Reference : Community- and mHealth-based integrated management of diabetes in primary healthcare ...

	Document type :	Scientific congresses, symposiums and conference proceedings : Unpublished conference
	Discipline(s) :	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
	To cite this reference:	http://hdl.handle.net/10993/32740

Title :	Community- and mHealth-based integrated management of diabetes in primary healthcare in Rwanda (D²Rwanda): The study protocol
Language :	English
Author, co-author :	Uwizihiwe, Jean Paul []
	Lygidakis, Charilaos [University of Luxembourg > Faculty of Language and Literature, Humanities, Arts and Education (FLSHASE) > Integrative Research Unit: Social and Individual Development (INSIDE) >]
	Vögele, Claus [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 [University of Luxembourg > Faculty of Language and Literature, Humanities, Arts and Education (FLSHASE) > Integrative Research Unit: Social and Individual Development (INSIDE) >]
	Kallestrup, Per []
Publication date :	29-Jun-2017
Peer reviewed :	Yes
Audience :	International
Event name :	22nd WONCA Europe Conference
Event date :	from 28-06-2017 to 01-07-2017
Event organizer :	WONCA Europe
Event place (city) :	Prague
Event country :	Czech Republic
Keywords :	[en] mHealth ; eHealth ; global health ; primary care ; diabetes
Abstract :	[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.
Funders :	Karen Elise Jensens Fond, Aarhus University, University of Luxembourg
Name of the research project :	The D²Rwanda Study
Target :	Researchers ; Professionals
Permalink :	http://hdl.handle.net/10993/32740

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