The Application of the E-health Education on Shared Care Program for Patients With Type 2 Diabetes

NCT ID: NCT03061266

Last Updated: 2017-02-23

Study Results

Results pending

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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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

110 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-03-09

Study Completion Date

2017-03-08

Brief Summary

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This study will be a randomized controlled trial aimed at examining the effectiveness of the in e-health education on shared care program for patients with type 2 diabetes mellitus (T2DM). The experiment will be conducted over 1 year at a regional hospital in Taiwan. The research subjects will be excluded 160 patients with T2DM. Subjects assigned to an experimental group will receive the integrated care program, whereas those assigned to a control group will receive routine care. The membership of e-health education on shared care program is established by different type's professionals including diabetes physicians, pharmacists, dietitians and diabetes health teacher. Glycated hemoglobin (HbA1c) of subjects in both groups will be measured at three time points including 1 month before the experiment, and 2 and 5 months after the experiment. The self-management conditions and quality of life of the subjects will be also recorded using relevant scales.

Detailed Description

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This study will be a randomized controlled trial aimed at examining the effectiveness of the in e-health education on shared care program for patients with type 2 diabetes mellitus (T2DM). The experiment will be conducted over 1 year at a regional hospital in Taiwan. The research subjects will be excluded 160 patients with T2DM. Subjects assigned to an experimental group will receive the integrated care program, whereas those assigned to a control group will receive routine care. The membership of e-health education on shared care program is established by different type's professionals including diabetes physicians, pharmacists, dietitians and diabetes health teacher. Glycated hemoglobin (HbA1c) of subjects in both groups will be measured at three time points including 1 month before the experiment, and 2 and 5 months after the experiment. The self-management conditions and quality of life of the subjects will be also recorded using relevant scales. SPSS+ 22.0 statistics software will be used for a statistical analysis, which will be presented in percentages, means, and standard deviations. Additionally, the chi-square test will be also to examine the homogeneity of both groups. Generalized estimating equations will be used to analyze repeated measurements in order to compare the efficacy of improving HbA1c, self-management, and quality of life. We anticipate that the results of this study will provide the e-health education on shared care program to clinical nursing staff to assist patients with T2DM in controlling their blood sugar as well as to improve their self-management and quality of life.

Conditions

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Type 2 Diabetes Mellitus

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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E-health education group

E-health education group will be received the shared care program using e-health education.

Group Type EXPERIMENTAL

E-health Education

Intervention Type BEHAVIORAL

E-health education on shared care program will be established by different type's professionals including diabetes physicians, pharmacists, dietitians and diabetes health teacher.

Routine care

Control group will be received the shared care program as advised by clinical professionals, which included medications, dietary control and general physical activities.

Group Type OTHER

Routine care

Intervention Type OTHER

Routine care on shared care program as advised by clinical professionals, which included medications, dietary control and general physical activities.

Interventions

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E-health Education

E-health education on shared care program will be established by different type's professionals including diabetes physicians, pharmacists, dietitians and diabetes health teacher.

Intervention Type BEHAVIORAL

Routine care

Routine care on shared care program as advised by clinical professionals, which included medications, dietary control and general physical activities.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* participation with type 2 diabetes mellitus received oral medication.

Exclusion Criteria

* Studies were excluded from this study if participation had recently undergone serious operations, had a myocardial infarction, stroke, severe liver or kidney diseases, received injection medication,or any illness limiting participation in a physical activity program.
Minimum Eligible Age

20 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Li-Li Chen

OTHER

Sponsor Role lead

Responsible Party

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Li-Li Chen

Principal Investigator

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Chen Li-Li, PhD

Role: STUDY_DIRECTOR

China Medical University, Taichung, Taiwan

Pai Lee-Wen, PhD

Role: PRINCIPAL_INVESTIGATOR

Department of Nursing, Central Taiwan University of Science and Technology, Taichung, Taiwan

Locations

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Puli Christian Hospital

Nantou City, , Taiwan

Site Status RECRUITING

Countries

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Taiwan

Central Contacts

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Chen Li-Li, PhD

Role: CONTACT

+886-955741362

Pai Lee-Wen, PhD

Role: CONTACT

+886-955741362

Facility Contacts

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Chen Mei-Chih

Role: primary

+886--49291-2151

References

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Frederick V, Matilda SA, Margaret AK, Seth A. Population-based study of diabetic mellitus prevalence and its associated factors in adult Ghanaians in the greater Accra region. International Journal of Diabetes in Developing Countries. 2011; 31:149-53.

Reference Type BACKGROUND

Lin CC, Li CI, Hsiao CY, Liu CS, Yang SY, Lee CC, Li TC. Time trend analysis of the prevalence and incidence of diagnosed type 2 diabetes among adults in Taiwan from 2000 to 2007: a population-based study. BMC Public Health. 2013 Apr 9;13:318. doi: 10.1186/1471-2458-13-318.

Reference Type BACKGROUND
PMID: 23570503 (View on PubMed)

Shen FC, Chen CY, Su SC, Liu RT. The Prevalence and Risk Factors of Diabetic Nephropathy in Taiwanese Type 2 Diabetes-A Hospital-Based Study. Acta Nephrologica. 2009; 23:90-95.

Reference Type BACKGROUND

World Health Organization. National Diabetes Fact Sheet 2015. 2015. Available at http://www.who.int/mediacentre/factsheets/fs312/en/index.html. Last accessed 4 May 2015.

Reference Type BACKGROUND

American Diabetes Association. Standards of medical care in diabetes--2013. Diabetes Care. 2013 Jan;36 Suppl 1(Suppl 1):S11-66. doi: 10.2337/dc13-S011. No abstract available.

Reference Type RESULT
PMID: 23264422 (View on PubMed)

Beard E, Clark M, Hurel S, Cooke D. Do people with diabetes understand their clinical marker of long-term glycemic control (HbA1c levels) and does this predict diabetes self-care behaviours and HbA1c? Patient Educ Couns. 2010 Aug;80(2):227-32. doi: 10.1016/j.pec.2009.11.008. Epub 2009 Dec 24.

Reference Type RESULT
PMID: 20036098 (View on PubMed)

Bhatti S A, Khan A H, Yaqoob N. Glycated hemoglobin(HbA1c);screening for undiagnosed diasetes in healthy individuals in Sargodha. The Professional Medical Journal.2015; 22(2):208-214.

Reference Type RESULT

Cheung NW, Yue DK, Kotowicz MA, Jones PA, Flack JR. A comparison of diabetes clinics with different emphasis on routine care, complications assessment and shared care. Diabet Med. 2008 Aug;25(8):974-8. doi: 10.1111/j.1464-5491.2008.02522.x.

Reference Type RESULT
PMID: 18959612 (View on PubMed)

Breen GM, Zhang NJ. Introducing ehealth to nursing homes: theoretical analysis of improving resident care. J Med Syst. 2008 Apr;32(2):187-92. doi: 10.1007/s10916-007-9121-9.

Reference Type RESULT
PMID: 18461822 (View on PubMed)

Chiou ST, Lin HD, Yu NC, Hseuh HK, Lin LH, Lin LT, Chen TJ, Lai MS. An initial assessment of the feasibility and effectiveness of implementing diabetes shared care system in Taiwan--some experiences from I-Lan County. Diabetes Res Clin Pract. 2001 Nov;54 Suppl 1:S67-73. doi: 10.1016/s0168-8227(01)00311-4.

Reference Type RESULT
PMID: 11580971 (View on PubMed)

Graffigna G, Barello S, Bonanomi A, Menichetti J. The Motivating Function of Healthcare Professional in eHealth and mHealth Interventions for Type 2 Diabetes Patients and the Mediating Role of Patient Engagement. J Diabetes Res. 2016;2016:2974521. doi: 10.1155/2016/2974521. Epub 2016 Jan 5.

Reference Type RESULT
PMID: 26881243 (View on PubMed)

Pacaud D., Kelley H, Downey A , Chiasson M. Successful Delivery of Diabetes Self-Care Education and Follow-Up through eHealth Media. Canadian Journal of Diabetes 2012; 36(5): 257-262.

Reference Type RESULT

Sacks DB, Arnold M, Bakris GL, Bruns DE, Horvath AR, Kirkman MS, Lernmark A, Metzger BE, Nathan DM; National Academy of Clinical Biochemistry. Position statement executive summary: guidelines and recommendations for laboratory analysis in the diagnosis and management of diabetes mellitus. Diabetes Care. 2011 Jun;34(6):1419-23. doi: 10.2337/dc11-9997.

Reference Type RESULT
PMID: 21617111 (View on PubMed)

Other Identifiers

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CMUH105-REC2-013

Identifier Type: -

Identifier Source: org_study_id

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