PMID- 35931991
OWN - NLM
STAT- MEDLINE
DCOM- 20220809
LR  - 20220809
IS  - 2731-4553 (Electronic)
IS  - 2731-4553 (Linking)
VI  - 23
IP  - 1
DP  - 2022 Aug 5
TI  - The effectiveness of a mHealth-based integrated hospital-community-home program 
      for people with type 2 diabetes in transitional care: a protocol for a 
      multicenter pragmatic randomized controlled trial.
PG  - 196
LID - 10.1186/s12875-022-01814-8 [doi]
LID - 196
AB  - BACKGROUND: Diabetes is a progressive condition requiring long-term medical care 
      and self-management. The ineffective transition from hospital to community or 
      home health care may result in poor glycemic control and increase the risk of 
      serious diabetes-related complications. In China, the most common transitional 
      care model is home visits or telephone interventions led by a single healthcare 
      setting, with a lack of cooperation between specialists and primary care, which 
      leads to inadequate service and discontinuous care. Thus, an integrated 
      hospital-community-home (i-HCH) transitional care program was developed to 
      promote hospital and community cooperation and provide comprehensive and 
      continuous medical care for type 2 diabetes mellitus (T2DM) via mobile health 
      (mHealth) technology. METHODS: This protocol is for a multicenter randomized 
      controlled trial in T2DM patients. Hospitalized patients diagnosed with T2DM who 
      meet the eligibility criteria will be recruited. The patients will be randomly 
      allocated to either the intervention or the control group and receive the i-HCH 
      transitional care or usual transitional care intervention. The change in glycated 
      hemoglobin is the primary outcome. Secondary outcome measures are blood pressure, 
      lipids (total cholesterol, triglycerides, low-density lipoprotein, high-density 
      lipoprotein), body mass index, self-management skills, quality of life, diabetes 
      knowledge, transitional care satisfaction and the rate of readmission. The 
      follow-up period of this study is six months. DISCUSSION: The study will enhance 
      the cooperation between local hospitals and communities for diabetes transitional 
      care. Research on the effectiveness of diabetes outcomes will have potentially 
      significant implications for chronic disease patients, family members, health 
      caregivers and policymakers. TRIAL REGISTRATION: Chinese Clinical Trial Registry 
      ChiCTR1900023861: June 15, 2019.
CI  - (c) 2022. The Author(s).
FAU - Zhang, Wenhui
AU  - Zhang W
AD  - Nursing Department, Gongli Hospital, Pudong, Shanghai, China.
AD  - The School of Nursing, Ningxia Medical University, Yinchuan, Ningxia, China.
FAU - Yang, Pei
AU  - Yang P
AD  - The School of Nursing, Ningxia Medical University, Yinchuan, Ningxia, China.
FAU - Wang, Hongyan
AU  - Wang H
AD  - Nursing Department, Gongli Hospital, Pudong, Shanghai, China.
FAU - Pan, Xinxin
AU  - Pan X
AD  - Nursing Department, Gongli Hospital, Pudong, Shanghai, China.
FAU - Wang, Yanmei
AU  - Wang Y
AUID- ORCID: 0000-0001-7773-3470
AD  - Nursing Department, Gongli Hospital, Pudong, Shanghai, China. tg20212021@126.com.
LA  - eng
SI  - ChiCTR/ChiCTR1900023861
PT  - Clinical Trial Protocol
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20220805
PL  - England
TA  - BMC Prim Care
JT  - BMC primary care
JID - 9918300889006676
SB  - IM
MH  - *Diabetes Mellitus, Type 2/therapy
MH  - Hospitals
MH  - Humans
MH  - Multicenter Studies as Topic
MH  - Quality of Life
MH  - Randomized Controlled Trials as Topic
MH  - *Telemedicine/methods
MH  - *Transitional Care
PMC - PMC9356450
OTO - NOTNLM
OT  - Apps
OT  - Mobile health
OT  - Self-management
OT  - Smartphone applications
OT  - Transitional care
OT  - Type 2 diabetes
COIS- No competing interests.
EDAT- 2022/08/06 06:00
MHDA- 2022/08/10 06:00
PMCR- 2022/08/05
CRDT- 2022/08/05 23:35
PHST- 2021/09/22 00:00 [received]
PHST- 2022/07/29 00:00 [accepted]
PHST- 2022/08/05 23:35 [entrez]
PHST- 2022/08/06 06:00 [pubmed]
PHST- 2022/08/10 06:00 [medline]
PHST- 2022/08/05 00:00 [pmc-release]
AID - 10.1186/s12875-022-01814-8 [pii]
AID - 1814 [pii]
AID - 10.1186/s12875-022-01814-8 [doi]
PST - epublish
SO  - BMC Prim Care. 2022 Aug 5;23(1):196. doi: 10.1186/s12875-022-01814-8.