Diabetes Nutritional, Metabolic, Endocrine
Conditions
Interventions
Health facilities will be randomized into control and intervention.
Healthcare staff will be enabled to offer enhanced foot care and footwear intervention. The enabling includes contextualized implem
flip book for patient education
b) materials for foot care and footwear, e.g., silicone rubber insoles
c) digital mobile app for patient engagement including knowledge content and platform to report social and care challenges.
In addition to these components:
Periodic follow-up screening and response
Sponsors
Association for Social Development
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Aged 25 years or older 2. Registered for diabetes care at the primary health care facility 3. Willing to provide written informed consent 4. Have access to a smartphone (i.e., personal smartphone or access to a smartphone within the household)
Exclusion criteria
Exclusion criteria: 1. Diabetes patients who plan to move out of the RHC catchment area during the study period 2. Refuse to give consent to participate
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The feasibility of clinical outcomes: 1. Uptake of recommended foot care behavior is measured through Nottingham Assessment of Functional Footcare (NAFF) at baseline and endpoint 2. Quality of life is measured through European Quality of Life 5 Dimensions 5 Level Version (EQ-5D-5L) at baseline and endpoint 3. Uptake of follow-up footcare visits is measured through non-communicable disease card (NCD) card at every follow-up. 4. Uptake of mobile-app-assisted patient engagement measured through application analytics (such as average time spent) at endpoint 5. Uptake of referral care at DHQ hospital through digital referral application (i.e., number of patients referred and reached DHQ) at endpoint 6. Deterioration in foot condition/stage will be measured through non-communicable disease card (NCD) card at baseline and endpoint 7. Complications during footcare (necrosis, amputation, hospitalization) will be measured through non-communicable disease card (NCD) card at baseline and endpoint | — |
Secondary
| Measure | Time frame |
|---|---|
| The feasibility of operational and economic outcomes: Operational outcomes: 1. Patient enrolment – OPD load; diabetes patient load; refusal to participate in footcare intervention will be measured through monitoring reports 2. Patient adherence to footcare follow-up (till endline) will be monitored at every follow-up Economic outcomes : Providers' cost of RHC enabling, footcare per patient, desired outcome (of footcare) and additional emergency/catastrophic costs will be measured through program data at endpoint | — |
Countries
Pakistan
Contacts
Public ContactNida Khan
Outcome results
None listed