新加坡2型糖尿病患者健康教练主导的患者激活计划的一个集群随机试验 - 一个研究协议
Jun Hwee Benjamin Lee1, Loo See Yeo1, Winnie Shok Wen Soon1
1National Healthcare Group Polyclinics, Singapore, Singapore.
BMC primary care
|December 1, 2025
概括
这项研究评估了通过对话激活患者 (PACT) 计划,这是一项针对2型糖尿病的健康指导干预. PACT计划在改善2型糖尿病成年人血糖控制和自我管理方面表现有前途.
科学领域:
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
- 行为科学 行为科学
背景情况:
- 自主管理对于2型糖尿病护理至关重要.
- 健康指导可以提高自我护理行为和血糖控制.
- 亚洲人群中的非专业健康教练存在有限的研究.
研究的目的:
- 评估患者通过对话激活 (PACT) 计划的有效性.
- 为了比较PACT计划与改善血糖控制的通常注意.
- 评估对二次结果和成本效益的影响.
主要方法:
- 实用集群随机对照试验,共432名参与者 (HbA1c ≥8.0%).
- PACT计划:由经过培训的非专业人士通过电话/短信提供为期3个月的健康指导.
- 混合方法评估,包括对参与者经验的定性评估.
主要成果:
- 主要结局:3,6,12和24个月的糖化血红蛋白 (HbA1c) 的变化.
- 二次结果:血压,BMI,LDL-C,生活方式,痛苦,自我效能,生活质量.
- 成本效益和定性数据将提供全面的见解.
结论:
- 通过训练有素的非专业人士提供健康指导,为糖尿病自我管理提供个性化的支持.
- 这项研究是新加坡第一个针对2型糖尿病的健康指导的RCT.
- 发现可以为临床实践,医疗保健政策以及对其他慢性疾病的适用性提供信息.
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