Development, Implementation and Evaluation of a Complex Regional Intervention for Type 2 Diabetes: Diabetes Project Aalst
- Conditions
- Diabetes Type 2
- Interventions
- Other: Complex regional intervention
- Registration Number
- NCT00824499
- Lead Sponsor
- Universiteit Antwerpen
- Brief Summary
The purpose of this study is to determine whether regional implementation of shared care with respect to type 2 diabetes is feasible, effective and cost-effective.
- Detailed Description
Background Diabetes is an important chronic condition with significant associated morbidity and mortality, which can be reduced by effective care. An interdisciplinary approach, sharing responsibility and involvement and education of patients are of major importance in diabetes care.
In Belgium a research project aimed at creating regional diabetes shared care was set up.
Research questions
* Is regional implementation of shared care feasible?
* Does it increases quality of care (evidence based care) and patient satisfaction with care?
* Does it have a positive effect on health status (emotional distress, overall quality of life, Hba1c)?
Methods Controlled trial (July 2004 - June 2006) with a regional complex intervention comprising introduction of a care-manager and 2 community based diabetes educators, development and implementation of a shared care protocol (with a central role for the GP), regional feedback on the quality of diabetes care and patient education. Practitioners and patients participate on a voluntary basis. In the control region usual care continues.
Biophysical, psychosocial and process outcomes were collected thru GP registration of patients records and self-administered patient questionnaires (PAID, QUOTE).
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 375
- All type 2 diabetes patients living in the defined intervention region
- All caregivers involved in type 2 diabetes care in the defined intervention region
- None
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description DPA Complex regional intervention Regional complex intervention based on the Chronic Care Model
- Primary Outcome Measures
Name Time Method HBA1C Longitudinal analysis on measurements from 01/01/2004 until 31/12/2006
- Secondary Outcome Measures
Name Time Method Total Cholesterol Longitudinal analysis on measurements from 01/01/2004 until 31/12/2006 LDL-C Longitudinal analysis on measurements from 01/01/2004 until 31/12/2006 HDL-C Longitudinal analysis on measurements from 01/01/2004 until 31/12/2006 microalb. Longitudinal analysis on measurements from 01/01/2004 until 31/12/2006 blood creatinine Longitudinal analysis on measurements from 01/01/2004 until 31/12/2006 ophthalmist consults Longitudinal analysis on measurements from 01/01/2004 until 31/12/2006 Statine prescriptions Longitudinal analysis on measurements from 01/01/2004 until 31/12/2006 Influenza Vaccination Prescriptions Longitudinal analysis on measurements from 01/01/2004 until 31/12/2006