. Do these at least 3 days/week) at home at no cost, page 4 instructions on how to do some resistance activity for the lower body(knee/flexion/extension raise, lateral leg raise, toe lifts, straight leg raise, strapping a 1kg weight around each ankle, with 20 repetitions for each exercise and 1-2 mins rest in between. Do these at least 3 days/week) at home at no cost, page 5 resources for extra help. Summary content of health literacy tools published by National Diabetes Service scheme: 1. Understanding Type 2 Diabetes: 1-page describes what is type 2 diabetes, who is at risk, can it be prevented or cured and provides the NDSS helpline phone number. 2. Making healthy food choices:1-page describes how to make healthy food choices, how to eat regular meals in the right amount, a diagram of a plate with proportions marked for protein, salad/vegetables and carbohydrates and provides the NDSS helpline phone number. 3. Physical Activity: 1-page describes the benefits of physical activity, the types of physical activity and provides the NDSS helpline phone number. MODE OF DELIVERY: the tools are presented in paper format and are explained to the patient verbally by the study care coordinator. The Care coordinator will then provide the package that the patient is randomised to in a booklet for them to take home along with a free set of weights to do the resistance activity. INTERVENTION ADMINISTRATION: will be by a single trained Care Coordinator FREQUENCY AND DURATION: Each patient will answer a set of questionnaires estimated to take 1.5 hours with the assistance of the Care Coordinator. Each patient will have a health literacy tool package explained and provided to them estimated to take up to 30 mins to deliver. There are no further education sessions. MONITORING OF ADHERENCE; none
Sponsors
Health Translation SA, South Australian Health and Medical Research institute
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Educational / counselling / training
Masking
Blinded (masking used) (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. Non-Indigenous and Indigenous peoples of age 18 years and over. 2. Patients with Type 2 Diabetes Mellitus with an underlying cardiac condition admitted to hospital
Exclusion criteria
1. Non-Indigenous and Indigenous peoples under the age of 18 years. 2. Women who are pregnant. 3. Patients unable to give informed consent.
Outcome results
None listed