Short summary

It is our ambition to improve type 2 diabetes (T2D) patients' treatment and their lifestyle. We will accomplish this by developing and testing a multi-facetted eHealth intervention that facilitates individualized high-quality care in general practice, improves patients' lifestyle, and promotes integrated healthcare and clinical decision support across hospitals, municipalities and general practice.

Rationale

The design of the intervention is based on an optimization of approaches tailored to healthcare services to meet individual needs, perspectives and preferences, using existing data, IT systems and platforms. To some extent, the research group has already developed the most important individual components of the intervention; the DICTA project combines these elements in a comprehensive multi-facetted intervention. If the intervention proves effective, implementation on a large scale is highly feasible, via collaboration between hospitals, municipalities, universities and general practice. The majority of the components in our intervention should be considered as generic and relevant to most chronic diseases. The flow of the study has begun with analyzing barriers and facilitators for the use and success of the intervention. This feeds into finalizing the design of the multi-facetted intervention which is currently being pilot tested. Subsequently it will be evaluated in a large scale randomized controlled trial including hospitals, municipalities, GPs, and their patients. The DICTA-RCT project will be evaluated in terms of effectiveness and cost-effectiveness in and communicated publicly both for academia, GPs, and the public. The setting for the study will be general practices, Odense University Hospital, selected municipalities, and Holbaek Hospital. The DICTA project will be a part of the core research at both SDCO and SDCS.

Description of the cohort

Patients (men and women) with newly diagnosed type 2 diabetes (diabetes duration maximum four years), age between 18 and 80 years,

Data and biological material

blood, urine, clinical measurements (blood pressure, weight, height, hip- and waist circumference) Lifestyle questionnaire, register data from the Danish National prescription Register and the National Patient Register, accelerometerdata, and data from the LIVA application

Collaborating researchers and departments

The Research Unit for General Practice, Department for Public Health, University of Southern Denmark

• Professor Jens Søndergaard
• Professor Jesper Bo Nielsen
• Professor Dorte E. Jarbøl
• Adjunct prof. Sonja Wehberg
• Postdoc Carl J. Brandt
• Postdoc Pernille Ravn Jakobsen

Hospital of Holbaek

• Professor, Consultant Michael Hecht Olesen

Department of Clinical Medicine, Aalborg University Hospital, University of Aalborg

• Professor Jette Kolding Kristensen

Department of Endocrinology, Slagelse Hospital

• Consultant Peter Gæde

Research Department in Liva Healthcare

• Head of Department, PhD Camilla Sortsø