Couple-based collaborative management model of type 2 diabetes mellitus for community-dwelling older adults in China: protocol for a hybrid type 1 randomized controlled trial

Abstract Background China’s limited health care resources cannot meet the needs of chronic disease treatment and management of its rapid growing ageing population. The improvement and maintenance of patient’s self-management is essential to disease management. Given disease management mainly occurs...

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Main Authors: Jing Liao, Xueji Wu, Caixuan Wang, Xiaochun Xiao, Yiyuan Cai, Min Wu, Yuyang Liu, Xiongfei Chen, Shaolong Wu, Yung Jen Yang, Dong (Roman) Xu
Format: Article
Language:English
Published: BMC 2020-03-01
Series:BMC Geriatrics
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12877-020-01528-5
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spelling doaj-b142ba6f78bf45d7adf8037542ceb1272020-11-25T03:35:20ZengBMCBMC Geriatrics1471-23182020-03-0120111110.1186/s12877-020-01528-5Couple-based collaborative management model of type 2 diabetes mellitus for community-dwelling older adults in China: protocol for a hybrid type 1 randomized controlled trialJing Liao0Xueji Wu1Caixuan Wang2Xiaochun Xiao3Yiyuan Cai4Min Wu5Yuyang Liu6Xiongfei Chen7Shaolong Wu8Yung Jen Yang9Dong (Roman) Xu10Department of Medical Statistics & Epidemiology, School of Public Health, Sun Yat-sen UniversityDivision of Primary Health Care, Guangzhou Center for Disease Control and PreventionDepartment of Medical Statistics & Epidemiology, School of Public Health, Sun Yat-sen UniversitySchool of Nursing, Sun Yat-sen UniversityDepartment of Medical Statistics & Epidemiology, School of Public Health, Sun Yat-sen UniversityDepartment of Medical Statistics & Epidemiology, School of Public Health, Sun Yat-sen UniversityDepartment of Medical Statistics & Epidemiology, School of Public Health, Sun Yat-sen UniversityDivision of Primary Health Care, Guangzhou Center for Disease Control and PreventionDepartment of Health Policy and Management, School of Public Health, Sun Yat-sen UniversityTaiwanese Society of Geriatric PsychiatrySun Yat-sen Global Health Institute, School of Public Health and Institute of State Governance, Sun Yat-sen UniversityAbstract Background China’s limited health care resources cannot meet the needs of chronic disease treatment and management of its rapid growing ageing population. The improvement and maintenance of patient’s self-management is essential to disease management. Given disease management mainly occurs in the context of family, this study proposes to validate a Couple-based Collaborative Management Model of chronic diseases that integrates health professionals and family supporters; such as to empower the couples with disease management knowledge and skills, and to improve the couples’ health and quality of life. Methods The proposed study will validate a couple-based collaborative management model of Type 2 Diabetes Mellitus (T2DM) in a community-based multicenter, two-arm, randomized controlled trial of block design in Guangzhou, China. Specifically, 194 T2DM patients aged ≥55 and their partners recruited from community health care centers will be randomized at the patient level for each center at a 1:1 ratio into the couple-based intervention arm and the individual-based control arm. For the intervention arm, both the patients and their spouses will receive four-weekly structured group education & training sessions and 2 months of weekly tailored behavior change boosters; while these interventions will be only provided to the patients in the control group. Behavior change incentives will be targeted at the couples or only at the patient respectively. Treatment effects on patients’ hemoglobin, spouses’ quality of life, alongside couples’ behavior outcomes will be compared between arms. Study implementation will be evaluated considering its Reach, Effectiveness, Adoption, Implementation and Maintenance following the RE-AIM framework. Discussion This study will generate a model of effective collaboration between community health professionals and patients’ family, which will shield light on chronic disease management strategy for the increasing ageing population. Trial registration Chinese Clinical Trial Registry, ChiCTR1900027137 , Registered 1st Nov. 2019http://link.springer.com/article/10.1186/s12877-020-01528-5Couple-based interventionSocial supportType 2 diabetesSelf-managementHealth behavior
collection DOAJ
language English
format Article
sources DOAJ
author Jing Liao
Xueji Wu
Caixuan Wang
Xiaochun Xiao
Yiyuan Cai
Min Wu
Yuyang Liu
Xiongfei Chen
Shaolong Wu
Yung Jen Yang
Dong (Roman) Xu
spellingShingle Jing Liao
Xueji Wu
Caixuan Wang
Xiaochun Xiao
Yiyuan Cai
Min Wu
Yuyang Liu
Xiongfei Chen
Shaolong Wu
Yung Jen Yang
Dong (Roman) Xu
Couple-based collaborative management model of type 2 diabetes mellitus for community-dwelling older adults in China: protocol for a hybrid type 1 randomized controlled trial
BMC Geriatrics
Couple-based intervention
Social support
Type 2 diabetes
Self-management
Health behavior
author_facet Jing Liao
Xueji Wu
Caixuan Wang
Xiaochun Xiao
Yiyuan Cai
Min Wu
Yuyang Liu
Xiongfei Chen
Shaolong Wu
Yung Jen Yang
Dong (Roman) Xu
author_sort Jing Liao
title Couple-based collaborative management model of type 2 diabetes mellitus for community-dwelling older adults in China: protocol for a hybrid type 1 randomized controlled trial
title_short Couple-based collaborative management model of type 2 diabetes mellitus for community-dwelling older adults in China: protocol for a hybrid type 1 randomized controlled trial
title_full Couple-based collaborative management model of type 2 diabetes mellitus for community-dwelling older adults in China: protocol for a hybrid type 1 randomized controlled trial
title_fullStr Couple-based collaborative management model of type 2 diabetes mellitus for community-dwelling older adults in China: protocol for a hybrid type 1 randomized controlled trial
title_full_unstemmed Couple-based collaborative management model of type 2 diabetes mellitus for community-dwelling older adults in China: protocol for a hybrid type 1 randomized controlled trial
title_sort couple-based collaborative management model of type 2 diabetes mellitus for community-dwelling older adults in china: protocol for a hybrid type 1 randomized controlled trial
publisher BMC
series BMC Geriatrics
issn 1471-2318
publishDate 2020-03-01
description Abstract Background China’s limited health care resources cannot meet the needs of chronic disease treatment and management of its rapid growing ageing population. The improvement and maintenance of patient’s self-management is essential to disease management. Given disease management mainly occurs in the context of family, this study proposes to validate a Couple-based Collaborative Management Model of chronic diseases that integrates health professionals and family supporters; such as to empower the couples with disease management knowledge and skills, and to improve the couples’ health and quality of life. Methods The proposed study will validate a couple-based collaborative management model of Type 2 Diabetes Mellitus (T2DM) in a community-based multicenter, two-arm, randomized controlled trial of block design in Guangzhou, China. Specifically, 194 T2DM patients aged ≥55 and their partners recruited from community health care centers will be randomized at the patient level for each center at a 1:1 ratio into the couple-based intervention arm and the individual-based control arm. For the intervention arm, both the patients and their spouses will receive four-weekly structured group education & training sessions and 2 months of weekly tailored behavior change boosters; while these interventions will be only provided to the patients in the control group. Behavior change incentives will be targeted at the couples or only at the patient respectively. Treatment effects on patients’ hemoglobin, spouses’ quality of life, alongside couples’ behavior outcomes will be compared between arms. Study implementation will be evaluated considering its Reach, Effectiveness, Adoption, Implementation and Maintenance following the RE-AIM framework. Discussion This study will generate a model of effective collaboration between community health professionals and patients’ family, which will shield light on chronic disease management strategy for the increasing ageing population. Trial registration Chinese Clinical Trial Registry, ChiCTR1900027137 , Registered 1st Nov. 2019
topic Couple-based intervention
Social support
Type 2 diabetes
Self-management
Health behavior
url http://link.springer.com/article/10.1186/s12877-020-01528-5
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