Development, Implementation and Evaluation of a Complex Regional Intervention for Type 2 Diabetes: Diabetes Project Aalst
NCT ID: NCT00824499
Last Updated: 2009-01-16
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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UNKNOWN
NA
375 participants
INTERVENTIONAL
2004-02-29
2009-06-30
Brief Summary
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Detailed Description
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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).
Conditions
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Study Design
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PARALLEL
HEALTH_SERVICES_RESEARCH
NONE
Study Groups
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DPA
Regional complex intervention based on the Chronic Care Model
Complex regional intervention
Components of the complex intervention:
* Introduction of a program coordinator
* Introduction of a self-management education program
* Bottom up development of a interdisciplinary care protocol
* Support program for the intiation of insulin therapy in primary care
* Regional audit
VR
No interventions assigned to this group
Interventions
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Complex regional intervention
Components of the complex intervention:
* Introduction of a program coordinator
* Introduction of a self-management education program
* Bottom up development of a interdisciplinary care protocol
* Support program for the intiation of insulin therapy in primary care
* Regional audit
Eligibility Criteria
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Inclusion Criteria
* All caregivers involved in type 2 diabetes care in the defined intervention region
Exclusion Criteria
ALL
No
Sponsors
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Belgian National Health Insurance Organisation (RIZIV)
UNKNOWN
University Ghent
OTHER
Universiteit Antwerpen
OTHER
Responsible Party
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Department of General Practice, University of Antwerp
Principal Investigators
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Paul Van Royen, Prof. Ph.D. M.D.
Role: STUDY_DIRECTOR
Universiteit Antwerpen
Jan De Maeseneer, Prof. Ph.D. M.D.
Role: STUDY_DIRECTOR
University Ghent
References
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Sunaert P, Willems S, Feyen L, Bastiaens H, De Maeseneer J, Jenkins L, Nobels F, Samyn E, Vandekerckhove M, Wens J, De Sutter A. Engaging GPs in insulin therapy initiation: a qualitative study evaluating a support program in the Belgian context. BMC Fam Pract. 2014 Aug 21;15:144. doi: 10.1186/1471-2296-15-144.
Sunaert P, Bastiaens H, Nobels F, Feyen L, Verbeke G, Vermeire E, De Maeseneer J, Willems S, De Sutter A. Effectiveness of the introduction of a Chronic Care Model-based program for type 2 diabetes in Belgium. BMC Health Serv Res. 2010 Jul 14;10:207. doi: 10.1186/1472-6963-10-207.
Sunaert P, Bastiaens H, Feyen L, Snauwaert B, Nobels F, Wens J, Vermeire E, Van Royen P, De Maeseneer J, De Sutter A, Willems S. Implementation of a program for type 2 diabetes based on the Chronic Care Model in a hospital-centered health care system: "the Belgian experience". BMC Health Serv Res. 2009 Aug 23;9:152. doi: 10.1186/1472-6963-9-152.
Other Identifiers
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A0456
Identifier Type: -
Identifier Source: org_study_id
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