دورية أكاديمية
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: | Davies, Melanie J, Kristunas, Caroline A, Alshreef, Abualbishr, Dixon, Simon, Eborall, Helen, Glab, Agnieszka, Huddlestone, Lisa, Hudson, Nicky, Khunti, Kamlesh, Martin, Graham, Northern, Alison, Patterson, Mike, Pritchard, Rebecca, Schreder, Sally, Stribling, Bernie, Turner, Jessica, Gray, Laura J |
| بيانات النشر: | Springer Science and Business Media LLC //dx.doi.org/10.1186/s12875-019-1038-0 BMC Fam Pract |
| سنة النشر: | 2019 |
| المجموعة: | Apollo - University of Cambridge Repository |
| مصطلحات موضوعية: | Cluster randomised trial, Diabetes education, Diabetes self-management, Randomised controlled trial, Self-management, Structured education, Type 2 diabetes, Wait-list, Adult, Anthropology, Cultural, Cost-Benefit Analysis, Diabetes Mellitus, Type 2, Female, Glycated Hemoglobin, Humans, Interviews as Topic, Male, Patient Education as Topic, Primary Health Care |
| 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 ... |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | Electronic; application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| اللغة: | English |
| العلاقة: | https://www.repository.cam.ac.uk/handle/1810/298243Test |
| DOI: | 10.17863/CAM.45297 |
| الإتاحة: | https://doi.org/10.17863/CAM.45297Test https://www.repository.cam.ac.uk/handle/1810/298243Test |
| حقوق: | All rights reserved |
| رقم الانضمام: | edsbas.26206082 |
| قاعدة البيانات: | BASE |
| DOI: | 10.17863/CAM.45297 |
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