Type 2 Diabetes
Conditions
Keywords
Decision Cycle for Person-Centered Glycemic Management, Self-Care Behaviors, Type 2 Diabetes
Brief summary
Decision cycle for person-centered glycemic management is a new diabetes decision making .It is defined as a purposefully designed holistic care intervention .The goal is to improve the self-care behavior of patients with type 2 diabetes, thereby improving glycated hemoglobin levels and delaying the occurrence of complications.
Detailed description
The Decision Cycle for Person-Centered Glycemic management jointly proposed by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD) in 2018 , which develops treatment goals and plans based on the patient's personal preferences, values, and goals. Participants will be divided into two groups(treatment group 、control group).Treatment group will accept the Decision Cycle for Person-Centered Glycemic Management .It is a person-centered diabetes decision making. Control group will accept the traditional diabetes self-management education. It content focuses more on teaching relevant knowledge and some skills.It is a educator-centered approach. Baseline / pre-intervention test (after signing informed consent form) post-intervention test (after finishing intervention) Researchers will compare treatment group and control group to see if treatment group has better performance on self-care Behaviors and glycated hemoglobin levels .
Interventions
BEHAVIORALDecision Cycle for Person-Centered Glycemic Management
It is defined as a purposefully designed holistic care intervention that improve self-management .
OTHERTraditional diabetes self-management education
Traditional diabetes self-management education content focuses more on teaching relevant knowledge and some skills.
Sponsors
National Taiwan University Hospital
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. Patients diagnosed with type 2 diabetes by a physician. 2. Age: 18 years or above. 3. Glycated hemoglobin (HbA1c ) test value: 7.5-9.0 % 4. No diabetic oral medications, insulin and glucagon-like peptide-1 were replaced in the outpatient when the case was admitted. 5. No pregnancy during the study period. 6. After the researcher explains the purpose of the research, the research subjects agree to join this researcher. 7. Those who are conscious and able to take care of themselves. 8. There is no diagnostic certificate from the American Psychiatric Association's Diagnostic Manual of Mental Disorders, Fourth Edition (DSM-IV)of all mental illnesses. 9. Those who can communicate in Mandarin and Taiwanese.
Exclusion criteria
1. Patients diagnosed with type 1 diabetes by a physician. 2. Age: Under 18 years old. 3. Glycated hemoglobin test value: less than 7.5 % and greater than 9.0 % 4. Those who replaced oral diabetes medications, insulin and glucagon-like peptide- 1 at the outpatient at the time of admission. 5. Pregnancy during the study period. 6. Those who are unable to take care of themselves and express themselves.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| glycemic control (HbA1c) | Before the task and 3 months post intervention | The HbA1c level is a marker of the average blood glucose levels over a period of the last 2-3 months. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Diabetes Self-Care Behavior Scale | Before the task and 3 months post intervention | It is contains 20 likert-scaled (1-5) items, it assessed the frequency with which patients performed the diabetes self-care behaviors, including how often took diabetes medications, exercise, blood glucose monitor, diet . A higher score indicates greater self care behavior . |
Countries
Taiwan
Contacts
Primary ContactChia-Hui Tsai
Backup ContactKang-Chih Fan
Outcome results
None listed