Collaborative Care Model on Type 2 Diabetic Patients

National University of Singapore

Status: Completed

Conditions: Type2 Diabetes

Treatments: Behavioral: collaborative care

Study type: Interventional

Funder types: Other

Identifiers

NCT03553862

2017/01191

Details and patient eligibility

About

The purpose of this study is to determine the effectiveness of the collaborative care model in Singapore in which clinical pharmacists, nurses and dietitians are active participants who collaborate with physicians in caring for patients with Type 2 diabetes mellitus (DM).Since DM is a cardiovascular risk equivalent, co-morbidities such as hypertension (HTN) and dyslipidaemia (DLP) will also be evaluated to assess the holistic care provided for the investigator's patients afflicted with these top chronic diseases in Singapore.

Full description

Specifically, this study aims to evaluate the effectiveness of an integrated collaborative care model comprising of a healthcare team (physician, clinical pharmacist, nurse, and/or dietitian) compared to the usual or conventional healthcare model (physician-centered care) mainly in the clinical, humanistic and economic outcomes.

Enrollment: 255 patients

Sex: All

Ages: 21+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients aged ≥ 21 years with Type 2 DM (HbA1c > 7%) and polypharmacy (≥ 5 medications) will be eligible for this study.

Exclusion criteria

• Patients with Type 1 DM or who are unable to communicate independently in English, Chinese or Malay will be excluded from this study.

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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255 participants in 2 patient groups

Control

No Intervention group

Description:

Patients randomly assigned to the control arm will receive the usual or conventional care not interfered by the study team.

Intervention

Experimental group

Description:

The intervention arm will receive collaborative care from a team of healthcare professionals that consists of pharmacist, physicians, nurses and dietitians. Patients in the intervention group will also receive clinical interventions carried out by the pharmacist.

Treatment:

Behavioral: collaborative care