Living Together With Chronic Disease: Informal Support for Diabetes Management in Vietnam
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 229
- 试验地点
- 2
- 主要终点
- Change in glycated haemoglobin from baseline to 12 months post intervention
研究概览
简要总结
Insufficient self-management is a significant barrier for people with type 2 diabetes (T2D) to achieve glycemic control and reduce the risk of acute and long-term diabetes complications which negatively affect the quality of life and increase the risk of diabetes-related death. This pre-post study aimed to evaluate the impact of a peer-based club intervention to improve self-management among people living with T2D in two rural communities in Vietnam.
详细描述
Vietnam has up to 3.9 million people diagnosed with T2D. This situation poses challenges for Vietnam's long-term health services, where the healthcare workforce is currently deficient compared to the practical needs and having an imbalanced geographical distribution of the health workforce, especially highly specialized practitioner staff, between urban and rural areas. The majority of primary care settings - community health centers are incapable of diagnosis, treatment, or follow-up management of diabetes patients due to lack of qualified human resources, medications, and advanced medical equipment. Informal support from non-professionals plays an essential role among people with T2D and potentially assists with optimal diabetes self-management. An additional widely acknowledged type of non-professional supporter is the community health worker. Therefore, to boost the advantages and address the disadvantages of peer and VHW support for enhanced diabetes self-management capability in the rural communities, an intervention conducted in Vietnam's Thai Binh province as part of the larger interdisciplinary project, Living Together with Chronic Disease: Informal Support for Diabetes Management in Vietnam (VALID) (grant number 17-M09-KU), was developed.
Study aim The present pre-and post-study aimed to test the feasibility of a peer support intervention after one year of implementation, emphasizing the impact of diabetes clubs on T2DM self-management in two rural communities in Thai Binh, Vietnam.
Methods Study design An intervention with a pre-post study was implemented between January 2021 and January 2022. Pre- and post-intervention data were collected following a structured questionnaire and a clinical examination.
Setting The study was conducted in Thai Binh province with a population of 1.86 million people.
Due to two COVID-19 lockdown periods, the intervention, including diabetes classes and clubs, had to be put on hold for one month in May and November 2021.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Individuals diagnosed with or treated for T2D over 18 years old
- •Residing in two selected communes
- •Without acute and/or severe illness
- •Able to answer the questionnaire completely
- •Agreed to participate voluntarily
- •Participated in both pre - post-study and the intervention program.
排除标准
- •Refusal to continue participating in study
- •Migration
- •Illness or hospitalization
结局指标
主要结局
Change in glycated haemoglobin from baseline to 12 months post intervention
时间窗: Baseline and 12 months post intervention
HbA1c goal for adults is 7 % or less
次要结局
- Change in mental health Self Reporting Questionnaire 20-Item (SRQ-20) from baseline(Baseline and 12 months post intervention)
- Change in body mass index - BMI from baseline(Baseline and 12 months post intervention)
- Change in quality of life measured by Short Form-36 (SF36) from baseline(Baseline and 12 months post intervention)
- Change in self-management of diabetes from baseline(Baseline and 12 months post intervention)
- Change in tobacco smoking habit from baseline(Baseline and 12 months post intervention)
- Change in medication adherence -Morisky Medication Adherence Scale-8 (MMAS-8) from baseline(Start intervention and 12 months post intervention)
- Change in diastolic blood pressure from baseline(Baseline and 12 months post intervention)
- change in awareness of hypo-/hyperglycemia from baseline(Baseline and 12 months post intervention)
- Change in alcohol consumption from baseline(Baseline and 12 months post intervention)
- Change in unmet need of support of relevance for type 2 diabetes management from baseline(Baseline and 12 months post intervention)
- Change in systolic blood pressure from baseline(Baseline and 12 months post intervention)
- Change in knowledge and practices of foot care from baseline(Baseline and 12 months post intervention)
- Change in diabetes distress measured by Diabetes Distress - Screening Scale 17 (DDS-17) from baseline(Baseline and 12 months post intervention)
研究者
Thanh Duc Nguyen
Associate professor, Head of Health mangement Department
Thai Binh University of Medicine and Pharmacy