Randomised controlled trial of an automated, interactive telephone intervention to improve type 2 diabetes self-management (Telephone-Linked Care Diabetes Project) : study protocol
Bird, Dominique, Oldenburg, Brian, Cassimatis, Mandy, Russell, Anthony, Ash, Susan, Courtney, Mary D., Scuffham, Paul A., Stewart, Ian B., Wootton, Richard, & Friedman, Robert H. (2010) Randomised controlled trial of an automated, interactive telephone intervention to improve type 2 diabetes self-management (Telephone-Linked Care Diabetes Project) : study protocol. BMC Public Health, 10(1), pp. 599-604.
Background: An estimated 285 million people worldwide have diabetes and its prevalence is predicted to increase
to 439 million by 2030. For the year 2010, it is estimated that 3.96 million excess deaths in the age group 20-79
years are attributable to diabetes around the world. Self-management is recognised as an integral part of diabetes care. This paper describes the protocol of a randomised controlled trial of an automated interactive telephone system aiming to improve the uptake and maintenance of essential diabetes self-management behaviours. ----------
Methods/Design: A total of 340 individuals with type 2 diabetes will be randomised, either to the routine care
arm, or to the intervention arm in which participants receive the Telephone-Linked Care (TLC) Diabetes program in
addition to their routine care. The intervention requires the participants to telephone the TLC Diabetes phone
system weekly for 6 months. They receive the study handbook and a glucose meter linked to a data uploading device. The TLC system consists of a computer with software designed to provide monitoring, tailored feedback and education on key aspects of diabetes self-management, based on answers voiced or entered during the current or previous conversations. Data collection is conducted at baseline (Time 1), 6-month follow-up (Time 2), and 12-month follow-up (Time 3). The primary outcomes are glycaemic control (HbA1c) and quality of life (Short Form-36 Health Survey version 2). Secondary outcomes include anthropometric measures, blood pressure, blood lipid profile, psychosocial measures as well as measures of diet, physical activity, blood glucose monitoring, foot care and medication taking. Information on utilisation of healthcare services including hospital admissions, medication use and costs is collected. An economic evaluation is also planned.----------
Discussion: Outcomes will provide evidence concerning the efficacy of a telephone-linked care intervention for
self-management of diabetes. Furthermore, the study will provide insight into the potential for more widespread
uptake of automated telehealth interventions, globally.
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|Item Type:||Journal Article|
|Keywords:||diabetes, telehealth, self-management, lifestyle, protocol|
|Subjects:||Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700)|
|Divisions:||Current > QUT Faculties and Divisions > Faculty of Health|
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Exercise & Nutrition Sciences
Current > Schools > School of Public Health & Social Work
|Copyright Owner:||© 2010 Bird et al; licensee BioMed Central Ltd.|
|Copyright Statement:||© 2010 Bird et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.|
|Deposited On:||08 Feb 2011 15:56|
|Last Modified:||11 Oct 2012 14:24|
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