Diabetes mellitus Nutritional, Metabolic, Endocrine Diabetes mellitus
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Diagnosed as having (pre-)diabetes based on the WHO/IDF guidelines 2. Above 18 years old 3. Presently included in an existing Diabetes Self-Management Education strategy in a participating centre 4. Having received at least one session with an educator in the DSME strategy 5. Willing and able to provide written informed consent
Exclusion criteria
Exclusion criteria: Does not meet inclusion criteria
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Current primary outcome measures as of 19/10/2012: The percentage of people with a controlled HBA1c level; controlled being defined as <7.0%. Previous primary outcome measures until 19/10/2012: Mean change in glycosated haemoglobin (HbA1C) at the last available time-point after start of the intervention | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Health outcomes: 1.1. Mean blood pressure 1.2. Mean body mass index (BMI)/waist circumference 1.3. Diabetic foot lesions 2. Access and quality of care: 2.1. Failure to attend rate: number of planned versus actual contacts between patient and educator in the last year 2.2. Perceived quality of care (adapted Patient Assessment of Chronic Illness Care - PACIC) 2.3. Direct and indirect health care expenditure in the last month 3. Enablement: 3.1. Level of knowledge on diabetes and diabetes care (adapted from Michigan Diabetes Research & Training Center?s Brief Diabetes Knowledge Test & the Diabetes Knowledge Questionnaire) 3.2. Self-management and feeling of coping (Howie score) 3.3. Adherence to glucose monitoring and control regimes - adherence to healthy lifestyle 4. Process indicators: 4.1. Number and type (conversation or SMS) of Project Initiated Communications towards the person with diabetes 4.2. number and type (conversation or SMS) of Patient Initiated Communications towards educators and other patients 4.3. Intervention cost at the level of the DSMS programme | — |
Countries
Cambodia, Congo, Democratic Republic, Philippines