Evaluation of Diabetes Self-Management Consultant Care

糖尿病自我管理顾问护理的评估

• 批准号: 6531735
• 负责人: Robert Michael Anderson
• 金额: $ 65.27万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-08-20 至 2006-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6531735
• 关键词: behavior therapy; behavioral /social science research tag; blood glucose; body physical activity; clinical research; clinical trial phase I; cooperative study; data collection methodology /evaluation; dietary control; disease /disorder prevention /control; health behavior; health service demonstration project; health services research tag; home health care; human therapy evaluation; longitudinal human study; noninsulin dependent diabetes mellitus; outpatient care; patient oriented research; primary care physician; quality of life; questionnaires; self care

DESCRIPTION (provided by applicant): Evaluation of Diabetes Self-Management Consultant CareThe overall objective of this study is to develop, implement and evaluate the effectiveness of a collaborative care intervention to improve blood glucose control and diabetes-related quality of life for subjects with type 2 diabetes being cared for in two different health care systems. The effectiveness of their diabetes Self Management Consultant (SMC) Collaborative Care intervention will be evaluated by comparing it with a randomized usual care control group for subjects with type 2 diabetes.Specific Aims 1. Develop a diabetes Self-Management Consultant (SMC) intervention designed to improve blood glucose control and diabetes-related quality of life for adults with type 2 diabetes. 2. Recruit SMCs, Primary Care Physicians (PCP)s, and subjects for the study. 3. Pilot test the feasibility of all major elements of the SMC intervention including data collection and self-management consultant protocols and activities with a small number of subjects. 4. Implement the intervention in both the Detroit Department of Health and the University of Michigan Department of Family Medicine. 5. Conduct a randomized clinical trial to evaluate the relative effectiveness of the SMC intervention compared to usual care in improving blood glucose control and diabetes-related quality of life. 6. Identify variables (e.g., program site, demographic, psychosocial, resource, and health) that predict which subjects benefit from participating in the SMC intervention. 7. Estimate the cost-effectiveness of the SMC intervention, relative to the cost of usual care, in the short-term, from the perspective of the health care insurer. 8. Estimate the expected effect the SMC intervention has on end-stage subject outcomes (both microvascular and macrovascular complications) and long-term costs through the use of Monte Carlo simulation models. 9. Disseminate the results, materials, and protocols developed for this study, nationally, and provide training and technical assistance to health care professionals who wish to use the SMC intervention (or parts of it) in local settings.HypothesisThe SMC intervention will be more effective than usual care in improving blood glucose control and diabetes-related quality of life.

描述（申请人提供）：糖尿病自我管理顾问的评估本研究的总体目标是开发，实施和评估协作护理干预措施的有效性，以改善两种不同医疗保健系统的2型糖尿病的受试者的血糖控制和与糖尿病相关的生活质量。其糖尿病自我管理顾问（SMC）协作护理干预措施的有效性将通过与2型糖尿病的受试者进行比较。特定目标1。糖尿病自我管理顾问（SMC）旨在为成人糖尿病和糖尿病质量与成人型2糖尿病的生命质量的糖尿病自我管理顾问（SMC）干预。 2。招募SMC，初级保健医生（PCP）和该研究的受试者。 3。试点测试SMC干预的所有主要要素的可行性，包括数据收集和自我管理顾问协议以及少数受试者的活动。 4。在底特律卫生系和密歇根大学家庭医学系中进行干预。 5。进行随机临床试验，以评估SMC干预的相对有效性与通常在改善血糖控制和与糖尿病相关的生活质量方面相比。 6.确定变量（例如，程序网站，人口统计，心理社会，资源和健康），预测哪些受试者受益于参与SMC干预。 7.从医疗保险公司的角度来看，在短期内，SMC干预措施相对于常规护理成本的成本效益。 8。通过使用蒙特卡洛模拟模型，估计SMC干预对最终阶段主题结果（微血管和大血管并发症）和长期成本的预期影响。 9.在全国范围内为这项研究开发的结果，材料和协议，并向希望在当地情况下使用SMC干预（或部分）的医疗保健专业人员提供培训和技术援助。SMC干预将比通常的护理在改善血糖控制和与糖尿病相关的生活质量方面更有效。