The Diabetes guidelines Implementation in Hospitals Study
| ISRCTN | ISRCTN35851744 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN35851744 |
| Secondary identifying numbers | N/A |
- Submission date
- 26/02/2007
- Registration date
- 26/02/2007
- Last edited
- 25/04/2014
- 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
Not provided at time of registration
Contact information
Dr R Dijkstra
Scientific
Scientific
Centre for Quality of Care Research (117-WOK)
Radboud University Medical Centre
P.O. Box 9101
Nijmegen
6500 HB
Netherlands
| r.dijkstra@kwazo.umcn.nl |
Study information
| Study design | Randomised, active controlled, parallel group, multicentre trial |
|---|---|
| Primary study design | Interventional |
| Secondary study design | Randomised controlled trial |
| Study setting(s) | Other |
| Study type | Treatment |
| Scientific title | |
| Study acronym | DIHS |
| Study hypothesis | A patient centred or a professional directed intervention to improve adherence to diabetes guidelines in hospitals are more (cost) effective compared to usual care. More details can be found at: 1. http://www.ncbi.nlm.nih.gov/pubmed/12191541 2. http://www.ncbi.nlm.nih.gov/pubmed/15860240 |
| Ethics approval(s) | The ethics committee of St Radboud Medical Centre approved the trial on 30/11/1998, ref: CWOM-nr: 9810-0208 |
| Condition | Diabetes, empowerment, guideline adherence, guidelines, physician-patient interaction |
| Intervention | At hospitals in the professional-directed group (n = 4), the health professionals received aggregated feedback on baseline data on their patient population. During an educational meeting for internists, Diabetes Specialist Nurses (DSNs) and dieticians, the guidelines were discussed, promoted and distributed by a national opinion leader in diabetic care. Also desktop reminder cards of key guidelines were distributed, including a nomogram to easily calculate the Body Mass Index (BMI). Internists and DSNs preferred these reminder cards to locally adapted written protocols. After six months the internists received personal benchmarked feedback on their clinical performance. At the hospitals in the patient centred group (n = 4) intervention activities were addressed to the health care professionals and to the patients. As in the other intervention group feedback was given to the professionals on baseline data. During an educational meeting with a national opinion leader, guidelines as well as the diabetes passports were introduced. Barriers and facilitators to implement the diabetes passports in the clinic were discussed. Like in the other intervention group after six months personal feedback was given to the internists only, but this time on clinical performance as well as on the use of the diabetes passport. For the patients in the patient centred group, additional educational meetings were organised in collaboration with the local patient organisations. Furthermore 4,500 diabetes passports were made available at the four hospitals and waiting room posters, reminders for the patients to bring their passports and leaflets explaining how to use the passport were distributed. The passports were introduced and given to the patients by internists or DSNs during the clinic hours. |
| Intervention type | Other |
| Primary outcome measure | The mean HbA1c level (mmol/l) of the patients in the different intervention groups. |
| Secondary outcome measures | Clinical outcomes at the patient level: 1. Quality of Life (Short Form Health Survey [SF-20]) locus of control 2. Patient satisfaction |
| Overall study start date | 01/12/2000 |
| Overall study end date | 18/03/2004 |
Eligibility
| Participant type(s) | Patient |
|---|---|
| Age group | Not Specified |
| Sex | Not Specified |
| Target number of participants | 1950 |
| Participant inclusion criteria | In 13 hospitals, the first 150 patients with diabetes that came for a check-up at their internists were included. |
| Participant exclusion criteria | 1. Patients with a short (less than one year) life expectancy 2. Pregnant patients |
| Recruitment start date | 01/12/2000 |
| Recruitment end date | 18/03/2004 |
Locations
Countries of recruitment
- Netherlands
Study participating centre
Centre for Quality of Care Research (117-WOK)
Nijmegen
6500 HB
Netherlands
6500 HB
Netherlands
Sponsor information
University Medical Centre St. Radboud (The Netherlands)
Hospital/treatment centre
Hospital/treatment centre
Center for Quality of Care Research (WOK)
117 KWAZO
P.O. Box 9101
Nijmegen
6500 HB
Netherlands
"ROR" |
https://ror.org/05wg1m734 |
|---|
Funders
Funder type
Government
The Netherlands Ministry of Health, Welfare and Sport (The Netherlands)
No information available
Results and Publications
| Intention to publish date | |
|---|---|
| Individual participant data (IPD) Intention to share | No |
| IPD sharing plan summary | Not provided at time of registration |
| Publication and dissemination plan | Not provided at time of registration |
| IPD sharing plan |
Study outputs
| Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
|---|---|---|---|---|---|
| Results article | results | 01/02/2006 | Yes | No | |
| Results article | results | 01/10/2013 | Yes | No |
