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| Name | Class |
|---|---|
| TrygFonden, Denmark | INDUSTRY |
| Sygekassernes Helsefond | OTHER |
| Lundbeck Foundation | OTHER |
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A huge challenge in type 2-diabetes care is how to motivate patients towards health behaviour changes. In Denmark, the tendency is that nurses in general practice provide a large part of type 2 diabetes care.
Observational studies support Self-determination Theory by finding autonomous motivation and perceived competence associated with improved HbA1c-levels in patients with type 2 diabetes. Hence, research is needed to develop and test interventions that are autonomy supportive.
Aim To develop a training course for practice-nurses in autonomy support in patients with type 2 diabetes, and to evaluate the effect on patient outcomes.
Methods The development of the intervention was based on literature research and expert meetings. The intervention is evaluated in a cluster randomised controlled trial with 40 Danish general practices,
The patients will be followed 15 months from nurse-participation in the course. Data will be obtained from registers and patient-questionnaires. The hypothesis is that patients with type 2 diabetes regardless of education level, age, and gender will benefit from the intervention.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Training course for practice nurses in autonomy support | Experimental |
| |
| Control | No Intervention | Control practices were randomly drawn from among intervention practice applicants and were informed by mail about their status as control practice. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Training course for practice nurses in autonomy support | Behavioral | An interactive course consisting of 4X4 hours education in autonomy support over a 6 months period. The main-components in the course are 1) communication skills, 2) introduction to patient work-sheets and 3) a quick up-to-date knowledge about treatment recommendations of type 2 diabetes. Furthermore, the nurses in the intervention-practices receive a half an hour support-visit 4-5 months after the end of the course. |
| Measure | Description | Time Frame |
|---|---|---|
| HbA1c | Collected from registers (historical data - not measured as a part of this study) | Last measurement within 12 months before - and 15 months after nurse participation in the course |
| Measure | Description | Time Frame |
|---|---|---|
| HDL-cholesterol | Collected from registers (historical data - not measured as a part of this study) | Last measurement within 12 months before - and 15 months after nurse participation in the course |
| LDL-cholesterol |
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Inclusion Criteria:
The intervention-study comprises 40 general practices were:
Patients with diabetes, alive and affiliated the practices by May 2011, were identified in a a validated diabetes database based on health registers; The national Patient Registry, The national Health Insurance Service registry, the prescription database and the laboratory database in the county.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of General Practice, School of Public Health, Aarhus University | Aarhus | 8000 | Denmark |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24798419 | Derived | Juul L, Maindal HT, Zoffmann V, Frydenberg M, Sandbaek A. Effectiveness of a training course for general practice nurses in motivation support in type 2 diabetes care: a cluster-randomised trial. PLoS One. 2014 May 5;9(5):e96683. doi: 10.1371/journal.pone.0096683. eCollection 2014. | |
| 22111524 | Derived | Juul L, Maindal HT, Zoffmann V, Frydenberg M, Sandbaek A. A cluster randomised pragmatic trial applying Self-determination theory to type 2 diabetes care in general practice. BMC Fam Pract. 2011 Nov 24;12:130. doi: 10.1186/1471-2296-12-130. |
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| ID | Term |
|---|---|
| D003924 | Diabetes Mellitus, Type 2 |
| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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Collected from registers (historical data - not measured as a part of this study)
| Last measurement within 12 months before - and 15 months after nurse participation in the course |
| Perceived autonomy support (HCCQ) | Modified health care climate quastionaire (Self-determination Theory) | 15 months from nurse participation in the course |
| Type of motivation (TSRQ) | The treatment self-regulation quastionaire (Self-determination Theory) | 15 months from nurse participation in the course |
| Perceived competence (PCS) | perceived competence scale (Self-determination Theory) | 15 months from nurse participation in the course |
| Total-cholesterol | Collected from registers (historical data - not measured as a part of this study) | Last measurement within 12 months before - and 15 months after nurse participation in the course |
| Self-rated health (SF-12) | 15 months from nurse participation in the course |
| Problem Areas In Diabetes scale (PAID) | 15 months from nurse participation in the course |
| D004700 | Endocrine System Diseases |