Cardiovascular Diseases, Diabetes Mellitus, Type 2, Hypertension
Conditions
Keywords
prevention, early diagnosis, lifestyle intervention
Brief summary
The SUNI-SEA study is an intervention study that measures effectiveness and cost-effectiveness of prevention and early diagnosis of diabetes and cardiovascular diseases in communities and primary healthcare (PHC) facilities in Indonesia, Myanmar and Vietnam.
Detailed description
The study takes place in Vietnam and Indonesia in Intergenerational Self-Help Clubs (ISHGs), where community members assemble for activities concerning social, economical improvement and health and well-being. Volunteers in these ISHGs are trained in performing screening for diabetes and cardiovascular diseases and counselling participants concerning healthy living, or referral to primary healthcare facilities, if needed. At PHC level further diagnosis and if needed treatment is provided and referral back to ISHGs is done for lifestyle interventions. In Indonesia screening takes place in the Posbindu programme, where trained volunteers (cadres) screen and counsel participants. If needed referral to Puskesmas (primary healthcare facilities is done, where further diagnosis and treatment takes place. Activities for health promotion and lifestyle interventions take place under supervision of the Posbindu programme. In Myanmar and Indonesia individual monitoring and health education of participants is done through mobile applications. Measuring of uptake, follow-up and adherence to interventions is done through routine data collection, through surveys, and through semi-structured interviews and focus group discussions.
Interventions
COMBINATION_PRODUCTscreening, prevention and counselling
Screening in Intergenerational solidarity clubs in Myanmar and Vietnam and in Posbindu programme in Indonesia
Sponsors
University of Groningen
University of Passau
Universitas Sebelas Maret
Health Strategy and Policy Institute
Trnavska Universita v Trnava
HelpAge International
Thai Nguyễn University of Medicine and Pharmacy
University Medical Center Groningen
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
SCREENING
Masking
NONE
Intervention model description
In Vietnam members from 60 Intergenerational Self Help Clubs have been screened for diabetes and cardiovascular diseases. (total 5,000 persons) In Myanmar members from 15 Intergenerational Solidarity Groups have undergone screening for diabetes and cardiovascular diseases using an internet application. (total 1850 persons) In Indonesia, visitors of 20 Posbindu programmes were offered screened for diabetes and hypertension in Central and East Java (10,000 persons)
Eligibility
Sex/Gender
ALL
Age
21 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* All adults living in geographical area where research takes place
Exclusion criteria
* Persons who are not able to come to location of screening, due to illness or other chronic condition causing immobility.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Adherence to follow-up advice | 12 months from counselling and advice to individual until measuring adherence to follow-up that has been recommended | Percentage of participants in screening who follow up on recommendations given during screening (referral, lifestyle change) |
| Uptake of NCD screening offered in communities | 18 months from offering screening options in communities until measuring uptake | Number of adults eligible for NCD screening in communities who participate in screening |
| Uptake of health education (health promotion, awareness of risk factors) | 12 year between first health education session and measuring uptake (based on participants' lists) | Percentage of adults above 21 years in communities participating in one or more health education sessions offered |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Cost-effectiveness of NCD interventions | 18 months between baseline survey and endline survey | Comparison of costs and effects between intervention and business as usual, using diff in diff method |
| Unit costs of screening, prevention and early diagnosis of NCDs per Quality Adjusted Life Year gained | 18 months between starting calculation of costs of interventions and assessment of final assessment of benefits | Unit costs of NCD screening, prevention, early diagnosis intervention per Quality Adjusted Life Year gained |
Other
| Measure | Time frame | Description |
|---|---|---|
| Impact of training of community health volunteers in NCD interventions on knowledge attitudes and practices of volunteers | 6 months between provision of training to community health volunteers and measuring their skills, knowledge and attitudes | Difference in knowledge, attitudes and practices (KAP) of volunteers in ISHCs in Myanmar and Vietnam, and cadres in Posbindu in Indonesia as result of training offered in the research project, measured by pre- and post-training KAP survey and six months after training. |
| Impact of training of community health volunteers on their performance in NCD interventions. | 6 months between provision of training to community health volunteers and measuring their performance | Performance of community health volunteers six months after training, measured by observational study, with measuring adherence to standard operating procedures for screening for NCDs and health education. |
Countries
Vietnam
Outcome results
None listed