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| Name | Class |
|---|---|
| University of Groningen | OTHER |
| University of Passau | UNKNOWN |
| Universitas Sebelas Maret | OTHER |
| Health Strategy and Policy Institute |
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The SUNI-SEA study is an intervention study that measures effectiveness and cost-effectiveness of prevention and early diagnosis of diabetes and cardiovascular diseases in communities and primary healthcare (PHC) facilities in Indonesia, Myanmar and Vietnam.
The study takes place in Vietnam and Indonesia in Intergenerational Self-Help Clubs (ISHGs), where community members assemble for activities concerning social, economical improvement and health and well-being. Volunteers in these ISHGs are trained in performing screening for diabetes and cardiovascular diseases and counselling participants concerning healthy living, or referral to primary healthcare facilities, if needed. At PHC level further diagnosis and if needed treatment is provided and referral back to ISHGs is done for lifestyle interventions.
In Indonesia screening takes place in the Posbindu programme, where trained volunteers (cadres) screen and counsel participants. If needed referral to Puskesmas (primary healthcare facilities is done, where further diagnosis and treatment takes place. Activities for health promotion and lifestyle interventions take place under supervision of the Posbindu programme.
In Myanmar and Indonesia individual monitoring and health education of participants is done through mobile applications.
Measuring of uptake, follow-up and adherence to interventions is done through routine data collection, through surveys, and through semi-structured interviews and focus group discussions.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Screening and early detection of diabetes and cardiovascular diseases | Experimental | Screening for NCDs based on questionnaire concerning vital information, lifestyle, simple measures of length, bodyweight, BMI, blood pressure, application of FinRisk score and WHO risk score. Health promotion and lifestyle counselling and referral to PHC facilities for further diagnosis and treatment. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| screening, prevention and counselling | Combination Product | Screening in Intergenerational solidarity clubs in Myanmar and Vietnam and in Posbindu programme in Indonesia |
|
| Measure | Description | Time Frame |
|---|---|---|
| Uptake of NCD screening offered in communities | Number of adults eligible for NCD screening in communities who participate in screening | 18 months from offering screening options in communities until measuring uptake |
| Adherence to follow-up advice | Percentage of participants in screening who follow up on recommendations given during screening (referral, lifestyle change) | 12 months from counselling and advice to individual until measuring adherence to follow-up that has been recommended |
| Uptake of health education (health promotion, awareness of risk factors) | Percentage of adults above 21 years in communities participating in one or more health education sessions offered | 12 year between first health education session and measuring uptake (based on participants' lists) |
| Measure | Description | Time Frame |
|---|---|---|
| Unit costs of screening, prevention and early diagnosis of NCDs per Quality Adjusted Life Year gained | Unit costs of NCD screening, prevention, early diagnosis intervention per Quality Adjusted Life Year gained | 18 months between starting calculation of costs of interventions and assessment of final assessment of benefits |
| Measure | Description | Time Frame |
|---|---|---|
| Impact of training of community health volunteers in NCD interventions on knowledge attitudes and practices of volunteers | Difference in knowledge, attitudes and practices (KAP) of volunteers in ISHCs in Myanmar and Vietnam, and cadres in Posbindu in Indonesia as result of training offered in the research project, measured by pre- and post-training KAP survey and six months after training. | 6 months between provision of training to community health volunteers and measuring their skills, knowledge and attitudes |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Maarten Postma, PhD | University Medical Center Groningen | Principal Investigator |
| Robert Lensink, PhD | University of Groningen | Principal Investigator |
| Ari Probandari, PhD | University Sebelas Maret | Principal Investigator |
| Giang Nguyen Hoang, MPH | Health Strategy and Policy Institute | Principal Investigator |
| Anil Kumar Indira Krishna, PhD | HelpAge International | Principal Investigator |
| Michael Grimm, PhD | University of Passau | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Health Strategy and Policy Institute | Hanoi | Vietnam |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41069974 | Derived | Hanifa RS, Rokhman MR, Fritz M, Widyaningsih V, Febrinasari RP, Koot JAR, Postma MJ, van der Schans J. Cost-effectiveness of community-based type 2 diabetes prevention and control in Indonesia: a health economics modelling study. BMJ Public Health. 2025 Oct 7;3(2):e002161. doi: 10.1136/bmjph-2024-002161. eCollection 2025. | |
| 38777393 |
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Following open research guidelines of European Union data will be shared about screening, follow-up and referral. Data collected in cos-effectiveness analysis will be shared
Data will become available after July 2023 and will be available for period according to regulations of European Union
On request for researchers performing secondary data analysis
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| ID | Term |
|---|---|
| D003924 | Diabetes Mellitus, Type 2 |
| D006973 | Hypertension |
| D002318 | Cardiovascular Diseases |
| D004194 | Disease |
| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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| ID | Term |
|---|---|
| D008403 | Mass Screening |
| D003376 | Counseling |
| D012307 | Risk Factors |
| D013812 | Therapeutics |
| ID | Term |
|---|---|
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
| D006306 | Health Surveys |
| D011795 | Surveys and Questionnaires |
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| UNKNOWN |
| Trnavska Universita v Trnava | UNKNOWN |
| HelpAge International | UNKNOWN |
| Thai Nguyễn University of Medicine and Pharmacy | UNKNOWN |
In Vietnam members from 60 Intergenerational Self Help Clubs have been screened for diabetes and cardiovascular diseases. (total 5,000 persons) In Myanmar members from 15 Intergenerational Solidarity Groups have undergone screening for diabetes and cardiovascular diseases using an internet application. (total 1850 persons) In Indonesia, visitors of 20 Posbindu programmes were offered screened for diabetes and hypertension in Central and East Java (10,000 persons)
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|
| Cost-effectiveness of NCD interventions |
Comparison of costs and effects between intervention and business as usual, using diff in diff method |
| 18 months between baseline survey and endline survey |
| Impact of training of community health volunteers on their performance in NCD interventions. | Performance of community health volunteers six months after training, measured by observational study, with measuring adherence to standard operating procedures for screening for NCDs and health education. | 6 months between provision of training to community health volunteers and measuring their performance |
| Fritz M, Grimm M, My Hanh HT, Koot JAR, Nguyen GH, Nguyen TP, Probandari A, Widyaningsih V, Lensink R. Effectiveness of community-based diabetes and hypertension prevention and management programmes in Indonesia and Viet Nam: a quasi-experimental study. BMJ Glob Health. 2024 May 22;9(5):e015053. doi: 10.1136/bmjgh-2024-015053. |
| D004700 | Endocrine System Diseases |
| D014652 | Vascular Diseases |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D003625 | Data Collection |
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
| D003954 | Diagnostic Services |
| D011314 | Preventive Health Services |
| D006296 | Health Services |
| D005159 | Health Care Facilities Workforce and Services |
| D017531 | Health Care Evaluation Mechanisms |
| D011787 | Quality of Health Care |
| D017530 | Health Care Quality, Access, and Evaluation |
| D011634 | Public Health |
| D004778 | Environment and Public Health |
| D015980 | Public Health Practice |
| D008605 | Mental Health Services |
| D004191 | Behavioral Disciplines and Activities |
| D003153 | Community Health Services |
| D012306 | Risk |
| D011336 | Probability |
| D013223 | Statistics as Topic |
| D015984 | Causality |
| D015981 | Epidemiologic Factors |