マスダ　ガク   Masuda Gaku   益田　岳    所属   医学部 医学科    職種   助教
論文種別	原著
言語種別	英語
査読の有無	査読あり
表題	Community-based lifestyle intervention for diabetes (Co-LID study) management rural Nepal: study protocol for a clustered randomized controlled trial.
掲載誌名	正式名：Trials 略　 称：Trials ISSNコード：17456215/17456215
掲載区分	国外
巻・号・頁	24(1),pp.441
国際共著	国際共著
著者・共著者	Rawal Lal, Dahal Padam, Paudel Grish, Biswas Tuhin, Shrestha Rabina, Makaju Deepa, Shrestha Abha, Yadav Uday, Sahle Berhe W, Iwashita Hanako, Masuda Gaku, Renzaho Andre, Shakya Prabin, Shrestha Archana, Karmacharya Biraj, Sakamoto Haruka, Koju Rajendra, Sugishita Tomohiko
発行年月	2023/07
概要	BACKGROUND:Type 2 diabetes mellitus (T2DM) has increased globally; with a disproportionate burden in South and Southeast Asian countries, including Nepal. There is an urgent need for clinically and cost-effective culturally adapted T2DM management programs. In this study, we aim to assess the effectiveness of community based culturally appropriate lifestyle intervention in improving the management and care of people with T2DM.METHODS:We will conduct a cluster randomized control trial to evaluate the effectiveness of community based culturally appropriate lifestyle intervention in improving T2DM outcomes. The trial will be conducted in 30 randomly selected healthcare facilities from two purposively selected districts (Kavrepalanchowk and Nuwakot districts) of Bagmati province, Nepal. The selected healthcare facilities are being randomized into 15 interventions (n = 15) and usual care (n = 15) groups. Those in the intervention will receive group-based 12 an hour-long fortnightly session delivered over 6 months period. The intervention package includes 12 planned modules related to diabetes care, ongoing support, supervision and monitoring, follow-up from the trained community health workers, and educational materials on diabetes self-management. The participants in the usual care groups will receive pictorial brochure on diabetes management and they will continue receiving the usual care available from the local health facilities. The primary outcome is HbA1c level, and the secondary outcomes include quality of life, health care utilization, and practice of self-care behaviour, depression, oral health quality of life, and economic assessment of the intervention. Two points measurements will be collected by the trained research assistants at baseline and at the end of the intervention.DISCUSSION:This study will provide tested approaches for culturally adapting T2DM interventions in the Nepalese context. The findings will also have practice and policy implications for T
DOI	10.1186/s13063-023-07451-5
PMID	37403179