Reference : Community- and mHealth-based integrated management of diabetes in primary healthcare ...
Scientific congresses, symposiums and conference proceedings : Unpublished conference
Human health sciences : Endocrinology, metabolism & nutrition
Human health sciences : General & internal medicine
Human health sciences : Public health, health care sciences & services
Human health sciences : Multidisciplinary, general & others
http://hdl.handle.net/10993/32740
Community- and mHealth-based integrated management of diabetes in primary healthcare in Rwanda (D²Rwanda): The study protocol
English
Uwizihiwe, Jean Paul mailto []
Lygidakis, Charilaos mailto [University of Luxembourg > Faculty of Language and Literature, Humanities, Arts and Education (FLSHASE) > Integrative Research Unit: Social and Individual Development (INSIDE) >]
Vögele, Claus mailto [University of Luxembourg > Faculty of Language and Literature, Humanities, Arts and Education (FLSHASE) > Integrative Research Unit: Social and Individual Development (INSIDE) >]
Condo, Jeanine []
D'Ambrosio, Conchita mailto [University of Luxembourg > Faculty of Language and Literature, Humanities, Arts and Education (FLSHASE) > Integrative Research Unit: Social and Individual Development (INSIDE) >]
Kallestrup, Per mailto []
29-Jun-2017
Yes
International
22nd WONCA Europe Conference
from 28-06-2017 to 01-07-2017
WONCA Europe
Prague
Czech Republic
[en] mHealth ; eHealth ; global health ; primary care ; diabetes
[en] Introduction: The diabetes mellitus (DM) prevalence in Rwanda is estimated at 3.5%. In 2013, there were only one medical doctor and one nurse per 15,000 and 1,200 people respectively in Rwanda. A new programme employing frontline workers (Home-Based Community Practitioners (HBCPs)) is currently piloted, aiming at following-up patients with non-communicable diseases in their communities.

We hypothesise that the management of DM at community level will improve following the introduction of a HBCP programme with regular monthly assessments and disease management, coupled with integration of a mobile health (mHealth) application with patient diaries, notifications and educational material.

Objective: The aim of the study is to determine the efficacy of such an integrated programme in Rwanda.

Methods: The study is designed as a one-year, open-label cluster trial of two interventions (arm1: HBCP programme, arm2: HBCP programme + mHealth application) and usual care (control). The primary outcomes will be changes in glycated haemoglobin levels and health-related quality of life. Mortality, complications, health literacy, mental well-being and treatment adherence will be assessed as secondary outcomes. Measurements will be conducted at baseline, 6 and 12 months. An intention-to-treat approach will be used to evaluate outcomes. Before trial onset, ethical approval will be sought in Rwanda, Luxembourg and Denmark, and a cross-cultural adaptation of questionnaires and a pilot will be carried out.

Relevance: The project will provide evidence on the efficacy of innovative approaches for integrated management of DM and may spur the development of similar solutions for other chronic diseases in low-resource settings.
Karen Elise Jensens Fond, Aarhus University, University of Luxembourg
Researchers ; Professionals
http://hdl.handle.net/10993/32740

There is no file associated with this reference.

Bookmark and Share SFX Query

All documents in ORBilu are protected by a user license.