NCT05852626

Structuring of Diabetes Care in Primary Health Care

Structuring Diabetes Care in Primary Health Care With Individualized Goals and Multidisciplinary Integration: A Cluster-randomized Clinical Trial for

• Status: Unknown
• Phase: N/A
• Study type: Interventional
• Enrollment: 408 (estimated)
• Sponsor: Hospital de Clinicas de Porto Alegre · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

The aim of this study is to evaluate the effectiveness of reorganization in Primary Health Care teams and individualized glycemic targets for type 2 diabetes.

Detailed description

The prevalence of diabetes is increasing in parallel with the obesity epidemic. Diabetes is, therefore, a costly disease for individuals and healthcare system, generating expenses in its management and its complications. Also, it has significant social cost related to reduction of productivity. This study will evaluate the effectiveness of a multimodal intervention for Primary Health Care (PHC) teams to increase the nurse clinical role and implement individualized glycemic targets and care plan for type 2 diabetes through a pragmatic cluster-randomized clinical trial, with 1:1 allocation of health units in Porto Alegre, Brazil. Two study arms will be evaluated: 1) intervention group: will receive a set of proposed actions (redistribution of diabetes care between nurses and physicians, use of the individualized glycemic target calculator and implementation of care recommendations); 2) control group: usual follow-up in PHC.

Conditions

• Diabetes Mellitus, Type 2

Interventions

Type	Name	Description
OTHER	Redistribution of diabetes care between nurses and physicians	It will be proposed that nurses and physician share the clinical care of patients with type 2 diabetes, with complementing actions
OTHER	Individualized glycemic target	Define the target of individualized glycemic treatment for patients with the support of a tool on the website, which will encourage the intensification and de-intensification of treatment when appropriate
OTHER	Minimum care recomendations	It will be proposed to carry out the minimum necessary assessments that, annually, nurses and physicians must do to ensure the adequacy of quality indicators in the care of diabetes in the PHC
OTHER	No intervention	Primary care health teams will follow their rotine care of type 2 diabetes

Timeline

• Start date: 2023-05-01
• Primary completion: 2025-12-01
• Completion: 2026-01-01
• First posted: 2023-05-10
• Last updated: 2023-05-10

Locations

1 site across 1 country: Brazil