The impact of an intervention to increase uptake to structured self-management education for people with type 2 diabetes mellitus in primary care (the embedding package), compared to usual care, on glycaemic control: study protocol for a mixed methods study incorporating a wait-list cluster randomised controlled trial
| العنوان: | The impact of an intervention to increase uptake to structured self-management education for people with type 2 diabetes mellitus in primary care (the embedding package), compared to usual care, on glycaemic control: study protocol for a mixed methods study incorporating a wait-list cluster randomised controlled trial |
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| المؤلفون: | Graham Martin, Bernie Stribling, Mike Patterson, Nicky Hudson, Abualbishr Alshreef, Laura J. Gray, Lisa Huddlestone, Simon Dixon, Caroline A. Kristunas, Jessica Turner, Helen Eborall, Agnieszka Glab, Sally Schreder, Alison Northern, Kamlesh Khunti, Melanie J. Davies, Rebecca Pritchard |
| المساهمون: | Gray, Laura J. [0000-0002-9284-9321], Apollo - University of Cambridge Repository, Davies, Melanie J [0000-0002-9987-9371], Alshreef, Abualbishr [0000-0003-2737-1365], Gray, Laura J [0000-0002-9284-9321] |
| المصدر: | BMC Family Practice BMC Family Practice, Vol 20, Iss 1, Pp 1-15 (2019) |
| بيانات النشر: | Springer Science and Business Media LLC, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Diabetes self-management, Adult, Male, Service organization, utilization, and delivery of care, Diabetes education, Referral, Cost-Benefit Analysis, 030209 endocrinology & metabolism, law.invention, Interviews as Topic, Study Protocol, 03 medical and health sciences, 0302 clinical medicine, Patient Education as Topic, Randomized controlled trial, Nursing, law, Intervention (counseling), Humans, Medicine, 030212 general & internal medicine, Cluster randomised controlled trial, Anthropology, Cultural, Randomised controlled trial, Glycated Hemoglobin, lcsh:R5-920, Self management, Self-management, Primary Health Care, business.industry, Self-Management, Attendance, Type 2 diabetes, Type 2 Diabetes, Cluster randomised trial, Structured education, Diabetes self management, Diabetes Mellitus, Type 2, Wait-list, Female, Observational study, lcsh:Medicine (General), Family Practice, business, Wait list, Psychosocial |
| الوصف: | Background Approximately 425 million people globally have diabetes, with ~ 90% of these having Type 2 Diabetes Mellitus (T2DM). This is a condition that leads to a poor quality of life and increased risk of serious health complications. Structured self-management education (SSME) has been shown to be effective in improving glycaemic control and patient related outcome measures and to be cost-effective. However, despite the demonstrated benefits, attendance at SSME remains low. An intervention has been developed to embed SSME called the ‘Embedding Package’. The intervention aims to address barriers and enhance enablers to uptake of SSME at patient, healthcare professional and organisational levels. It comprises a marketing strategy, user friendly and effective referral pathways, new roles to champion SSME and a toolkit of resources. Methods A mixed methods study incorporating a wait-list cluster randomised trial and ethnographic study, including 66 UK general practices, will be conducted with two intervention start times (at 0 and 9 months), each followed by an active delivery phase. At 18 months, the intervention will cease to be actively delivered and a 12 month observational follow-up phase will begin. The intervention, the Embedding Package, aims to increase SSME uptake and subsequent improvements in health outcomes, through a clear marketing strategy, user friendly and effective referral pathways, a local clinical champion and an ‘Embedder’ and a toolkit of resources for patients, healthcare professionals and other key stakeholders. The primary aim is, through increasing uptake to and attendance at SSME, to reduce HbA1c in people with T2DM compared with usual care. Secondary objectives include: assessing whether there is an increase in referral to and uptake of SSME and improvements in biomedical and psychosocial outcomes; an assessment of the sustainability of the Embedding Package; contextualising the process of implementation, sustainability of change and the ‘fit’ of the Embedding Package; and an assessment of the cost-effectiveness of the Embedding Package. Discussion This study will assess the effectiveness, cost-effectiveness and sustainability of the Embedding Package, an intervention which aims to improve biomedical and psychosocial outcomes of people with T2DM, through increased referral to and uptake of SSME. Trial registration International Standard Randomised Controlled Trials Number ISRCTN23474120. Assigned 05/04/2018. The study was prospectively registered. On submission of this manuscript practice recruitment is complete, participant recruitment is ongoing and expected to be completed by the end of 2019. |
| وصف الملف: | application/pdf; text/xml; application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| تدمد: | 1471-2296 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::9cf9dbb12bf863354dcacd48b1e6781aTest https://doi.org/10.1186/s12875-019-1038-0Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....9cf9dbb12bf863354dcacd48b1e6781a |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14712296 |
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