Scaling Up Non-Communicable Diseases Interventions in South East Asia
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 16,850
- 试验地点
- 1
- 主要终点
- Adherence to follow-up advice
研究概览
简要总结
The SUNI-SEA study is an intervention study that measures effectiveness and cost-effectiveness of prevention and early diagnosis of diabetes and cardiovascular diseases in communities and primary healthcare (PHC) facilities in Indonesia, Myanmar and Vietnam.
详细描述
The study takes place in Vietnam and Indonesia in Intergenerational Self-Help Clubs (ISHGs), where community members assemble for activities concerning social, economical improvement and health and well-being. Volunteers in these ISHGs are trained in performing screening for diabetes and cardiovascular diseases and counselling participants concerning healthy living, or referral to primary healthcare facilities, if needed. At PHC level further diagnosis and if needed treatment is provided and referral back to ISHGs is done for lifestyle interventions.
In Indonesia screening takes place in the Posbindu programme, where trained volunteers (cadres) screen and counsel participants. If needed referral to Puskesmas (primary healthcare facilities is done, where further diagnosis and treatment takes place. Activities for health promotion and lifestyle interventions take place under supervision of the Posbindu programme.
In Myanmar and Indonesia individual monitoring and health education of participants is done through mobile applications.
Measuring of uptake, follow-up and adherence to interventions is done through routine data collection, through surveys, and through semi-structured interviews and focus group discussions.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Screening
- 盲法
- None
入排标准
- 年龄范围
- 21 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •All adults living in geographical area where research takes place
排除标准
- •Persons who are not able to come to location of screening, due to illness or other chronic condition causing immobility.
结局指标
主要结局
Adherence to follow-up advice
时间窗: 12 months from counselling and advice to individual until measuring adherence to follow-up that has been recommended
Percentage of participants in screening who follow up on recommendations given during screening (referral, lifestyle change)
Uptake of health education (health promotion, awareness of risk factors)
时间窗: 12 year between first health education session and measuring uptake (based on participants' lists)
Percentage of adults above 21 years in communities participating in one or more health education sessions offered
Uptake of NCD screening offered in communities
时间窗: 18 months from offering screening options in communities until measuring uptake
Number of adults eligible for NCD screening in communities who participate in screening
次要结局
- Unit costs of screening, prevention and early diagnosis of NCDs per Quality Adjusted Life Year gained(18 months between starting calculation of costs of interventions and assessment of final assessment of benefits)
- Cost-effectiveness of NCD interventions(18 months between baseline survey and endline survey)