We assessed the diabetes self-care activities and health outcomes as risk factors for progression of CKD. Case management
Conditions
Interventions
The CMCSP was developed on the basis of a chronic care model. In the preparation period, health and risk assessments were performed in the experimental group, and awareness, beliefs, patterns of self-
referring the patient to see another department for consultation or treatment
providing general advice about diabetes and self-care
and making a follow-up appointment.
Experimental Behavioral,No Intervention Behavioral
the Case Management with Community Support Program ,Compatator
Sponsors
Thesis Grant, Faculty of Graduate Studies, Mahidol University, Bangkok, Thailand.
Eligibility
Sex/Gender
Male
Age
40 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. T2DM and stage 1 and stage 2 CKD (eGFR over and equal 60 ml permin per 1.73 m sqeare and urine albumin creatinine ratio [UACR] over and equal 30 mg/g). 2. Being diagnosised confirmed at least twice within the last 3 months. 3 Aged over and equal 40 years. 4. Presence of at least one risk factor for CKD progression as follows. 4.1 SBP over and equal 140 mmHg. 4.2 DBP over and equal 90 mmHg. 4.3 HbA1c over and equal 7 percent, in the past 3 months. 4.4 Absence of cognitive impairment, as indicated by a MINICOGTM Thai version score over 3, for participants aged over and equal 60 years.
Exclusion criteria
Exclusion criteria: Presence of severe or acute complications related to T2DM and CKD as follows 1. Heart attack 2. Acute stroke 3. Ischemic heart disease.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Diabetes self-care activity within 18 weeksr after end of the intervention Patient reported outcome using a questionnaire interview | — |
Secondary
| Measure | Time frame |
|---|---|
| Hemoglobin A1c within 18 weeks after end of the intervention Turbidimetric Inhibition Immune Assay ,Systolic blood pressure within 18 weeksr after end of the intervention table sphygmomanometer,Dyastolic blood pressure within 18 weeksr after end of the intervention table sphygmomanometer,Estimated glomerular filtration rate within 18 weeksr after end of the intervention indirectly calculated from the serum creatinine level using a validated formula provided by the Chronic Kidney Disease Epidemiology Collaboration | — |
Countries
Thailand
Contacts
Public ContactPorntip Malathum
Ramathibodi School of Nursing
Outcome results
None listed