The Bangladesh D-Magic Trial. Diabetes Mellitus: Action Through Groups or Information for Better Control?

孟加拉国 D-Magic 审判。

• 批准号: MR/M016501/1
• 负责人: Edward Fottrell
• 金额: $ 113.77万
• 依托单位: University College London
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2015
• 资助国家: 英国
• 起止时间: 2015 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=MR%2FM016501%2F1
• 关键词: Bangladesh; Magic; Trial.; Diabetes; Mellitus

As survival improves in low-income countries the problem of non-communicable diseases, including diabetes, increases. Diabetes currently affects between 20-30% of the population of Bangladesh either as pre-diabetes or fully expressed diabetes mellitus. The problem of diabetes and its complications is a growing concern among communities, health service providers and policymakers, yet raw data on the magnitude and underlying causes of the problem are scarce, especially in rural areas. Underlying the increasing prevalence in Bangladesh are patterns of dietary change, changing lifestyles and increases in other risk factors like lack of exercise and smoking. Our study will generate prevalence data on pre-diabetes, diabetes, and associated risk factors in rural villages in Bangladesh and explore the impacts of two interventions to improve the detection, management and prevention of diabetes in these deprived populations. The first intervention will use mobile phone technology to send health promotion information and targeted diabetes prevention and management messages to the population whilst also implementing simple messages and quiz 'apps' to facilitate health provider training and decision support in relation to diabetes care. The second intervention will focus on participatory community groups, engaging communities in a series of meetings in which the population themselves identify and address factors that may increase their risks of diabetes or prevent the effective management of the disease. It is hypothesised that collective community messaging and engagement in this way will enhance awareness and trigger behaviour change leading to lower burdens of risk factors and disease indicators, measured through large community surveys. The simultaneous evaluation of the two interventions in different areas will allow a comparison of the benefits of each compared to a 'control' area that only receives standard diabetes prevention and care services. A strong focus on implementation and process evaluation will identify the likely scalability and sustainability of these interventions.

随着低收入国家生存率的提高，包括糖尿病在内的非传染性疾病问题也随之增加。目前，孟加拉国 20-30% 的人口患有糖尿病前期或完全糖尿病。糖尿病及其并发症问题日益受到社区、卫生服务提供者和政策制定者的关注，但有关该问题的严重程度和根本原因的原始数据却很少，特别是在农村地区。孟加拉国患病率不断上升的原因是饮食模式的改变、生活方式的改变以及缺乏运动和吸烟等其他危险因素的增加。我们的研究将生成孟加拉国农村地区糖尿病前期、糖尿病和相关风险因素的患病率数据，并探讨两种干预措施的影响，以改善这些贫困人群糖尿病的检测、管理和预防。第一项干预措施将使用移动电话技术向人们发送健康促进信息和有针对性的糖尿病预防和管理信息，同时还实施简单的消息和测验“应用程序”，以促进与糖尿病护理相关的医疗服务提供者培训和决策支持。第二项干预措施将侧重于参与性社区团体，让社区参加一系列会议，在这些会议上，人们自己确定并解决可能增加糖尿病风险或阻碍疾病有效管理的因素。据假设，以这种方式进行的集体社区信息传递和参与将提高认识并引发行为改变，从而降低通过大型社区调查衡量的风险因素和疾病指标的负担。同时评估不同地区的两种干预措施将能够比较每种干预措施与仅接受标准糖尿病预防和护理服务的“对照”地区的益处。对实施和过程评估的高度重视将确定这些干预措施可能的可扩展性和可持续性。

项目成果

Data processing in the DMagic cluster randomised controlled trial.

DMagic 集群随机对照试验中的数据处理。

• DOI: 10.1016/s2213-8587(22)00014-6
• 发表时间: 2022
• 期刊: The lancet. Diabetes & endocrinology
• 作者: Fottrell E

The effect of community groups and mobile phone messages on the prevention and control of diabetes in rural Bangladesh: study protocol for a three-arm cluster randomised controlled trial.

• DOI: 10.1186/s13063-016-1738-x
• 发表时间: 2016-12-19
• 期刊: Trials
• 影响因子: 2.5
• 作者: Fottrell E;Jennings H;Kuddus A;Ahmed N;Morrison J;Akter K;Shaha SK;Nahar B;Nahar T;Haghparast-Bidgoli H;Khan AK;Costello A;Azad K
• 通讯作者: Azad K

The Burden of Diabetes, Hypertension, and Noncommunicable Disease Risk Factors among Adults Aged 30 Years and Above in Rural Bangladesh-A Cross-Sectional Epidemiological Survey

孟加拉国农村地区 30 岁及以上成年人的糖尿病、高血压和非传染性疾病危险因素负担——一项横断面流行病学调查

• 发表时间: 2017
• 期刊: DIABETES
• 影响因子: 7.7
• 作者: Fottrell Edward

Intermediate hyperglycaemia, diabetes and blood pressure in rural Bangladesh: five-year post-randomisation follow-up of the DMagic cluster-randomised controlled trial.

• DOI: 10.1016/j.lansea.2022.100122
• 发表时间: 2023-03
• 期刊: LANCET REGIONAL HEALTH - SOUTHEAST ASIA
• 作者: Fottrell, Edward;King, Carina;Ahmed, Naveed;Shaha, Sanjit Kumer;Morrison, Joanna;Pires, Malini;Kuddus, Abdul;Nahar, Tasmin;Haghparast-Bidgoli, Hassan;Khan, A. K. Azad;Azad, Kishwar
• 通讯作者: Azad, Kishwar

Distribution of diabetes, hypertension and non-communicable disease risk factors among adults in rural Bangladesh: a cross-sectional survey.

• DOI: 10.1136/bmjgh-2018-000787
• 发表时间: 2018
• 期刊: BMJ global health
• 影响因子: 8.1
• 作者: Fottrell E;Ahmed N;Shaha SK;Jennings H;Kuddus A;Morrison J;Akter K;Nahar B;Nahar T;Haghparast-Bidgoli H;Khan AKA;Costello A;Azad K
• 通讯作者: Azad K