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Reducing variability and improving diabetes care in general practices in deprived and ethnic areas

Reducing variability and improving diabetes care in general practices in deprived and ethnic areas

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN75386686
Enrollment
7000
Registered
2016-01-19
Start date
2016-02-01
Completion date
Unknown
Last updated
2017-11-20

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Diabetes Nutritional, Metabolic, Endocrine Unspecified diabetes mellitus

Interventions

Phase 1 will be a 3-month run-in for the project that will employ the project team in developing the application of the intervention in two practices similar to the 16 practices but not to be part of
the support to reach all key performance indicators will also be carried out. After 14 months there will be a 6-week data collection and qualitative data for the intervention and control group. 1.

Sponsors

University Hospitals Coventry and Warwickshire NHS Trust (UK)
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Participants will comprise both patients and general practice staff 2. Patients should have a diagnosis of diabetes and be aged 18 years or over 3. General practice staff should be responsible for providing diabetes services to ethnic minority people with diabetes and/or having commissioning responsibility of diabetes services within the locality, and should have been in their post for at least 6 months

Exclusion criteria

Exclusion criteria: 1. Patients who are not adults and who do not have diabetes 2. General practice staff who do not provide diabetes service to ethnic minority communities and who have been in post for less than 6 months

Design outcomes

Primary

MeasureTime frame
Improvement in key performance indicators following intervention and in qualitative measures of patient and staff satisfaction

Secondary

MeasureTime frame
The secondary outcome measures of this study aims to evaluate the experience of staff and patients who participated in the intervention within the Coventry & Rugby CCGs, using qualitative methods. We will conduct a qualitative study in parallel to the trial, the aim of which is to provide insight into participants’ experiences of taking part in the experimental intervention. As the trial has two arms (intervention and control groups), three qualitative methods (group evaluation meetings [one pre-intervention and another post-intervention], observation, and 1-1 semi-structured face-to-face interviews) will be used to understand both the patients and staff views regarding the intervention. The research will be carried out by a researcher trained and experienced in qualitative research methodologies, supported by second researcher as follows: 1. First, a one-off purposive evaluation group meeting involving both patients and staff will be organised prior to the intervention with 8-12 key participants. The researcher will share existing evidence of some of the benefits of implementing diabetes services in the primary care settings rather than in hospital clinics. The meeting will then seek the views and reasons for participation and what the participants intend to achieve. Participants will be engaged to identify and discuss the types of clinical sessions that can be removed from hospital clinics and transferred into general practices as part of the integrated Community Diabetes Service, and the potential benefits. 2. Observations - Observations will take place at the beginning, middle and towards the end of the of the intervention at 2-3 clinics/consultations to make comparisons of what has been said/agreed or done to what actually happened during the intervention duration, whilst making notes on the changes or differences. This approach is useful in collecting data in naturally occurring behaviours and contexts and will enable the researcher to question, understand

Countries

United Kingdom

Contacts

Public ContactJoseph Paul O'Hare
j.p.o-hare@warwick.ac.uk+44 (0)2476 573086

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026