The Feasibility of Health Trainer Improved Patient Self-Management in Patients with Low Health Literacy and Poorly Controlled Diabetes: A Pilot Randomised Controlled Trial
Type 2 diabetes mellitus is most prevalent in deprived communities and patients with low health literacy have worse glycaemic control and higher rates of diabetic complications. However, recruitment from this patient population into intervention trials is highly challenging. We conducted a study to...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Journal of Diabetes Research |
| Online Access: | http://dx.doi.org/10.1155/2016/6903245 |
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| author | Joanne Protheroe Trishna Rathod Bernadette Bartlam Gillian Rowlands Gerry Richardson David Reeves |
| author_facet | Joanne Protheroe Trishna Rathod Bernadette Bartlam Gillian Rowlands Gerry Richardson David Reeves |
| author_sort | Joanne Protheroe |
| collection | DOAJ |
| description | Type 2 diabetes mellitus is most prevalent in deprived communities and patients with low health literacy have worse glycaemic control and higher rates of diabetic complications. However, recruitment from this patient population into intervention trials is highly challenging. We conducted a study to explore the feasibility of recruitment and to assess the effect of a lay health trainer intervention, in patients with low health literacy and poorly controlled diabetes from a socioeconomically disadvantaged population, compared with usual care. Methods. A pilot RCT comparing the LHT intervention with usual care. Patients with HbA1c > 7.5 (58 mmol/mol) were recruited. Baseline and 7-month outcome data were entered directly onto a laptop to reduce patient burden. Results. 76 patients were recruited; 60.5% had low health literacy and 75% were from the most deprived areas of England. Participants in the LHT arm had significantly improved mental health (p=0.049) and illness perception (p=0.040). The intervention was associated with lower resource use, better patient self-care management, and better QALY profile at 7-month follow-up. Conclusion. This study describes successful recruitment strategies for hard-to-reach populations. Further research is warranted for this cost-effective, relatively low-cost intervention for a population currently suffering a disproportionate burden of diabetes, to demonstrate its sustained impact on treatment effects, health, and health inequalities. |
| format | Article |
| id | doaj-art-5b7cc71fd68d43b584bedebc2e553cbb |
| institution | Kabale University |
| issn | 2314-6745 2314-6753 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Diabetes Research |
| spelling | doaj-art-5b7cc71fd68d43b584bedebc2e553cbb2025-08-20T03:26:29ZengWileyJournal of Diabetes Research2314-67452314-67532016-01-01201610.1155/2016/69032456903245The Feasibility of Health Trainer Improved Patient Self-Management in Patients with Low Health Literacy and Poorly Controlled Diabetes: A Pilot Randomised Controlled TrialJoanne Protheroe0Trishna Rathod1Bernadette Bartlam2Gillian Rowlands3Gerry Richardson4David Reeves5Research Institute for Primary Care & Health Sciences, Keele University, Keele, UKResearch Institute for Primary Care & Health Sciences, Keele University, Keele, UKResearch Institute for Primary Care & Health Sciences, Keele University, Keele, UKSection for Health Promotion and Health Services, Institute for Public Health, Aarhus University, Aarhus, DenmarkCentre for Health Economics, University of York, York, UKCentre for Primary Care and Centre for Biostatistics, Manchester Academic Health Science Centre (MAHSC), University of Manchester, Manchester, UKType 2 diabetes mellitus is most prevalent in deprived communities and patients with low health literacy have worse glycaemic control and higher rates of diabetic complications. However, recruitment from this patient population into intervention trials is highly challenging. We conducted a study to explore the feasibility of recruitment and to assess the effect of a lay health trainer intervention, in patients with low health literacy and poorly controlled diabetes from a socioeconomically disadvantaged population, compared with usual care. Methods. A pilot RCT comparing the LHT intervention with usual care. Patients with HbA1c > 7.5 (58 mmol/mol) were recruited. Baseline and 7-month outcome data were entered directly onto a laptop to reduce patient burden. Results. 76 patients were recruited; 60.5% had low health literacy and 75% were from the most deprived areas of England. Participants in the LHT arm had significantly improved mental health (p=0.049) and illness perception (p=0.040). The intervention was associated with lower resource use, better patient self-care management, and better QALY profile at 7-month follow-up. Conclusion. This study describes successful recruitment strategies for hard-to-reach populations. Further research is warranted for this cost-effective, relatively low-cost intervention for a population currently suffering a disproportionate burden of diabetes, to demonstrate its sustained impact on treatment effects, health, and health inequalities.http://dx.doi.org/10.1155/2016/6903245 |
| spellingShingle | Joanne Protheroe Trishna Rathod Bernadette Bartlam Gillian Rowlands Gerry Richardson David Reeves The Feasibility of Health Trainer Improved Patient Self-Management in Patients with Low Health Literacy and Poorly Controlled Diabetes: A Pilot Randomised Controlled Trial Journal of Diabetes Research |
| title | The Feasibility of Health Trainer Improved Patient Self-Management in Patients with Low Health Literacy and Poorly Controlled Diabetes: A Pilot Randomised Controlled Trial |
| title_full | The Feasibility of Health Trainer Improved Patient Self-Management in Patients with Low Health Literacy and Poorly Controlled Diabetes: A Pilot Randomised Controlled Trial |
| title_fullStr | The Feasibility of Health Trainer Improved Patient Self-Management in Patients with Low Health Literacy and Poorly Controlled Diabetes: A Pilot Randomised Controlled Trial |
| title_full_unstemmed | The Feasibility of Health Trainer Improved Patient Self-Management in Patients with Low Health Literacy and Poorly Controlled Diabetes: A Pilot Randomised Controlled Trial |
| title_short | The Feasibility of Health Trainer Improved Patient Self-Management in Patients with Low Health Literacy and Poorly Controlled Diabetes: A Pilot Randomised Controlled Trial |
| title_sort | feasibility of health trainer improved patient self management in patients with low health literacy and poorly controlled diabetes a pilot randomised controlled trial |
| url | http://dx.doi.org/10.1155/2016/6903245 |
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