The effect of community groups and mobile phone messages on the prevention and control of diabetes in rural Bangladesh: study protocol for a three-arm cluster randomised controlled trial.
The effect of community groups and mobile phone messages on the prevention and control of diabetes in rural Bangladesh: study protocol for a three-arm cluster randomised controlled trial.
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DOI：
10.1186/s13063-016-1738-x
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发表时间：
2016-12-19
期刊：
影响因子：
2.5
通讯作者：
Azad K
中科院分区：
文献类型：
--
作者：
Fottrell E;Jennings H;Kuddus A;Ahmed N;Morrison J;Akter K;Shaha SK;Nahar B;Nahar T;Haghparast-Bidgoli H;Khan AK;Costello A;Azad K
2 型糖尿病发病率的增加给医疗保健服务、社区、家庭和患有该疾病或有患该疾病风险的个人带来了沉重负担。对孟加拉国中度高血糖和糖尿病合并患病率的估计各不相同，并且可能高达成年人口的 30%。尽管患病率如此之高，但对糖尿病及其危险因素的认识和控制仍然有限。预防和控制糖尿病及其并发症需要个人和社区提高认识和行动，对行为和生活方式选择产生积极影响。在这项研究中，我们将测试两种不同干预措施对孟加拉国农村地区糖尿病发生及其危险因素的影响。移动医疗 (mHealth) 和参与性社区团体干预措施的三臂整群随机对照试验将在孟加拉国法里德普尔区的四个农村乌帕齐拉进行。 96 个集群（村庄）将被随机分配接受移动医疗干预或参与性社区团体干预，或被分配到对照组。在移动医疗领域，登记的个人将每周两次通过手机收到有关糖尿病预防和控制的语音消息。在参与式社区小组中，协调员将为男性和女性发起一系列每月小组会议，通过参与式学习和行动周期取得进展，小组成员和社区借此识别、优先考虑和解决与糖尿病相关的问题和患糖尿病的风险。两项干预措施都将持续 18 个月。中度高血糖和糖尿病的综合患病率以及基线时被确定患有中度高血糖的个体的糖尿病累积 2 年发病率的主要结果将通过对每个研究集群中 30 岁或以上的永久居民进行基线和最终抽样调查来评估。有关血糖水平、血压、体重指数和臀腰比的数据将由训练有素的现场工作人员通过身体测量来收集。将通过对抽样受访者的访谈来收集人口统计和社会经济数据，以及有关糖尿病知识、慢性病危险因素患病率和生活质量的数据。这项研究将增进我们对孟加拉国农村地区糖尿病和其他非传染性疾病负担和风险因素的了解。通过记录和评估参与社区团体和手机语音消息的交付、影响和成本效益，研究结果将为如何实施社区动员和移动医疗的人口层面战略来预防和控制该人群的非传染性疾病和风险因素提供证据。 ISRCTN41083256。于2016年3月30日注册（追溯注册）。 D-Magic：糖尿病 – 通过团体或移动信息采取行动以实现更好的控制。
Increasing rates of type 2 diabetes mellitus place a substantial burden on health care services, communities, families and individuals living with the disease or at risk of developing it. Estimates of the combined prevalence of intermediate hyperglycaemia and diabetes in Bangladesh vary, and can be as high as 30% of the adult population. Despite such high prevalence, awareness and control of diabetes and its risk factors are limited. Prevention and control of diabetes and its complications demand increased awareness and action of individuals and communities, with positive influences on behaviours and lifestyle choices. In this study, we will test the effect of two different interventions on diabetes occurrence and its risk factors in rural Bangladesh. A three-arm cluster randomised controlled trial of mobile health (mHealth) and participatory community group interventions will be conducted in four rural upazillas in Faridpur District, Bangladesh. Ninety-six clusters (villages) will be randomised to receive either the mHealth intervention or the participatory community group intervention, or be assigned to the control arm. In the mHealth arm, enrolled individuals will receive twice-weekly voice messages sent to their mobile phone about prevention and control of diabetes. In the participatory community group arm, facilitators will initiate a series of monthly group meetings for men and women, progressing through a Participatory Learning and Action cycle whereby group members and communities identify, prioritise and tackle problems associated with diabetes and the risk of developing diabetes. Both interventions will run for 18 months. The primary outcomes of the combined prevalence of intermediate hyperglycaemia and diabetes and the cumulative 2-year incidence of diabetes among individuals identified as having intermediate hyperglycaemia at baseline will be evaluated through baseline and endline sample surveys of permanent residents aged 30 years or older in each of the study clusters. Data on blood glucose level, blood pressure, body mass index and hip-to-waist ratio will be gathered through physical measurements by trained fieldworkers. Demographic and socioeconomic data, as well as data on knowledge of diabetes, chronic disease risk factor prevalence and quality of life, will be gathered through interviews with sampled respondents. This study will increase our understanding of diabetes and other non-communicable disease burdens and risk factors in rural Bangladesh. By documenting and evaluating the delivery, impact and cost-effectiveness of participatory community groups and mobile phone voice messaging, study findings will provide evidence on how population-level strategies of community mobilisation and mHealth can be implemented to prevent and control noncommunicable diseases and risk factors in this population. ISRCTN41083256. Registered on 30 Mar 2016 (Retrospectively Registered). D-Magic: Diabetes Mellitus – Action through Groups or mobile Information for better Control.
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影响因子：
3
作者：
Cotter AP;Durant N;Agne AA;Cherrington AL
通讯作者：
Cherrington AL
DOI：
10.1186/1748-5908-6-42
发表时间：
2011-04-23
期刊：
Implementation science : IS
影响因子：
--
作者：
Michie S;van Stralen MM;West R
通讯作者：
West R
影响因子：
105.7
作者：
Agarwal, Smisha;LeFevre, Amnesty E.;Labrique, Alain
通讯作者：
Labrique, Alain
影响因子：
2.7
作者：
Baumann, Linda C.;Frederick, Nakwagala;Agatha, Nambuya
通讯作者：
Agatha, Nambuya
影响因子：
2.9
作者：
Asghar, Shaheen;Khan, Abul Kalam Azad;Hussain, Akhtar
通讯作者：
Hussain, Akhtar