Peer Comparison-based Risk Communication
PRICOM
1 other identifier
interventional
40
1 country
1
Brief Summary
The study objective is to evaluate the feasibility of delivering a risk communication intervention, Peer comparison-based Risk Communication (PRICOM), in the primary care setting for adults with poor T2DM control. Findings from the study will inform further revisions to PRICOM and provide an estimated effect size to estimate the required sample size for a multi-site trial.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Aug 2023
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
October 6, 2021
CompletedStudy Start
First participant enrolled
August 21, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 22, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
August 29, 2024
CompletedFirst Posted
Study publicly available on registry
February 20, 2025
CompletedFebruary 20, 2025
September 1, 2024
5 months
October 6, 2021
February 14, 2025
Conditions
Outcome Measures
Primary Outcomes (3)
Risk perception score change
Score change of RPS-DM (Risk Perception Scale - Diabetes Mellitus) questionnaire
6 months
Recruitment rate
% patients eligible to participate who were recruited
6 months
Retention rate
% patient participants who completed the study
6 months
Secondary Outcomes (4)
Self-care activity score change
6 months
Medication adherence score change
6 months
HbA1c change
6 months
Perspectives of PRICOM
6 months
Study Arms (2)
Intervention
EXPERIMENTALThe intervention group will attend a risk communication session delivered by the study team and will receive a diabetes pamphlet. This estimated to take 10-15 minutes and will be back-to-back with the patient's routine clinic appointment.
Control
NO INTERVENTIONThe control group will receive a diabetes pamphlet at their routine clinic appointment but will not attend a PRICOM session.
Interventions
Based on the Health Belief Model, a risk communication intervention, Peer comparison-based Risk Communication (PRICOM), was developed for primary care physicians to counsel patients with T2DM on their glycaemic control and the complications that could arise, and to recommend ways to improve glycaemic control and prevent complications (or further complications). This will be supported by information from an AI (Artificial Intelligence) based diabetes tool. PRICOM aims to promote health actions in patients with T2DM by increasing their risk perceptions of diabetes complications.
Eligibility Criteria
You may not qualify if:
- Not a Singapore citizen or permanent resident
- Pregnant
- End-stage kidney disease or on renal replacement therapy
- Known terminal illness
- Visual and/or hearing impairment
- Cognitive impairment or mental illness
- Unable to provide informed consent
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
SingHealth Polyclinics - Bedok Polyclinic
Singapore, 469662, Singapore
Related Publications (28)
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PMID: 26880337BACKGROUNDRoystonn K, Lau JH, AshaRani PV, Siva Kumar FD, Wang P, Sum CF, Lee ES, Chong SA, Subramaniam M. Recognition of diabetes and sociodemographic predictors: results of a cross-sectional nationwide population-based survey in Singapore. BMJ Open. 2022 Mar 1;12(3):e050425. doi: 10.1136/bmjopen-2021-050425.
PMID: 35232779BACKGROUNDQuah JH, Liu YP, Luo N, How CH, Tay EG. Younger adult type 2 diabetic patients have poorer glycaemic control: a cross-sectional study in a primary care setting in Singapore. BMC Endocr Disord. 2013 Jun 3;13:18. doi: 10.1186/1472-6823-13-18.
PMID: 23725198BACKGROUNDLee CS, Tan JHM, Sankari U, Koh YLE, Tan NC. Assessing oral medication adherence among patients with type 2 diabetes mellitus treated with polytherapy in a developed Asian community: a cross-sectional study. BMJ Open. 2017 Sep 14;7(9):e016317. doi: 10.1136/bmjopen-2017-016317.
PMID: 28912194BACKGROUNDTan KW, Dickens BSL, Cook AR. Projected burden of type 2 diabetes mellitus-related complications in Singapore until 2050: a Bayesian evidence synthesis. BMJ Open Diabetes Res Care. 2020 Mar;8(1):e000928. doi: 10.1136/bmjdrc-2019-000928.
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PMID: 22520906BACKGROUNDGao R, Guo H, Liu Y, Pang Y, Zhang X, Lian X, Yu T, Zhu L, Li F. Effects of message framing on self-management behaviour among patients with type 2 diabetes: a randomised controlled trial protocol. BMJ Open. 2022 Jun 28;12(6):e056450. doi: 10.1136/bmjopen-2021-056450.
PMID: 35768085BACKGROUNDGarcia-Retamero R, Okan Y, Cokely ET. Using visual aids to improve communication of risks about health: a review. ScientificWorldJournal. 2012;2012:562637. doi: 10.1100/2012/562637. Epub 2012 May 2.
PMID: 22629146BACKGROUNDTrevena L. Assessing, communicating, and managing risk in general practice. Br J Gen Pract. 2014 Apr;64(621):166-7. doi: 10.3399/bjgp14X677725. No abstract available.
PMID: 24686863BACKGROUNDWelschen LM, Bot SD, Dekker JM, Timmermans DR, van der Weijden T, Nijpels G. The @RISK Study: Risk communication for patients with type 2 diabetes: design of a randomised controlled trial. BMC Public Health. 2010 Aug 5;10:457. doi: 10.1186/1471-2458-10-457.
PMID: 20687924BACKGROUNDWelschen LM, Bot SD, Kostense PJ, Dekker JM, Timmermans DR, van der Weijden T, Nijpels G. Effects of cardiovascular disease risk communication for patients with type 2 diabetes on risk perception in a randomized controlled trial: the @RISK study. Diabetes Care. 2012 Dec;35(12):2485-92. doi: 10.2337/dc11-2130. Epub 2012 Aug 24.
PMID: 22923669BACKGROUNDRouyard T, Leal J, Baskerville R, Velardo C, Salvi D, Gray A. Nudging people with Type 2 diabetes towards better self-management through personalized risk communication: A pilot randomized controlled trial in primary care. Endocrinol Diabetes Metab. 2018 Jun 22;1(3):e00022. doi: 10.1002/edm2.22. eCollection 2018 Jul.
PMID: 30815556BACKGROUNDMao L, Lu J, Zhang Q, Zhao Y, Chen G, Sun M, Chang F, Li X. Family-based intervention for patients with type 2 diabetes via WeChat in China: protocol for a randomized controlled trial. BMC Public Health. 2019 Apr 5;19(1):381. doi: 10.1186/s12889-019-6702-8.
PMID: 30953483BACKGROUNDFeng Y, Zhao Y, Mao L, Gu M, Yuan H, Lu J, Zhang Q, Zhao Q, Li X. The Effectiveness of an eHealth Family-Based Intervention Program in Patients With Uncontrolled Type 2 Diabetes Mellitus (T2DM) in the Community Via WeChat: Randomized Controlled Trial. JMIR Mhealth Uhealth. 2023 Mar 20;11:e40420. doi: 10.2196/40420.
PMID: 36939825BACKGROUNDFang HSA, Tan NC, Tan WY, Oei RW, Lee ML, Hsu W. Patient similarity analytics for explainable clinical risk prediction. BMC Med Inform Decis Mak. 2021 Jul 1;21(1):207. doi: 10.1186/s12911-021-01566-y.
PMID: 34210320BACKGROUNDOei RW, Fang HSA, Tan WY, Hsu W, Lee ML, Tan NC. Using Domain Knowledge and Data-Driven Insights for Patient Similarity Analytics. J Pers Med. 2021 Jul 22;11(8):699. doi: 10.3390/jpm11080699.
PMID: 34442343BACKGROUNDStefanut AM, Vintila M. Psychotherapeutic intervention on breast self-examination based on Health Belief Model. Curr Psychol. 2022 Feb 21:1-9. doi: 10.1007/s12144-022-02871-z. Online ahead of print.
PMID: 35221635BACKGROUNDWalrave M, Waeterloos C, Ponnet K. Adoption of a Contact Tracing App for Containing COVID-19: A Health Belief Model Approach. JMIR Public Health Surveill. 2020 Sep 1;6(3):e20572. doi: 10.2196/20572.
PMID: 32755882BACKGROUNDRobinson CA. Trust, Health Care Relationships, and Chronic Illness: A Theoretical Coalescence. Glob Qual Nurs Res. 2016 Aug 12;3:2333393616664823. doi: 10.1177/2333393616664823. eCollection 2016 Jan-Dec.
PMID: 28508016BACKGROUNDGorawara-Bhat R, Huang ES, Chin MH. Communicating with older diabetes patients: self-management and social comparison. Patient Educ Couns. 2008 Sep;72(3):411-7. doi: 10.1016/j.pec.2008.05.011. Epub 2008 Jul 18.
PMID: 18639997BACKGROUNDLim DYZ, Chia SY, Abdul Kadir H, Mohamed Salim NN, Bee YM. Establishment of the SingHealth Diabetes Registry. Clin Epidemiol. 2021 Mar 16;13:215-223. doi: 10.2147/CLEP.S300663. eCollection 2021.
PMID: 33762850BACKGROUNDGibbons FX, Buunk BP. Individual differences in social comparison: development of a scale of social comparison orientation. J Pers Soc Psychol. 1999 Jan;76(1):129-42. doi: 10.1037//0022-3514.76.1.129.
PMID: 9972558BACKGROUNDChan AHY, Horne R, Hankins M, Chisari C. The Medication Adherence Report Scale: A measurement tool for eliciting patients' reports of nonadherence. Br J Clin Pharmacol. 2020 Jul;86(7):1281-1288. doi: 10.1111/bcp.14193. Epub 2020 May 18.
PMID: 31823381BACKGROUNDToobert DJ, Hampson SE, Glasgow RE. The summary of diabetes self-care activities measure: results from 7 studies and a revised scale. Diabetes Care. 2000 Jul;23(7):943-50. doi: 10.2337/diacare.23.7.943.
PMID: 10895844BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Ruiheng Ong
SingHealth Polyclinics
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
October 6, 2021
First Posted
February 20, 2025
Study Start
August 21, 2023
Primary Completion
January 22, 2024
Study Completion
August 29, 2024
Last Updated
February 20, 2025
Record last verified: 2024-09
Data Sharing
- IPD Sharing
- Will share
Only IPD used in the results publication