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Blood glucose testing and primary prevention of diabetes mellitus type 2 -
evaluation of the effect of evidence based patient information.
ABSTRACT: BACKGROUND: Evidence-based patient information (EBPI) has been
recognised as important tool for informed choice in particular in the matter of
preventive options. An objective, on the best scientific evidence-based consumer
information about subthreshold elevated blood glucose levels (impaired fasting
glucose and impaired glucose tolerance) and primary prevention of diabetes, is
not available yet. Thus we developed a web-based EBPI and aim to evaluate its
effects on informed decision making in people 50 years or older. METHODS/DESIGN:
We conduct a web-based randomised-controlled trial to evaluate the effect of
information about elevated blood glucose levels and diabetes primary prevention
on five specific outcomes: (i) knowledge of elevated blood glucose level-related
issues (primary outcome); (ii) attitudes to a metabolic testing; (iii) intention
to undergo a metabolic testing; (iv) decision conflict; (v) satisfaction with the
information. The intervention group receives a specially developed EBPI about
subthreshold elevated blood glucose levels and diabetes primary prevention, the
control group information about this topic, available in the internet.The study
population consists of people between 50 and 69 years of age without known
diabetes. Participants will be recruited via the internet page of the cooperating
health insurance company, Techniker Krankenkasse (TK), and the internet page of
the German Diabetes Centre. Outcomes will be measured through online
questionnaires. We expect better informed participants in the intervention group.
DISCUSSION: The design of this study may be a prototype for other web-based
prevention information and their evaluation. TRIAL REGISTRATION: Current
Controlled Trial: ISRCTN22060616.
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Autoren:
Genz, Jutta
; Haastert, Burkhard
; Meyer, Gabriele
; Steckelberg, Anke
; Muller, Hardy
; Verheyen, Frank
; Cole, Dennis
; Rathmann, Wolfgang
; Nowotny, Bettina
; Roden, Michael
; Giani, Guido
; Mielck, Andreas
; Ohmann, Christian
; Icks, Andrea
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Quelle:
BMC Public Health. 2010 Jan 14;10(1):15.
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| Literaturrecherche: U.S.National Library of Medicine's PubMed®
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