The effectiveness of a mHealth-based integrated hospital-community-home program for people with type 2 diabetes in transitional care: a protocol for a multicenter pragmatic randomized controlled trial
Abstract Background Diabetes is a progressive condition requiring long-term medical care and self-management. The ineffective transition from hospital to community or home health care may result in poor glycemic control and increase the risk of serious diabetes-related complications. In China, the m...
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| Format: | Article |
| Language: | English |
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BMC
2022-08-01
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| Series: | BMC Primary Care |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12875-022-01814-8 |
| _version_ | 1811315130956251136 |
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| author | Wenhui Zhang Pei Yang Hongyan Wang Xinxin Pan Yanmei Wang |
| author_facet | Wenhui Zhang Pei Yang Hongyan Wang Xinxin Pan Yanmei Wang |
| author_sort | Wenhui Zhang |
| collection | DOAJ |
| description | Abstract Background Diabetes is a progressive condition requiring long-term medical care and self-management. The ineffective transition from hospital to community or home health care may result in poor glycemic control and increase the risk of serious diabetes-related complications. In China, the most common transitional care model is home visits or telephone interventions led by a single healthcare setting, with a lack of cooperation between specialists and primary care, which leads to inadequate service and discontinuous care. Thus, an integrated hospital-community-home (i-HCH) transitional care program was developed to promote hospital and community cooperation and provide comprehensive and continuous medical care for type 2 diabetes mellitus (T2DM) via mobile health (mHealth) technology. Methods This protocol is for a multicenter randomized controlled trial in T2DM patients. Hospitalized patients diagnosed with T2DM who meet the eligibility criteria will be recruited. The patients will be randomly allocated to either the intervention or the control group and receive the i-HCH transitional care or usual transitional care intervention. The change in glycated hemoglobin is the primary outcome. Secondary outcome measures are blood pressure, lipids (total cholesterol, triglycerides, low-density lipoprotein, high-density lipoprotein), body mass index, self-management skills, quality of life, diabetes knowledge, transitional care satisfaction and the rate of readmission. The follow-up period of this study is six months. Discussion The study will enhance the cooperation between local hospitals and communities for diabetes transitional care. Research on the effectiveness of diabetes outcomes will have potentially significant implications for chronic disease patients, family members, health caregivers and policymakers. Trial registration Chinese Clinical Trial Registry ChiCTR1900023861: June 15, 2019. |
| first_indexed | 2024-04-13T11:24:48Z |
| format | Article |
| id | doaj.art-e2687f3f46374371bf79c4c5d8cb9b65 |
| institution | Directory Open Access Journal |
| issn | 2731-4553 |
| language | English |
| last_indexed | 2024-04-13T11:24:48Z |
| publishDate | 2022-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Primary Care |
| spelling | doaj.art-e2687f3f46374371bf79c4c5d8cb9b652022-12-22T02:48:44ZengBMCBMC Primary Care2731-45532022-08-012311910.1186/s12875-022-01814-8The effectiveness of a mHealth-based integrated hospital-community-home program for people with type 2 diabetes in transitional care: a protocol for a multicenter pragmatic randomized controlled trialWenhui Zhang0Pei Yang1Hongyan Wang2Xinxin Pan3Yanmei Wang4Nursing Department, Gongli HospitalThe School of Nursing, Ningxia Medical UniversityNursing Department, Gongli HospitalNursing Department, Gongli HospitalNursing Department, Gongli HospitalAbstract Background Diabetes is a progressive condition requiring long-term medical care and self-management. The ineffective transition from hospital to community or home health care may result in poor glycemic control and increase the risk of serious diabetes-related complications. In China, the most common transitional care model is home visits or telephone interventions led by a single healthcare setting, with a lack of cooperation between specialists and primary care, which leads to inadequate service and discontinuous care. Thus, an integrated hospital-community-home (i-HCH) transitional care program was developed to promote hospital and community cooperation and provide comprehensive and continuous medical care for type 2 diabetes mellitus (T2DM) via mobile health (mHealth) technology. Methods This protocol is for a multicenter randomized controlled trial in T2DM patients. Hospitalized patients diagnosed with T2DM who meet the eligibility criteria will be recruited. The patients will be randomly allocated to either the intervention or the control group and receive the i-HCH transitional care or usual transitional care intervention. The change in glycated hemoglobin is the primary outcome. Secondary outcome measures are blood pressure, lipids (total cholesterol, triglycerides, low-density lipoprotein, high-density lipoprotein), body mass index, self-management skills, quality of life, diabetes knowledge, transitional care satisfaction and the rate of readmission. The follow-up period of this study is six months. Discussion The study will enhance the cooperation between local hospitals and communities for diabetes transitional care. Research on the effectiveness of diabetes outcomes will have potentially significant implications for chronic disease patients, family members, health caregivers and policymakers. Trial registration Chinese Clinical Trial Registry ChiCTR1900023861: June 15, 2019.https://doi.org/10.1186/s12875-022-01814-8Type 2 diabetesTransitional careMobile healthSmartphone applicationsAppsSelf-management |
| spellingShingle | Wenhui Zhang Pei Yang Hongyan Wang Xinxin Pan Yanmei Wang The effectiveness of a mHealth-based integrated hospital-community-home program for people with type 2 diabetes in transitional care: a protocol for a multicenter pragmatic randomized controlled trial BMC Primary Care Type 2 diabetes Transitional care Mobile health Smartphone applications Apps Self-management |
| title | The effectiveness of a mHealth-based integrated hospital-community-home program for people with type 2 diabetes in transitional care: a protocol for a multicenter pragmatic randomized controlled trial |
| title_full | The effectiveness of a mHealth-based integrated hospital-community-home program for people with type 2 diabetes in transitional care: a protocol for a multicenter pragmatic randomized controlled trial |
| title_fullStr | The effectiveness of a mHealth-based integrated hospital-community-home program for people with type 2 diabetes in transitional care: a protocol for a multicenter pragmatic randomized controlled trial |
| title_full_unstemmed | The effectiveness of a mHealth-based integrated hospital-community-home program for people with type 2 diabetes in transitional care: a protocol for a multicenter pragmatic randomized controlled trial |
| title_short | The effectiveness of a mHealth-based integrated hospital-community-home program for people with type 2 diabetes in transitional care: a protocol for a multicenter pragmatic randomized controlled trial |
| title_sort | effectiveness of a mhealth based integrated hospital community home program for people with type 2 diabetes in transitional care a protocol for a multicenter pragmatic randomized controlled trial |
| topic | Type 2 diabetes Transitional care Mobile health Smartphone applications Apps Self-management |
| url | https://doi.org/10.1186/s12875-022-01814-8 |
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