The impact of a multidisciplinary self-care management program on quality of life, self-care, adherence to anti-hypertensive therapy, glycemic control, and renal function in diabetic kidney disease: A Cross-over Study Protocol.

Détails

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Etat: Public
Version: de l'auteur
ID Serval
serval:BIB_DDC0D2B4F4B4
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
The impact of a multidisciplinary self-care management program on quality of life, self-care, adherence to anti-hypertensive therapy, glycemic control, and renal function in diabetic kidney disease: A Cross-over Study Protocol.
Périodique
BMC nephrology
Auteur(s)
Helou N., Talhouedec D., Shaha M., Zanchi A.
ISSN
1471-2369 (Electronic)
ISSN-L
1471-2369
Statut éditorial
Publié
Date de publication
19/07/2016
Peer-reviewed
Oui
Volume
17
Numéro
1
Pages
88
Langue
anglais
Notes
Publication types: Journal Article ; Randomized Controlled Trial
Publication Status: epublish
Résumé
Diabetic kidney disease, a global health issue, remains associated with high morbidity and mortality. Previous research has shown that multidisciplinary management of chronic disease can improve patient outcomes. The effect of multidisciplinary self-care management on quality of life and renal function of patients with diabetic kidney disease has not yet been well established.
The aim of this study is to evaluate the impact of a multidisciplinary self-care management program on quality of life, self-care behavior, adherence to anti-hypertensive treatment, glycemic control, and renal function of adults with diabetic kidney disease. A uniform balanced cross-over design is used, with the objective to recruit 40 adult participants with diabetic kidney disease, from public and private out-patient settings in French speaking Switzerland. Participants are randomized in equal number into four study arms. Each participant receives usual care alternating with the multidisciplinary self- care management program. Each treatment period lasts three months and is repeated twice at different time intervals over 12 months depending on the cross-over arm. The multidisciplinary self-care management program is led by an advanced practice nurse and adds nursing and dietary consultations and follow-ups, to the habitual management provided by the general practitioner, the nephrologist and the diabetologist. Data is collected every three months for 12 months. Quality of life is measured using the Audit of Diabetes-Dependent Quality of Life scale, patient self-care behavior is assessed using the Revised Summary of Diabetes Self-Care Activities, and adherence to anti-hypertensive therapy is evaluated using the Medication Events Monitoring System. Blood glucose control is measured by the glycated hemoglobin levels and renal function by serum creatinine, estimated glomerular filtration rate and urinary albumin/creatinine ratio. Data will be analyzed using STATA version 14.
The cross-over design will elucidate the responses of individual participant to each treatment, and will allow us to better evaluate the use of such a design in clinical settings and behavioral studies. This study also explores the impact of a theory-based nursing practice and its implementation into a multidisciplinary context.
ClinicalTrials.gov identifier: NCT01967901 , registered on the 18th of October 2013.

Mots-clé
Albuminuria/urine, Antihypertensive Agents/therapeutic use, Creatinine/blood, Creatinine/urine, Cross-Over Studies, Diabetic Nephropathies/blood, Diabetic Nephropathies/nursing, Diabetic Nephropathies/physiopathology, Diabetic Nephropathies/therapy, Diet, Dietetics, Directive Counseling, Glomerular Filtration Rate, Glycated Hemoglobin A/metabolism, Humans, Medication Adherence, Patient Care Team, Practice Patterns, Nurses', Quality of Life, Research Design, Self Care, Diabetic nephropathies, Diabetic nephropathy, Interdisciplinary studies, Multidisciplinary care, Self-care
Pubmed
Web of science
Open Access
Oui
Création de la notice
24/07/2016 14:46
Dernière modification de la notice
20/08/2019 16:02
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