Process evaluation protocol of a cluster randomised trial for a scalable solution for delivery of Diabetes Self-Management Education in Thailand (DSME-T).
Process evaluation protocol of a cluster randomised trial for a scalable solution for delivery of Diabetes Self-Management Education in Thailand (DSME-T).
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DOI：
10.1136/bmjopen-2021-056141
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发表时间：
2021-12-09
期刊：
影响因子：
2.9
通讯作者：
Angkurawaranon C
中科院分区：
文献类型：
--
作者：
Papachristou Nadal I;Aramrat C;Jiraporncharoen W;Pinyopornpanish K;Wiwatkunupakarn N;Quansri O;Rerkasem K;Srivanichakorn S;Techakehakij W;Wichit N;Pateekhum C;Birk N;Ngetich E;Khunti K;Hanson K;Kinra S;Angkurawaranon C
2型糖尿病是一个重大的全球挑战，包括对泰国政策制定者来说，因为据估计，泰国有400万 人(人口6800万 )患有这种疾病。糖尿病导致的过早死亡和残疾主要是由并发症引起的，这些并发症可以通过良好的风险因素控制来预防。糖尿病自我管理教育(DSME)计划为糖尿病患者提供必要的知识和技能，以有效地管理他们的疾病。目前，泰国正在进行一项试验，以评估泰国根据文化定制的DSME在注册后12个月的定义为HbA1c<；7的效果。进程评价可以进一步解释复杂干预措施的结果，并洞察在更广泛的背景下应用方案的成功情况。进程评价的目的是了解干预措施是有效还是无效的方式和原因，并为今后的成功执行确定切合实际的战略。对于过程评估，设计将是一项混合方法研究，收集来自护士提供者、乡村卫生志愿者(社区卫生工作者)以及患者的数据。在审判开始和结束时，将利用三个有目的地选择的小组的观察、访谈和重点小组进行这项工作。定量数据将通过在试验开始时、6个月随访期间和试验结束时进行的调查收集。将对混合方法分析进行三角划分，以评估各种数据来源的差异和相似之处。将对反复采取的措施进行多层次分析，以检查干预措施的总体效果。清迈大学研究伦理委员会(2018年3月26日)和伦敦卫生与热带医学院(16113/RR/12850)批准的研究。研究结果将发表在开放获取、同行评议的科学期刊上。NCT03938233。
Type 2 diabetes mellitus is a major global challenge, including for Thai policy-makers, as an estimated 4 million people in Thailand (population 68 million) have this condition. Premature death and disability due to diabetes are primarily due to complications which can be prevented by good risk factor control. Diabetes Self-Management Education (DSME) programmes provide patients with diabetes with the necessary knowledge and skills to effectively manage their disease. Currently, a trial is being conducted in Thailand to evaluate the effectiveness, defined as HbA1c<7 at 12 months after enrolment, of a culturally tailored DSME in Thailand. A process evaluation can provide further interpretation of the results from complex interventions as well as insight into the success of applying the programme into a broader context. The aim of the process evaluation is to understand how and why the intervention was effective or ineffective and to identify contextually relevant strategies for future successful implementation. For the process evaluation, the design will be a mixed-method study collecting data from nurse providers, and village health volunteers (community health workers) as well as patients. This will be conducted using observations, interviews and focus groups from the three purposively selected groups at the beginning and end of trial. Quantitative data will be collected through surveys conducted at the beginning, during 6-month follow-up, and at the end of trial. The mixed-methods analysis will be triangulated to assess differences and similarities across the various data sources. The overall effectiveness of the intervention will be examined using multilevel analysis of repeated measures. Study approved by the Chiang Mai University Research Ethics Committee (326/2018) and the London School of Hygiene & Tropical Medicine (16113/RR/12850). Results will be published in open access, peer-reviewed scientific journals. NCT03938233.
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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
影响因子：
16.2
作者：
Haas L;Maryniuk M;Beck J;Cox CE;Duker P;Edwards L;Fisher EB;Hanson L;Kent D;Kolb L;McLaughlin S;Orzeck E;Piette JD;Rhinehart AS;Rothman R;Sklaroff S;Tomky D;Youssef G;2012 Standards Revision Task Force
通讯作者：
2012 Standards Revision Task Force
影响因子：
--
作者：
Gupta, Lovely;Khandelwal, Deepak;Dutta, Deep
通讯作者：
Dutta, Deep
影响因子：
5.4
作者：
Nowell, Lorelli S.;Norris, Jill M.;Moules, Nancy J.
通讯作者：
Moules, Nancy J.