Diabetes Mellitus, Type 2
Conditions
Keywords
Diabetes self management, DESMOND, effect of diabetes self management on glycemic control
Brief summary
The goal of this clinical trial is to assess the outcome of delivering the health education in a group format using the DESMOND program compared to the standard health education in newly diagnosed adults with type 2 diabetes mellitus . The main questions it aims to answer is: Does adding group education (DESMOND method) to the standard primary care education practices is effective in changing glycemic control and self-care practices in adults with Type II Diabetes Mellitus . The enrolled study participants will be randomized to receive either the standard personal health care or group health education (DESMOND) session. questionnaire form measuring diabetes self-care will be administered at baseline together with measurement of HbA1C. These measurements will be repeated after 3 and 6 months of the intervention for both study groups.
Detailed description
1. Objectives: This pilot, single primary healthcare center study is designed to assess the effect of delivering the group health education DESMOND program as an add-on to the standard health education in type 2 diabetic patients. 2. Design: This is an analytic randomized controlled intervention study for adult patients who are newly diagnosed type II Diabetes Mellitus. The enrolled study participants will be randomized to receive either the standard personal health care (routine diabetes health education services) or a standard group health education (DESMOND) session. A standard questionnaire form measuring diabetes self-care will be administered at baseline together with measurement of HbA1C. These measurements will be repeated after 3 and 6 months of the intervention for both study groups. 3. Setting :The Family Medicine clinics in Airport Health Center in Primary care, Qatar. 4. Participants: Newly diagnosed type II Diabetes Mellitus aged more than 18 years. 5. Intervention: A six-hour structured group education program to be delivered by one certified DESMOND health educator compared with the standard care. 6. Main outcome measures : Blood HbA1C % at baseline (before starting the diabetes management protocol of PHCC), after 3, and 6 months of follow up. In addition, the Diabetes self-management score (DSMQ) after 3 and 6 months of receiving both the standard personal health education sessions and the tested group education (DESMOND) method.
Interventions
OTHERGroup education session by DESMOND Program
is a validated structured education program for people with type 2 diabetes and their family members or carers (as appropriate)' This management approach was advised by the National Institute for Health and Care Excellence (NICE) in the UK since 2008. The program consists of a 6-hour face-to-face education session delivered by two trained educators over one day or two half-days to a group of 8-12 people with newly-diagnosed or ongoing type 2 diabetes. Annual reinforcement and review are part of the program , it is delivered as a business and usual in the secondary healthcare system of Qatar. The program is culturally adapted for Qatar considering beliefs and other health festivities.
Sponsors
Primary Health Care Corporation, Qatar
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)
Intervention model description
The enrolled study participants will be randomized to receive either the standard personal health care (routine diabetes health education services) or a standard group health education (DESMOND) session
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
1. Adult more than 18 years, newly diagnosed Type II diabetes mellitus (within 4 - 6 weeks of diagnosis) attending the Airport Health Care Center. 2. Not yet receiving any form of standard health education in PHCC.
Exclusion criteria
1. Using diuretics or cancer therapy. 2. Had enduring mental health problem. 3. Participants in another research study. 4. Inability to communicate in Arabic or English language
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Blood HbA1C % | before starting the diabetes standard care , after 3, and 6 months of follow up for both arms | before starting the diabetes standard care , after 3, and 6 months of follow up for both arms |
| The Diabetes self-management score using the (DSMQ) | before starting the diabetes standard care , after 3, and 6 months of follow up for both arms | The Diabetes self-management score (DSMQ) at baseline , after 3 and 6 months of receiving both the standard personal health education sessions and the tested group education (DESMOND) method |
Countries
Qatar
Outcome results
None listed