Consultant Claus Bogh Juhl Department of Medicine, Hospital of Southwest Denmark, Esbjerg
Projektet i tal
OPEN undersøgelse/kliniske data
Forventet # af deltagere
Inkluderet antal deltagere
Inkluderede deltagere med prøver
DIATAST - The Diabetes Patient Takes Responsibility
The aim of the study is to test a new model of organizing the diabetes outpatient clinic for Type 1 diabetes patients. The new model aims at a higher degree of self-planning in the patients´ use of the outpatient clinic based on patients' needs. Patients are randomized to follow the normal scheduled visit procedure in the outpatient clinic or to have open access to the clinic within guaranteed time intervals.
Primary outcome is patient reported outcome (PRO) measures of patient satisfaction.
Secondary outcomes are clinical diabetes status (clinical variables), health economic evaluations of resources used in the outpatient clinic and by patients, and PRO measures of patient characteristics/personal preferences.
A secure internet website ("Diabetes-online") will be used by all patients to follow their own diabetic test results. In addition the website is used by the intervention group to communicate about booking of visits to the clinic.
The organization of the life-long control of Type 1 diabetes by pre-planned visits is challenged in this study. The aim is to give capable patients the opportunity to have a higher degree of influence on their disease management and furthermore to allocate clinical resources to those patients that require a more structured and assisted disease management.
Description of the cohort
Type 1 diabetes patients (users of multi insulin injection or insulin pump)
Diabetes for a minimum of 6 months
Age 18-80 years
Patients of the outpatient clinic at Hospital South West Jutland
Internet and cell phone users
Patients with severe psychiatric illness, dementia, or other conditions that may compromise the patient´s judgement of the need of attendance to the clinic or otherwise pose a safety risk
Unstable late-onset diabetic complications (progressive retinopathy or current foot ulcers)
Major increase in HbA1c (>30 mmole/mole within 3 months or >40 mmole/mole in 6 months)
Need for interpreter
Participation in another intervention project within the last month
Data and biological material
Q1: Self-designed validated questionnaire about patient satisfaction, patient expenses, and self-perception.
Q2: Audit of Diabetes Dependent Quality of Life questionnaire (ADDQoL)
Blood and urine sample analyzes, diabetes related clinical data, and diabetes variables submitted to the Danish Clinical Registries (RKKP) of Diabetes.
Data on in-hospital admissions for ketoacidosis and hypoglycemia (The National Patient Register/Landspatientregistret)
Data on visits at the general practitioner (The National Health Service Register/Sygesikringsregistret)
Collaborating researchers and departments
Center for Health Economics Research - COHERE, University of Southern Denmark