Randomised controlled trial of an automated, interactive telephone intervention to improve type 2 diabetes self-management (Telephone-Linked Care Diabetes Project): study protocol

Bird, D, Oldenburg, B, Cassimatis, M, Russell, A, Ash, S, Courtney, MD, Scuffham, PA, Stewart, I, Wootton, R and Friedman, RH (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 : 1-6.


Author Bird, D
Oldenburg, B
Cassimatis, M
Russell, A
Ash, S
Courtney, MD
Scuffham, PA
Stewart, I
Wootton, R
Friedman, RH
Title Randomised controlled trial of an automated, interactive telephone intervention to improve type 2 diabetes self-management (Telephone-Linked Care Diabetes Project): study protocol
Journal name BMC Public Health   Check publisher's open access policy
ISSN 1471-2458
Publication date 2010-10
Sub-type Article (original research)
DOI 10.1186/1471-2458-10-599
Volume 10
Start page 1
End page 6
Total pages 6
Place of publication London, United Kingdom
Publisher Bio Med Central
Collection year 2011
Language eng
Formatted abstract 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.
Keyword Physical-activity
Computer
System
Health
Q-Index Code CX
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Article # 599.

Document type: Journal Article
Sub-type: Article (original research)
Collections: Non HERDC
Centre for Online Health Publications
UQ Diamantina Institute Publications
 
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Created: Sun, 14 Nov 2010, 00:03:45 EST