Community Health Worker Reduces Care Utilization
JADE-MOS
Inclusion Of a Community Health Worker in a Collaborative Diabetes Care Program Reduces Health Care Utilization (JADE)
1 other identifier
interventional
661
1 country
1
Brief Summary
- 1.To recruit 600 type 2 diabetic patients managed in a community setting.
- 2.To enrol into the Joint Asia Diabetes Evaluation (JADE) Program.
- 3.All patients will undergo annual comprehensive assessment (CA) at a diabetes centre with personalized JADE report (JADE) at basline. Half of the randomized patients will be managed with additional support by a trained community health worker (CHW) (JADE+CHW).
- 4.All patients will undergo annual comprehensive assessments for comparison of attainment of treatment targets for 3 years
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_4 type-2-diabetes-mellitus
Started Feb 2008
Longer than P75 for phase_4 type-2-diabetes-mellitus
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
February 1, 2008
CompletedFirst Submitted
Initial submission to the registry
July 7, 2008
CompletedFirst Posted
Study publicly available on registry
July 8, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2014
CompletedSeptember 9, 2015
September 1, 2015
6.1 years
July 7, 2008
September 5, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Change in glycated hemoglobin level
3 years
Secondary Outcomes (3)
Cardio-metabolic control
3 years
Number of emergency visits
3 years
Hospitalizations with total length of stay
3 years
Study Arms (2)
JADE with CHW
EXPERIMENTALPatients will be enrolled into JADE program and will undergo annual comprehensive assessment (CA) with personalized JADE report with additional support by the CHW.
JADE only
ACTIVE COMPARATORPatients will be enrolled into JADE program and undergo annual comprehensive assessment (CA) with personalized JADE report without additional support by the CHW.
Interventions
The JADE Program uses the state of the art of information technology to facilitate evidence-based clinical protocol by a multidisciplinary team. There is an internet on-line and computer record system to facilitate the day-to-day management of people with diabetes.
Patients will receive additional support by a trained community health worker (CHW). Guided by the personalized report with embedded decision support, the CHW will reinforce treatment adherence and self care after each clinic visit.
Eligibility Criteria
You may qualify if:
- Patients with confirmed diagnosis of type 2 diabetes, aged 18 years or above, attending the Hospital Authority Ma On Shan Family Medicine Clinic in New Territory East Cluster
- Type 2 diabetes is defined as follows:
- Known history of type 2 diabetes with treatment such as lifestyle modification and/or anti-diabetic drugs for 6 months or more.
- WHO diagnostic criteria (2 abnormal results in asymptomatic subjects or 1 abnormal result in subjects with symptoms or diabetic complications:
- Fasting plasma glucose (PG) 7.0 mmol/L or above
- Random PG 11.1 mmol/L or above
- Post 75 g oral glucose tolerance test (OGTT) 2-hour PG 11.1 mmol/L or above
You may not qualify if:
- Type 1 diabetes defined as history of ketosis \[acute symptoms with heavy ketonuria (\>3+) or ketoacidosis\] or heavy ketonuria (\>3+) or continuous requirement of insulin treatment within one year of diagnosis and thereafter.
- Patients with terminal malignancy or other life-threatening diseases with less than 6-month expected survival
- Telephone contact not available
- Patients with a mental condition rendering the subject unable to understand the nature, scope, and possible consequences of the study
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Chinese University of Hong Konglead
- Asia Diabetes Foundationcollaborator
Study Sites (1)
Asia Diabetes Foundation
Hong Kong, Hong Kong
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- NONE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Chair Professor of Medicine and Therapeutics
Study Record Dates
First Submitted
July 7, 2008
First Posted
July 8, 2008
Study Start
February 1, 2008
Primary Completion
March 1, 2014
Study Completion
March 1, 2014
Last Updated
September 9, 2015
Record last verified: 2015-09