Type 2 Diabetes Nutritional, Metabolic, Endocrine Non-insulin-dependent diabetes mellitus
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Clinical diagnosis of T2DM 2. Currently using self monitoring blood glucose monitors 3. Capability to use Tm and mobile phones including for the use of text messaging 4. Cognitively able to provide informed consent 5. Aged more than 18 years
Exclusion criteria
Exclusion criteria: 1. Unwilling or unable to provide written consent 2. Lack of mobile phone signal where they reside normally 3. Clincian's discretion based on behaviour, social circumstances etc.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of face-to-face primary care contacts between the Intervention and Comparator Groups over 12 months | — |
Secondary
| Measure | Time frame |
|---|---|
| Assessed 12 months after recruitment 1. Health data: 1.1 HbA1c level 2. Health contacts: 2.1. Number of admissions to secondary care 2.2. Number of bed days 2.3. Number of emergency room visits 2.4. Number of elective and emergency visits to GPs and primary health care 2.5. Number of specialist nurse home visits 2.6. Number of clinic visits to secondary care 3. Other outcomes: 3.1. Cost per avoided face-to-face primary care contact 3.2. Qualitative reporting of the barriers to implementing Tm 3.3. Adverse events attributed to Tm 4. Organisational outcomes: 4.1.To determine whether the required organisational changes can be implemented at scale and in a timely fashion. The Tm will result in a workload for the staff involved that is acceptable to them. 4.2. The required organisational changes and new ways of working are agreed and approved by the appropriate management structures within the relevant agencies involved in the delivery. 4.3. The intervention models can be successfully transferred to other regions and mainstreamed as part of usual care. 5. Economic outcomes To evaluate the cost-effectiveness of Tm in aT2DM care pathway. 6. Other outcomes To determine if a new Tm service is acceptable to all stakeholders including patients and health professionals. | — |
Countries
United Kingdom