Broodkruimel
COMPAR-EU RCTs Web
Randomized Controlled Trial of a Community Health Worker Self-Management Support Intervention Among Low-Income Adults With Diabetes, Seattle, Washington, 2010-2014
See more Setting of implementation: N/A Professionals delivering the intervention: N/A Targeted self-management behaviours: N/A
Components
Individual sessions
A single person receives the self-management support. Examples: self-guided actions (without the participation of any other person) during a clinical visit or within the context of a support or educational session
Face-to-face
Self-management support delivered in a face-to-face encounter between the providers and patients and/or caregivers.
See more Setting of implementation: Home-care Professionals delivering the intervention: Lay person Targeted self-management behaviours: Communication with healthcare and/or social care providers, Condition-specific behaviours
Components
Monitoring techniques (MT)
Monitoring techniques (MT)
Self-monitoring training and feedback. Training and encouraging people to recognize, monitor, and record behaviours, symptoms, or clinical data. This process may include regular feedback from a clinician, or a synopsis of information registered in a digital tool to encourage you to continue monitoring your illness and behaviours.
Example: Showing a patient how to record blood sugar levels, physical activity, or pain.
Action-based behavioural change techniques (AB)
Action-based behavioural change techniques (AB)
There are different action-based behavioural change techniques:
Enhancing problem-solving skills. This technique consists in teaching on how to analyse factors that influence your behaviour and provide you or help you to develop strategies to reduce or overcome barriers and/or support facilitators (e.g., not eating unhealthy foods when you feel depressed). Strategies include anticipation, self-treatment, resource utilization, and problem management. Ideally, there should be an initial plan, but this is not a requisite.
Example: Identification and attenuation of environmental barriers (e.g., no gym in the neighbourhood when one want to exercise) and facilitators (e.g., someone who keeps you company during exercise) to everyday physical activities.
Goal setting and action planning. This technique consists in encouraging you to set one or more achievable goals based on your needs and preferences. These goals may be behaviours (e.g., a consuming a healthy meal three times a day) or outcomes (e.g., less pain) and can be used as a starting point. The process usually involves the formulation of a detailed action plan, specifying what you would do and at least when and/or where you will do it. It could also include an assessment of your behaviours with your health care provider and a discussion of goals and the writing up of agreed-on action plans, including plans for emergency situations.
Examples of goals: achieving a daily walking distance of 2 km or a weight loss of some kilograms in x months with diet and exercise.
Peers (P)
Peers (P)
The intervention is carried out by peers, people who have experienced living with the same disease or by lay people living in your community. Rather than involving just health professionals or educators, the intervention involves one or more peers who take on a role in the teaching and/or providing information about the intervention.
Examples: Training and teaching activities provided by peers to guide people with a related health care concern, to adopt a new behaviour that would facilitate healthy outcomes.
Individual sessions
A single person receives the self-management support. Examples: self-guided actions (without the participation of any other person) during a clinical visit or within the context of a support or educational session
Face-to-face
Self-management support delivered in a face-to-face encounter between the providers and patients and/or caregivers.
Outcomes measured in the study
uitkomst | maat | Tool |
---|---|---|
Blood-pressure | Diastolic pressure | N/A |
Blood-pressure | Systolic pressure | N/A |
HbA1C | Glycated hemoglobin (HbA1c) | N/A |
Lipid profile | Total cholesterol / HDL cholesterol ratio | N/A |
Quality of life | Quality of life | N/A |
Quality of life | Psychological distress | RAND Mental component |
Quality of life | Quality of life | N/A |
Unscheduled care | Unplanned hospital admissions | N/A |
Unscheduled care | Visits / admissions | N/A |
Unscheduled care | Emergency room visits | N/A |
Weight (management) | BMI - Body Mass Index | N/A |
Patient characteristics
Number of co-morbidities: N/A
Tool: N/A
Risk of Bias of this study
uitkomst | Random sequence generation | Allocation concealment | Blinding performance | Blinding detection objective outcomes assessment | Attrition incomplete outcome | Incorrect statistical methods | Recruitment bias | Selective outcome reporting |
---|---|---|---|---|---|---|---|---|
Blood-pressure - Systolic pressure | ||||||||
Blood-pressure - Diastolic pressure | ||||||||
HbA1C - Glycated hemoglobin (HbA1c) | ||||||||
Weight (management) - BMI - Body Mass Index |