Comprehensive Care Protocol in New Diagnosis of Type 2 Diabetes Mellitus and Associated Comorbidities in Primary Care: Quasi-experimental Study.
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 123
- 试验地点
- 2
- 主要终点
- HbA1c
研究概览
简要总结
Introduction
Type 2 Diabetes is a very prevalent chronic disease in our environment. It usually exists with other chronic diseases. Although drug intensification at the time of new diagnosis has proven effective in reduction of cardiovascular and diabetes control and complications, an intensification of comprehensive health education has not been proven so. Currently, there is a great variability in practices of Primary Care nurses in front of the health education in the moment of new diagnosis.
The aim of this study is to evaluate the effectiveness of a systematic protocol with an integrated care in people with newly diagnosed type 2 diabetes (DM2) and associated comorbidities, which included 5 structured individual visits post-diagnosis with the Primary care nurse.
Methods
Quasi-experimental design, comparing a group of individuals taking part in the intervention with a similar group receiving usual care. Data will be collected at the beginning, at the end of the intervention and after 6 and 12 months. 10 primary care centers in the city of Barcelona will be selected on a convenience basis as IG and CG. The subjects of the GC will be monitored as usual. Performed analysis will be the baseline comparability between GI and GC in relationship to different variables as well as the changes in dependent variables along the study; establishing comparisons between GC and GI . The results will be measured in terms of quality of life related to health, development of biological parameters (HbA1c and weight) and compliance with the therapeutic plan.
Discussion
The results of this study will help to 1)demonstrate that by intensifying the hygienic-dietetic measures in the initial stage of DM2 diagnosis, the disease and associated co-morbidities are controlled in a better way. 2) validate a material that allows to decrease the variability in the care offered by primary care nurses to people in this group.
详细描述
Objectives
To evaluate the effectiveness of the systematic application of the comprehensive care protocol in people who debut in DM2 and associated comorbidities, applied during 3 months in primary care, in terms of quality of life related to Health, weigh loss and Glycosylated hemoglobin (HbA1c) compared to people who receive normal practice.
Secondary: To evaluate the effectiveness of the systematic application of the comprehensive care protocol of DM and associated comorbidities, during 3 months in primary care, in the parameters:
- Evolution of the specific biological parameters: TA, BMI, lipid profile, abdominal perimeter.
- Evolution of the consumption of drugs.
- Compliance with dietary recommendations.
- Increase in physical activity.
- Satisfaction / opinion of the participants. According to a questionnaire of user satisfaction of the ICS adapted to our study.
- Health frequentation in Primary Care Centers.
Methods and Analysis Study Design: A quantitative quasi-experimental design, multicenter, one-year follow-up, comparing a group of patients with a recent DM2 debut (less than 5 months) treated according to the comprehensive care protocol in DM2 with comorbidities, the intervention (IG), with a group of similar characteristics who receive the usual care (CG). The response variables will be evaluated before starting the care according to protocol, after (3 months) and at 6 and 12 months of initiating the intervention, in both groups.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •People between both sexes between 18 and 80 years old with a recent (less than 5 months)diagnosis of DM 2 + comorbidity , assigned to the nurses that participate in the study and who give their consent to participate.
排除标准
- •People who participate in a similar project.
- •People with difficulty maintaining their participation for 12 months.
- •People who have difficulty understanding and expressing themselves in Catalan or Spanish.
- •People who have serious health problems: serious mental disease, terminal processes.
- •People with COPD and IC, because they were included in another study with a specific care plan.
结局指标
主要结局
HbA1c
时间窗: up to 12 months.
Glycosylated hemoglobin for having a clinical response.
Change is being assessed in Health Related Quality of Life will be measured through the EuroQoL (EQ-5D)
时间窗: The outcome measure will be measured before, up to 3,6 and 12 months to assess its change
The EQ-5D health questionnaire provides a simple descriptive profile and a single index value for health status.
Change is being assessed in Weigh
时间窗: The outcome measure will be measured before, up to 3,6 and 12 months to assess its change
Weigh for having a clinical response.
次要结局
- Dietary habits: PREDIMED(baseline, up to 3,6 and 12 months.)
- Use of services in the last year(Measure the year after diagnosis in both groups)
- Physical activity: IPAQ(baseline, up to 3,6 and 12 months.)