Intervention for Diabetes with Education, Advancement and Support (IDEAS) study: protocol for a cluster randomised controlled trial.
BACKGROUND
The high market penetration of mobile phones has triggered an opportunity to combine mobile technology with health care to overcome challenges in today's health care setting. Although Malaysia has a high Internet and mobile penetration rate, evaluations of the efficacy of incorporating this technology in diabetes care is not common. We report the development of a telemonitoring coaching system, using the United Kingdom (UK) Medical Research Council (MRC) framework, for patients with type 2 diabetes mellitus.


METHODS
The Intervention for Diabetes with Education, Technological Advancement and Support (IDEAS) study is a telemonitoring programme based on an empowerment philosophy to enable participants to be responsible for their own health decision and behaviour. An iterative cycle of development, piloting, and collating qualitative and quantitative data will be used to inform and refine the intervention. To increase compliance, the intervention will be designed to encourage self-management using simple, non-technical knowledge. The primary outcomes will be HbA1c, blood pressure, total cholesterol, and quality of life and diabetes self-efficacy. In addition, an economic analysis on health service utilisation will be collected.


CONCLUSIONS
The mixed-method approach in this study will allow for a holistic overview of using telemonitoring in diabetes care. This design enables researchers to understand the effectiveness of telemonitoring as well as provide insights towards the receptiveness of incorporating information technology amongst type 2 diabetes patients in a community setting.


BACKGROUND
ClinicalTrials.gov NCT02466880 Registered 2 June 2015.
School of Pharmacy, Monash University Malaysia, Jalan Lagoon Selatan, Bandar Sunway, 47500, Subang Jaya, Selangor, Malaysia.
Jun Yang
JY
Lee
School of Psychology, Australian Catholic University, 1100 Nudgee Road, Banyo, QLD, 4104, Australia.|Jeffrey Cheah School of Medicine and Health Sciences, Faculty of Medicine, University of Malaya, 50603, Kuala Lumpur, Malaysia.
Carina Ka Yee
CK
Chan
Department of Primary Care Medicine, Faculty of Medicine, University Malaya, 50603, Kuala Lumpur, Malaysia.
Siew Siang
SS
Chua
School of Pharmacy, Taylor's University Malaysia, No. 1 Jalan Taylor's, 47500, Subang Jaya, Selangor Darul Ehsan, Malaysia.
Chirk Jenn
CJ
Ng
School of Pharmacy, Taylor's University Malaysia, No. 1 Jalan Taylor's, 47500, Subang Jaya, Selangor Darul Ehsan, Malaysia.
Thomas
T
Paraidathathu
School of Pharmacy, Monash University Malaysia, Jalan Lagoon Selatan, Bandar Sunway, 47500, Subang Jaya, Selangor, Malaysia.
Kenneth Kwing-Chin
KK
Lee
School of Pharmacy, Monash University Malaysia, Jalan Lagoon Selatan, Bandar Sunway, 47500, Subang Jaya, Selangor, Malaysia. shaun.lee@monash.edu.
Shaun Wen Huey
http://orcid.org/0000-0001-7361-6576
SW
Lee
Diabetes management; Remote monitoring; Telemonitoring; Type 2 diabetes mellitus
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