Precision Health Care Program on HbA1c and Diabetes Self-management


INA-EXARW07
15-11-2023
15-06-2023
No
Effectiveness of Precision Health Care Program on HbA1c and Diabetes Self-management in Indonesia: A Randomized Controlled Trial
Precision Health Care Program on HbA1c and Diabetes Self-management
 
Universitas Muhammadiyah Semarang
Funding
 
Satriya Pranata
Semarang
Indonesia
Universitas Muhammadiyah Semarang
satriya.pranata@unimus.ac.id
Satriya Pranata
Kedungmundu street
Semarang
Indonesia
50273
Universitas Muhammadiyah Semarang
satriya.pranata@unimus.ac.id
085333775366
Yunie Armiyati
Kedungmundu street
Semarang
Indonesia
50273
Universitas Muhammadiyah Semarang
satriya.pranata@unimus.ac.id
 
0073/KEPK/XII/2021
HEALTH RESEARCH ETHICS COMMISSION FAKULTAS ILMU KEPERAWATAN DAN KESEHATAN UNIVERSITAS MUHAMMADIYAH SEMARANG FACULTY OF NURSING AND HEALTH SCIENCES UNIVERSITAS MUHAMMADIYAH SEMARANG
26-12-2020
Universitas Muhammadiyah Semarang
Not applicable
 
Indonesia
Sumbawa, West Nusa Tenggara
Initial
07-01-2021
00163 -
163
 
diabetes
Prevention
Interventional
Clinical trial
Phase 3
Randomized allocation
Diabetes patients who attended and registered at the designated primary healthcare centers on Sumbawa Island were included in the study. In this investigation, simple randomization with computed random numbers was performed. Following randomization by researchers, each respondent received a unique informed consent. The intervention group was given informed consent to introduce tailored care, while the control group was given traditional health education informed consent. Figure 1 shows the recruitment process for this randomized control trial.
Yes (blinded), who is masked
In this study, the strategies of tailored care for diabetes were divided into 7 steps: (1) Brief deducting teaching; (2) Assessment for self-management level; (3) Brainstorming among patients to share their difficulty on glycaemic target and specific target behaviour; (4) Making a list of patients’ needs then ranking the priorities; (5) Setting a goal and writing action; (6) Follow-up; and (7) Report of goals attempt. Following a brief deducting teaching, two research assistants were involved in delivering the support group and brainstorming. Table 1 shows the specifics tailored care strategies.
Routine blood sugar monitoring, blood pressure tests, and monthly health counselling were standard services provided by primary health care facilities for each group Information regarding health education was provided through leaflets and posters by standard operating procedures from the primary health care centers in Sumbawa Island, Indonesia, where this study took place.
Single arm
 
Not specified
older than 20
older than 20
Patients with diabetes who were checked from their medical records, being older than 20 at the time of recruitment, identifying as Indonesian ethnic group, willing to trial participation, having a mobile device, and setting up residence with family were all required for inclusion in the study.
Patients with ischemic heart disease, transient ischemic attack (TIA), peripheral vascular disease, or persistent mental health concerns were barred from participating.
 
This study aimed to assess how effectively a tailored care intervention program affected HbA1c and diabetes self-management among diabetes patients in Sumbawa Island, Indonesia.
HbA1c and the diabetes self-Management were measured twice: at M1 (baseline, before to the intervention), and M2 (3 months from commencement of the intervention). The HbA1c laboratory test and the Diabetes Self-Management Questionnaire (DSMQ) were the tools utilized to collect the data.
three months