Effects of Using Decision Cycle for Person-Centered Glycemic Management in Type 2 Diabetes

National Taiwan University Hospital130 enrolled

Overview

Decision cycle for person-centered glycemic management is a new diabetes decision making .It is defined as a purposefully designed holistic care intervention .The goal is to improve the self-care behavior of patients with type 2 diabetes, thereby improving glycated hemoglobin levels and delaying the occurrence of complications.

The "Decision Cycle for Person-Centered Glycemic management" jointly proposed by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD) in 2018 , which develops treatment goals and plans based on the patient's personal preferences, values, and goals. Participants will be divided into two groups(treatment group 、control group).Treatment group will accept the "Decision Cycle for Person-Centered Glycemic Management " .It is a person-centered diabetes decision making. Control group will accept the traditional diabetes self-management education. It content focuses more on teaching relevant knowledge and some skills.It is a educator-centered approach. Baseline / pre-intervention test (after signing informed consent form) post-intervention test (after finishing intervention) Researchers will compare treatment group and control group to see if treatment group has better performance on self-care Behaviors and glycated hemoglobin levels .

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

OTHER

Masking

SINGLE

Enrollment

130

Conditions

Type 2 Diabetes

Interventions

Decision Cycle for Person-Centered Glycemic ManagementBEHAVIORAL

It is defined as a purposefully designed holistic care intervention that improve self-management .

Traditional diabetes self-management educationOTHER

Traditional diabetes self-management education content focuses more on teaching relevant knowledge and some skills.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Patients diagnosed with type 2 diabetes by a physician. 2. Age: 18 years or above. 3. Glycated hemoglobin (HbA1c ) test value: 7.5-9.0 % 4. No diabetic oral medications, insulin and glucagon-like peptide-1 were replaced in the outpatient when the case was admitted. 5. No pregnancy during the study period. 6. After the researcher explains the purpose of the research, the research subjects agree to join this researcher. 7. Those who are conscious and able to take care of themselves. 8. There is no diagnostic certificate from the American Psychiatric Association's Diagnostic Manual of Mental Disorders, Fourth Edition (DSM-IV)of all mental illnesses. 9. Those who can communicate in Mandarin and Taiwanese. Exclusion Criteria: 1. Patients diagnosed with type 1 diabetes by a physician. 2. Age: Under 18 years old. 3. Glycated hemoglobin test value: less than 7.5 % and greater than 9.0 % 4. Those who replaced oral diabetes medications, insulin and glucagon-like peptide- 1 at the outpatient at the time of admission. 5. Pregnancy during the study period. 6. Those who are unable to take care of themselves and express themselves.

Locations (1)

National Taiwan University Hospital

Hsinchu, Taiwan

RECRUITING

Outcomes

Primary Outcomes

glycemic control (HbA1c)

The HbA1c level is a marker of the average blood glucose levels over a period of the last 2-3 months.

Time frame: Before the task and 3 months post intervention

Secondary Outcomes

Diabetes Self-Care Behavior Scale

It is contains 20 likert-scaled (1-5) items, it assessed the frequency with which patients performed the diabetes self-care behaviors, including how often took diabetes medications, exercise, blood glucose monitor, diet . A higher score indicates greater self care behavior .

Time frame: Before the task and 3 months post intervention

Central Contacts

Chia-Hui Tsai

CONTACT

886926124093 mtsai0322@gmail.com

Kang-Chih Fan

CONTACT

886972654308 ntuhendocrine@gmail.com

Data from ClinicalTrials.gov

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