Diabetes Type 2 Clinical Trial
Official title:
Development, Implementation and Evaluation of a Complex Regional Intervention for Type 2 Diabetes.
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.
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).
;
Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Health Services Research
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