Older adult with Type 2 Diabetes dementia preventive behaviors diabetes Co design IFSMT older adults Double diamond
Conditions
Interventions
The Discover phase using a cross sectional study and qualitative study aims to understand the problem or issue regarding dementia self management preventive behaviors and the Individual and Family Sel
Individual and Family Self Management to Prevent Dementia Program,Usual Care
Sponsors
Faculty of Nursing, Chiang Mai University
Eligibility
Sex/Gender
All
Age
20 Years to 69 Years
Inclusion criteria
Inclusion criteria: Cross sectional study in Phase 1 Discover The inclusion criteria for older adults with type 2 diabetes mellitus are Receiving treatment with oral hypoglycemic medication or insulin. Living with family members such as a spouse, children, or relatives. Having a baseline Activities of Daily Living Scale score above 12, indicating independent self care. Having a baseline MSET10 score above 8, indicating no significant cognitive impairment. Able to read, write, and communicate in Thai. Having no visual impairment or severe hearing impairment that would interfere with participation. Able to understand the study procedures and provide written informed consent. Qualitative study in Phases 1 to 3 Discover Define and Develop The inclusion criteria for older adults with type 2 diabetes mellitus are Receiving treatment with oral hypoglycemic medication or insulin. Living with family members such as a spouse, children, or relatives. Having a baseline Activities of Daily Living Scale score above 12, indicating independent self care. Having a baseline MSET10 score above 8, indicating no significant cognitive impairment. Able to read, write, and communicate in Thai. Having no visual impairment or severe hearing impairment that would interfere with participation. Able to understand the study procedures and provide written informed consent. The inclusion criteria for family members are Having experience caring for an older adult with type 2 diabetes mellitus for at least six months. Living in the same household as the older adult with type 2 diabetes mellitus. Able to read, write, and communicate in Thai. Having no visual impairment or severe hearing impairment that would interfere with participation. Able to understand the study procedures and provide written informed consent. The inclusion criteria for healthcare providers are Having at least six months of experience providing care for older adults with type 2 diabetes mellitus. Able to read, write, and communicate in Thai. Having no visual impairment or severe hearing impairment that would interfere with participation. Able to understand the study procedures and provide written informed consent. Deliver phase Intervention refinement and feasibility assessment The inclusion criteria for older adults with type 2 diabetes mellitus are Having participated in the previous co design phases of the study. Able to read, write, and communicate in Thai. Having no visual impairment or severe hearing impairment that would interfere with participation. Able to understand the study procedures and provide written informed consent. The inclusion criteria for family members are Having participated in the previous co design phases of the study. Able to read, write, and communicate in Thai. Having no visual impairment or severe hearing impairment that would interfere with participation. Able to understand the study procedures and provide written informed consent. The inclusion criteria for healthcare providers are Having participated in the previous co design phases of the study. Able to read, write, and communicate in Thai. Having no visual impairment or severe hearing impairment that would interfere with participation. Able to understand the study procedures and provide written informed consent. Pilot two arm randomized controlled trial The inclusion criteria for older adults with type 2 diabetes mellitus are Diagnosed with type 2 diabetes m
Exclusion criteria
Exclusion criteria: 1. A cross-sectional study in Phase 1 (Discover) The exclusion criteria of older adults with T2DM will be 1) diagnosis of depression, stroke, or Parkinson's disease 2) history (or family history) of dementia, brain infection, brain injury, or psychiatric illness 2. A qualitative study in Phase 1 3 (Discover, Define, and Develop) The exclusion criteria of older adults with T2DM will be 1) diagnosis of depression, stroke, or Parkinson's disease 2) history (or family history) of dementia, brain infection, brain injury, or psychiatric illness 3. A pilot two-arm randomized controlled trial (RCT) study in Phase 4 (Deliver) The exclusion criteria of older adults with T2DM will be 1) diagnosis of depression, stroke, or Parkinson s disease 2) history (or family history) of dementia, brain infection, brain injury, or psychiatric illness The discontinuation criteria of older adults with T2DM will be 1) unable to participate in at least 80% of the scheduled program activities The discontinuation criteria of family members of older adults with T2DM will be 1) unable to participate in at least 80% of the scheduled program activities
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Feasibility at 12 weeks after end of the intervention the proportion of participants that complete baseline measures, complete treatment (attending for a minimum of 80%), and complete follow-up measures (immediately post intervention).,Acceptability at 12 weeks after end of the intervention using the Satisfaction with Intervention Questionnaire | — |
Secondary
| Measure | Time frame |
|---|---|
| Preliminary efficacy of Individual and Family Self-Management intervention at 12 weeks after end of the intervention HbA1C, MoCA, Individual and Family Self-Management Process, and dementia prevention behavior. | — |
Countries
Thailand
Contacts
Public ContactNoppamas Sripetchwandee
Faculty of Nursing, Chiang Mai University
Outcome results
None listed