Development, Implementation and Evaluation of a Complex Regional Intervention for Type 2 Diabetes: Diabetes Project Aalst (DPA)

Universiteit Antwerpen

Status: Unknown

Conditions: Diabetes Type 2

Treatments: Other: Complex regional intervention

Study type: Interventional

Funder types: Other

Identifiers

NCT00824499

A0456

Details and patient eligibility

About

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.

Full description

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).

Enrollment: 375 patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

• All type 2 diabetes patients living in the defined intervention region
• All caregivers involved in type 2 diabetes care in the defined intervention region

Exclusion criteria

• None

Trial design

375 participants in 2 patient groups

DPA

Experimental group

Description:

Regional complex intervention based on the Chronic Care Model

Treatment:

Other: Complex regional intervention

VR

No Intervention group