Effectivity of the Austrian Disease Management Programme for diabetes regarding metabolic control and risk profile

ISRCTN ISRCTN27414162
DOI https://doi.org/10.1186/ISRCTN27414162
Secondary identifying numbers DW-7111-12570
Submission date
06/06/2007
Registration date
12/07/2007
Last edited
23/02/2012
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Nutritional, Metabolic, Endocrine
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Prof Andreas Sönnichsen
Scientific

Strubergasse 21
Salzburg
A-5020
Austria

Study information

Study designCluster randomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)GP practice
Study typeQuality of life
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific title
Study acronymEADMP
Study objectivesThe Austrian Disease Management Programme for Diabetes aims to improve metabolic control and cardiovascular risk profile in patients with diabetes mellitus type two. It involves structured care, patient guidance, patient reminders, physician reminders, physician education.

Hypothesis:
The Austrian Disease Management Programme for Diabetes improves metabolic control and cardiovascular risk profile in patients with diabetes mellitus type two.
Ethics approval(s)Approval received from the Ethics Commission of the Province of Salzburg, Austria on the 28th February 2007 (ref: 415-E779/2-2007).
Health condition(s) or problem(s) studiedDiabetes mellitus type two
InterventionThe Austrian Disease Management Programme for Diabetes involves the following:

Structured care:
Physicians are encouraged to use standard documentation and a checklist of control examinations that are appropriate to current guidelines.

Patient guidance:
1. Regular doctors visits (at least every three months)
2. Patient education provided by a diabetes counsellor/nurse and/or physicians specifically trained in patient education in diabetes; four modules of 135 minutes each on the following topics:
2.1. General information about diabetes
2.2. Methods of metabolic control (glucose self-control)
2.3. Medication for diabetes
2.4. Nutrition/diet
2.5. Diabetic foot syndrome
2.6. Importance of physical activity
2.7. Cardiovascular risk factors
2.8. Micro- and macro-angiopathy
Given once at the beginning of the DMP and repeated at least once every three years.

Patient reminders:
Letter of information that patient should visit his doctor and discuss appropriate steps, administered by the Salzburg Public Health Insurance.

Physician reminders:
Letter of information that patient should be invited to visit and which steps should be taken, administered by the Salzburg Public Health Insurance.

Physician education:
10 hours of Continuous Medical Education (CME) provided by the Department of Diabetology of the Paracelsus University Hospital - Salzburger Landeskliniken and the Institute of General Practice, Family Medicine and Prevention at the beginning of DMP on current guidelines and management of diabetes mellitus type two; information about the DMP.

The DMP will be run for one year for the randomised trial, however continuation is planned.
Intervention typeOther
Primary outcome measureThe following will be assessed at baseline and after one year (i.e. at the end of the trial):
1. HbA1c
2. Number of days hospitalised
3. Percentage of physical and laboratory examinations according to current guidelines
Secondary outcome measuresThe following will be assessed at baseline and after one year (i.e. at the end of the trial):
1. Cardiovascular risk profile
2. Weight reduction
3. Smoking cessation
4. Improved knowledge about diabetes
5. Improved quality of life (measured using the EuroQoL [EQ-5D] questionnaire)
6. Improved patient satisfaction
Overall study start date01/07/2007
Completion date31/10/2008

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants1200
Key inclusion criteria1. Patients with diabetes mellitus type two (American Diabetes Association [ADA]/World Health Organisation [WHO] criteria)
2. Aged greater than 18 years
Key exclusion criteria1. Dementia
2. Psychiatric illness
3. Malignant tumour
Date of first enrolment01/07/2007
Date of final enrolment31/10/2008

Locations

Countries of recruitment

  • Austria

Study participating centre

Strubergasse 21
Salzburg
A-5020
Austria

Sponsor information

Salzburg Public Health Insurance (Salzburger Gebietskrankenkasse [SGKK]) (Austria)
Industry

Fabergasse 19
Salzburg
A-5020
Austria

Email marlies.dicklberger@sgkk.at
Website http://esv.sgkk.at

Funders

Funder type

Industry

Salzburg Public Health Insurance (Salzburger Gebietskrankenkasse [SGKK]) (Austria)

No information available

Investigator funding

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 05/11/2010 Yes No