scholarly journals Combined Task Delegation, Computerized Decision Support, and Feedback Improve Cardiovascular Risk for Type 2 Diabetic Patients: A cluster randomized trial in primary care

Diabetes Care ◽  
2008 ◽  
Vol 31 (12) ◽  
pp. 2273-2275 ◽  
Author(s):  
F. G.W. Cleveringa ◽  
K. J. Gorter ◽  
M. van den Donk ◽  
G. E.H.M. Rutten
Keyword(s):  
Primary Care ◽  
Cardiovascular Risk ◽  
Cluster Randomized Trial ◽  
Diabetic Patients ◽  
Type 2 Diabetic Patients ◽  
Computerized Decision Support ◽  
Task Delegation ◽  
Cluster Randomized ◽  
Type 2 Diabetic

scholarly journals Effect of a nurse-led lifestyle choice and coaching intervention on systolic blood pressure among Type 2 diabetic patients with a high atherosclerotic cardiovascular risk: study protocol for a cluster randomized trial

2020 ◽  
Author(s):  
William Lumu ◽  
Davis Kibirige ◽  
Ronald Wesonga ◽  
Silver Bahendeka
Keyword(s):  
Blood Pressure ◽  
Cardiovascular Risk ◽  
Systolic Blood Pressure ◽  
Diabetic Patients ◽  
Type 2 Diabetic Patients ◽  
Lifestyle Choice ◽  
Coaching Intervention ◽  
Cluster Randomized ◽  
Type 2 Diabetic

Abstract Background:More than 50% of patients with type 2 diabetes have hypertension in Uganda. Diabetic patients with elevated systolic blood pressure experience higher all-cause mortality and cardiovascular events compared with normotensive diabetic individuals hence escalating resource utilization and cost of care.The aim of this study is to determine the effect of a nurse-led lifestyle choice and coaching intervention on systolic blood pressure among type 2 diabetic patients with a high atherosclerotic cardiovascular risk.Methods:This is a cluster-randomized study comprising of two arms (intervention and non-intervention – control arm) with four clusters per arm with 388 diabetic patients with a high predicted 10-year atherosclerotic cardiovascular risk. The study will be implemented in 8 health facilities in Uganda. The intervention arm will employ a nurse-led lifestyle choice and coaching intervention. Within the intervention, nurses will be trained to provide structured health education, protocol-based hypertension management and general atherosclerotic cardiovascular risk factor management, 24-hour phone calls, and 2-monthly text messaging. The control group will be constituted by the usual care. The primary outcome measure is the mean difference in systolic blood pressure between the intervention and usual care groups after 6 months. The study is designed to have an 80% statistical power to detect an 8.5mmhg mean reduction in systolic blood pressure from baseline to 6 months.The unit of analysis for the primary outcome is the individual participants. To monitor the effect of within-cluster correlation, generalized estimating equations will be used to assess changes over time in systolic blood pressure as a continuous variable.DiscussionThe data generated from this trial will inform change in policy of shifting task of screening of hypertension and atherosclerotic cardiovascular disease from doctors to nursesTrial registration: Pan African Trials Registry; PACTR 202001916873358. Registered on 6th October 2019.

scholarly journals Effect of a nurse-led lifestyle choice and coaching intervention on systolic blood pressure among Type 2 diabetic patients with a high atherosclerotic cardiovascular risk: study protocol for a cluster randomized trial

2021 ◽  
Author(s):  
William Lumu ◽  
Davis Kibirige ◽  
Ronald Wesonga ◽  
Silver Bahendeka
Keyword(s):  
Blood Pressure ◽  
Cardiovascular Risk ◽  
Systolic Blood Pressure ◽  
Diabetic Patients ◽  
Type 2 Diabetic Patients ◽  
Lifestyle Choice ◽  
Coaching Intervention ◽  
Cluster Randomized ◽  
Type 2 Diabetic

Abstract Background:More than 50% of patients with type 2 diabetes have hypertension in Uganda. Diabetic patients with elevated systolic blood pressure experience higher all-cause mortality and cardiovascular events compared with normotensive diabetic individuals hence escalating resource utilization and cost of care. The aim of this study is to determine the effect of a nurse-led lifestyle choice and coaching intervention on systolic blood pressure among type 2 diabetic patients with a high atherosclerotic cardiovascular risk.Methods:This is a cluster-randomized study comprising of two arms (intervention and non-intervention – control arm) with four clusters per arm with 388 diabetic patients with a high predicted 10-year atherosclerotic cardiovascular risk. The study will be implemented in 8 health facilities in Uganda. The intervention arm will employ a nurse-led lifestyle choice and coaching intervention. Within the intervention, nurses will be trained to provide structured health education, protocol-based hypertension management and general atherosclerotic cardiovascular risk factor management, 24-hour phone calls, and 2-monthly text messaging. The control group will be constituted by the usual care. The primary outcome measure is the mean difference in systolic blood pressure between the intervention and usual care groups after 6 months. The study is designed to have an 80% statistical power to detect an 8.5mmhg mean reduction in systolic blood pressure from baseline to 6 months. The unit of analysis for the primary outcome is the individual participants. To monitor the effect of within-cluster correlation, generalized estimating equations will be used to assess changes over time in systolic blood pressure as a continuous variable.DiscussionThe data generated from this trial will inform change in policy of shifting task of screening of hypertension and atherosclerotic cardiovascular disease from doctors to nurses

scholarly journals Effect of a nurse-led lifestyle choice and coaching intervention on systolic blood pressure among Type 2 diabetic patients with a high atherosclerotic cardiovascular risk: study protocol for a cluster randomized trial

2020 ◽  
Author(s):  
William Lumu ◽  
Davis Kibirige ◽  
Ronald Wesonga ◽  
Silver Bahendeka
Keyword(s):  
Blood Pressure ◽  
Cardiovascular Risk ◽  
Systolic Blood Pressure ◽  
Diabetic Patients ◽  
Type 2 Diabetic Patients ◽  
Lifestyle Choice ◽  
Coaching Intervention ◽  
Cluster Randomized ◽  
Type 2 Diabetic

Abstract Background:More than 50% of patients with type 2 diabetes have hypertension in Uganda. Diabetic patients with elevated systolic blood pressure experience higher all-cause mortality and cardiovascular events compared with normotensive diabetic individuals hence escalating resource utilization and cost of care. The aim of this study is to determine the effect of a nurse-led lifestyle choice and coaching intervention on systolic blood pressure among type 2 diabetic patients with a high atherosclerotic cardiovascular risk.Methods:This is a cluster-randomized study comprising of two arms (intervention and non-intervention – control arm) with four clusters per arm with 384 diabetic patients with a high predicted 10-year atherosclerotic cardiovascular risk. The study will be implemented in 8 health facilities in Uganda. The intervention arm will employ a nurse-led lifestyle choice and coaching intervention. Within the intervention, nurses will be trained to provide structured health education, protocol-based hypertension management and general atherosclerotic cardiovascular risk factor management, 24-hour phone calls, and 2-monthly text messaging. The control group will be constituted by the usual care. The primary outcome measure is the mean difference in systolic blood pressure between the intervention and usual care groups after 12 months. The study is designed to have an 80% statistical power to detect an 8.5mmhg mean reduction in systolic blood pressure from baseline to 12 months. The unit of analysis for the primary outcome is the individual participants. To monitor the effect of within-cluster correlation, generalized estimating equations will be used to assess changes over time in systolic blood pressure as a continuous variable.DiscussionThe data generated from this trial will inform change in policy of shifting task of screening of hypertension and atherosclerotic cardiovascular disease from doctors to nursesTrial registration: Pan African Trials Registry; PACTR 202001916873358. Registered on 6th October 2019.http://www.pactr.org

scholarly journals Effect of a nurse-led lifestyle choice and coaching intervention on systolic blood pressure among type 2 diabetic patients with a high atherosclerotic cardiovascular risk: study protocol for a cluster-randomized trial

Trials ◽  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
William Lumu ◽  
Davis Kibirige ◽  
Ronald Wesonga ◽  
Silver Bahendeka
Keyword(s):  
Blood Pressure ◽  
Cardiovascular Risk ◽  
Systolic Blood Pressure ◽  
Diabetic Patients ◽  
Type 2 Diabetic Patients ◽  
Lifestyle Choice ◽  
Coaching Intervention ◽  
Cluster Randomized ◽  
Type 2 Diabetic

Abstract Background More than 50% of patients with type 2 diabetes have hypertension in Uganda. Diabetic patients with elevated systolic blood pressure experience higher all-cause mortality and cardiovascular events compared with normotensive diabetic individuals, hence escalating resource utilization and cost of care. The aim of this study is to determine the effect of a nurse-led lifestyle choice and coaching intervention on systolic blood pressure among type 2 diabetic patients with a high atherosclerotic cardiovascular risk. Methods This is a cluster-randomized study comprising two arms (intervention and non-intervention—control arm) with four clusters per arm with 388 diabetic patients with a high predicted 10-year atherosclerotic cardiovascular risk. The study will be implemented in 8 health facilities in Uganda. The intervention arm will employ a nurse-led lifestyle choice and coaching intervention. Within the intervention, nurses will be trained to provide structured health education, protocol-based hypertension management, and general atherosclerotic cardiovascular risk factor management, 24-h phone calls, and 2-monthly text messaging. The control group will be constituted by the usual care. The primary outcome measure is the mean difference in systolic blood pressure between the intervention and usual care groups after 6 months. The study is designed to have an 80% statistical power to detect an 8.5-mmHg mean reduction in systolic blood pressure from baseline to 6 months. The unit of analysis for the primary outcome is the individual participants. To monitor the effect of within-cluster correlation, generalized estimating equations will be used to assess the changes over time in systolic blood pressure as a continuous variable. Discussion The data generated from this trial will inform change in the policy of shifting task of screening of hypertension and atherosclerotic cardiovascular disease from doctors to nurses. Trial registration Pan African Trials Registry PACTR 202001916873358. Registered on 6 October 2019

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