Effectiveness of the EMPOWER-PAR Intervention in Improving Clinical Outcomes of Type 2 Diabetes Mellitus in Primary Care: A Pragmatic Cluster Randomised Controlled Trial
| Autor: | Chun W. Chan, Jamaiyah Haniff, Thuhairah Hasrah Abdul Rahman, Seng Fah Tong, Hasidah Abdul-Hamid, Kien Keat Ng, Suraya Abdul-Razak, Asrul Akmal Shafie, Wilson H H Low, Anis Safura Ramli, Nafiza Mat-Nasir, Maryam Hannah Daud, Mohamad Adam Bujang, Tg Mohd Ikhwan Tg-Abu-Bakar-Sidik, Boon How Chew, Sharmila Lakshmanan, Mastura Ismail, Verna Kar Mun Lee, Farnaza Ariffin, Sharmini Selvarajah, Yasin Mazapuspavina, Abdul Rahman Yong-Rafidah |
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| Jazyk: | angličtina |
| Předmět: |
Male
medicine.medical_specialty Multifaceted intervention Family medicine Blood Pressure Type 2 diabetes 030204 cardiovascular system & hematology Body Mass Index law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial Ambulatory care law Clinical outcomes Type 2 diabetes mellitus Health care medicine Humans Chronic disease management 030212 general & internal medicine Cluster randomised controlled trial Glycated Hemoglobin Chronic care Intention-to-treat analysis Primary Health Care business.industry Malaysia Chronic care model Type 2 Diabetes Mellitus Middle Aged Models Theoretical Primary care medicine.disease Lipids Diabetes Mellitus Type 2 Chronic Disease Physical therapy Female Waist Circumference business Family Practice Research Article |
| Zdroj: | BMC Family Practice |
| ISSN: | 1471-2296 |
| DOI: | 10.1186/s12875-016-0557-1 |
| Popis: | Background The chronic care model was proven effective in improving clinical outcomes of diabetes in developed countries. However, evidence in developing countries is scarce. The objective of this study was to evaluate the effectiveness of EMPOWER-PAR intervention (based on the chronic care model) in improving clinical outcomes for type 2 diabetes mellitus using readily available resources in the Malaysian public primary care setting. Methods This was a pragmatic, cluster-randomised, parallel, matched pair, controlled trial using participatory action research approach, conducted in 10 public primary care clinics in Malaysia. Five clinics were randomly selected to provide the EMPOWER-PAR intervention for 1 year and another five clinics continued with usual care. Patients who fulfilled the criteria were recruited over a 2-week period by each clinic. The obligatory intervention components were designed based on four elements of the chronic care model i.e. healthcare organisation, delivery system design, self-management support and decision support. The primary outcome was the change in the proportion of patients achieving HbA1c |
| Databáze: | OpenAIRE |
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