Scalable solution for delivery of diabetes self-management education in Thailand (DSME-T): a cluster randomised trial study protocol.
Scalable solution for delivery of diabetes self-management education in Thailand (DSME-T): a cluster randomised trial study protocol.
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DOI：
10.1136/bmjopen-2020-036963
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发表时间：
2020-10-05
期刊：
影响因子：
2.9
通讯作者：
Kinra S
中科院分区：
文献类型：
--
作者：
Angkurawaranon C;Papachristou Nadal I;Mallinson PAC;Pinyopornpanish K;Quansri O;Rerkasem K;Srivanichakorn S;Techakehakij W;Wichit N;Pateekhum C;Hashmi AH;Hanson K;Khunti K;Kinra S
2型糖尿病是泰国决策者面临的最重要的健康挑战之一，因为其患病率在过去二十年中增加了两倍多，造成了相当大的死亡，残疾和医疗保健支出。糖尿病自我管理教育（DSME）计划显示出改善糖尿病结局的希望，但在泰国并没有常规使用。本研究的目的是在泰国测试一种文化定制的DSME模型，使用三臂集群随机对照试验比较护士主导的模型，同伴辅助模型和标准护理。我们将测试哪种模式是有效的和具有成本效益的，以改善糖尿病患者的心血管风险和血糖控制。泰国北方的21个初级保健单位将被随机分配到三种干预措施之一，共招募693名患者。初级保健单位将随机（1：1：1）参加为期12个月的文化定制DSME干预。三组试验设计将比较护士主导、同伴辅助（泰国乡村卫生志愿者）和标准护理的有效性。主要试验结果是血红蛋白A1c和心血管风险评分的变化。将进行流程评估和成本效益评估，为泰国公共卫生部制定政策相关指南。计划的试用期将于2020年1月开始，并于2021年10月结束。已获得泰国和英国的伦理批准。我们将与其他研究人员分享我们的研究数据，通过我们的出版物和网络广告。特别是，我们致力于与泰国和其他中低收入国家的学术受众分享我们的研究结果和数据。NCT 03938233。
Type 2 diabetes mellitus is among the foremost health challenges facing policy makers in Thailand as its prevalence has more than tripled over the last two decades, accounting for considerable death, disability and healthcare expenditure. Diabetes self-management education (DSME) programmes show promise in improving diabetes outcomes, but this is not routinely used in Thailand. This study aims to test a culturally tailored DSME model in Thailand, using a three-arm cluster randomised controlled trial comparing a nurse-led model, a peer-assisted model and standard care. We will test which model is effective and cost effective to improve cardiovascular risk and control of blood glucose among people with diabetes. 21 primary care units in northern Thailand will be randomised to one of three interventions, enrolling a total of 693 patients. The primary care units will be randomised (1:1:1) to participate in a culturally-tailored DSME intervention for 12 months. The three-arm trial design will compare effectiveness of nurse-led, peer-assisted (Thai village health volunteers) and standard care. The primary trial outcomes are changes in haemoglobin A1c and cardiovascular risk score. A process evaluation and cost effectiveness evaluation will be conducted to produce policy relevant guidance for the Thai Ministry of Public Health. The planned trial period will start in January 2020 and finish October 2021. Ethical approval has been obtained from Thailand and the UK. We will share our study data with other researchers, advertising via our publications and web presence. In particular, we are committed to sharing our findings and data with academic audiences in Thailand and other low-income and middle-income countries. NCT03938233.
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糖尿病教育和自我管理计划（DESMOND）的有效性对于新诊断的2型糖尿病患者：梅利氏菌的糖尿病：三年的初级保健随机对照试验的随访。
DOI：
10.1136/bmj.e2333
发表时间：
2012-04-26
期刊：
BMJ (Clinical research ed.)
影响因子：
--
作者：
Khunti K;Gray LJ;Skinner T;Carey ME;Realf K;Dallosso H;Fisher H;Campbell M;Heller S;Davies MJ
通讯作者：
Davies MJ
影响因子：
16.2
作者：
Trento M;Gamba S;Gentile L;Grassi G;Miselli V;Morone G;Passera P;Tonutti L;Tomalino M;Bondonio P;Cavallo F;Porta M;ROMEO Investigators
通讯作者：
ROMEO Investigators
DOI：
10.1136/bmj.h1258
发表时间：
2015-03-19
期刊：
BMJ (Clinical research ed.)
影响因子：
--
作者：
Moore GF;Audrey S;Barker M;Bond L;Bonell C;Hardeman W;Moore L;O'Cathain A;Tinati T;Wight D;Baird J
通讯作者：
Baird J
影响因子：
2.2
作者：
Meakin, R;Weinman, J
通讯作者：
Weinman, J
DOI：
10.1377/hlthaff.2011.0914
发表时间：
2012-01
期刊：
Health affairs (Project Hope)
影响因子：
--
作者：
Fisher EB;Boothroyd RI;Coufal MM;Baumann LC;Mbanya JC;Rotheram-Borus MJ;Sanguanprasit B;Tanasugarn C
通讯作者：
Tanasugarn C