Improving Patient-centered Care for Diabetes in Bangladesh Through "Dynamic Integration" of Vision Care on the Demand Side
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- Orbis
- 入组人数
- 640
- 试验地点
- 2
- 主要终点
- Proportion of patients completing their diabetes or DR exam within 3 weeks of the scheduled date.
研究概览
简要总结
The goal of this clinical trial is to determine whether there is an increase in participant uptake of diabetes mellitus (DM) and diabetic retinopathy (DR) services and improved quality of patient-centered diabetic care resulting from the use of automated voice message reminders to sensitize people with DM about the potential for sight loss alongside the provision of free reading glasses.
The main questions it aims to answer are:
- Will the proportion of patients completing their scheduled DR and DM appointments within 3 weeks of the scheduled date be significantly increased in the group receiving the automated voice messages containing both appointment reminders and messaging about the importance of visit and medication compliance in reducing the risk of vision loss, compared with participant messages which only remind them of their appointments?
- What is the cost-effectiveness, measured as total intervention cost per additional patient complying with the suggested exam?
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 30 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Diagnosed with DM within the last 6 months
- •Over 30 years of age
- •Currently treated at the Dinajpur Diabetes Hospital
- •Possess a mobile phone to receive voice messages
- •Willingness to participate in the study, and ability to give informed consent
排除标准
- •Other significant causes of vision loss
- •Medical conditions that could impair compliance with follow-up (such as stroke, dementia, etc.)
研究组 & 干预措施
Control Group: Automated voice message exam reminder only
Participants will only receive an automated voice message reminder about the date of exam
Intervention Group: Automated voice message + vision education + free reading glasses at appointment
Participants will receive an automated voice message reminder about the date of the exam. Additionally, the participant will receive a message underscoring the risk of vision loss from poorly controlled DM, stressing that excellent compliance with visits and medications nearly completely eliminates this risk, and the participant will receive a free pair of reading glasses on first appointment.
干预措施: Education/information of risk (Other)
Intervention Group: Automated voice message + vision education + free reading glasses at appointment
Participants will receive an automated voice message reminder about the date of the exam. Additionally, the participant will receive a message underscoring the risk of vision loss from poorly controlled DM, stressing that excellent compliance with visits and medications nearly completely eliminates this risk, and the participant will receive a free pair of reading glasses on first appointment.
干预措施: Free eye glasses (Other)
结局指标
主要结局
Proportion of patients completing their diabetes or DR exam within 3 weeks of the scheduled date.
时间窗: 3 weeks following scheduled exam date
次要结局
- Cost-effectiveness, measured as total intervention cost per additional patient adherence with the suggested exam.(Enrollment to 3 weeks following suggested exam date)