The Joint Asia Diabetes Evaluation (JADE) Program in Hong Kong Community
1. To recruit 600 type 2 diabetic patients managed in a community setting.
2. To enrol into the Joint Asia Diabetes Evaluation (JADE) Program.
3. After the comprehensive assessment at enrolment, half of the patients will be managed according to the JADE protocol implemented with assistance of a clinic nurse. The other half of the patients will be managed in the usual manner.
4. At the end of 1 year, all patients will undergo repeat comprehensive assessments for comparison of attainment of treatment targets.
5. The acceptability of the JADE Program by patients and clinic staff will also be evaluated.
Several lines of evidence support protocol-driven care using a multidisciplinary approach with special focus on periodic assessments, reinforcement of compliance and attainment of treatment targets improves risk factor control and reduces morbidity and mortality in people with diabetes mellitus The Joint Asia Diabetes Evaluation (JADE) Program is an innovative project using state of the art information technology with internet on-line system to enable doctors, nurses and other medical personnel to manage people with diabetes. It provides a virtual platform to facilitate implementation of evidence-based clinical protocols and to collect, manage and analyse data to track performance for quality assurance and improvement purposes. The JADE Program incorporates validated risk equations developed by the CUHK Diabetes Care & Research Group to stratify patients into various risk clusters for recommendation into different care protocols. This information can be relayed to people with diabetes in an interactive manner, in the form of charts and time trends, to motivate changes in behaviour and to attain treatment targets.
In this implementation project, we aim to recruit 600 type 2 diabetic patients managed in a community setting. With written informed consent, these patients will be invited to enrol into the JADE Program. After the comprehensive assessment at enrolment, half of the patients will be managed according to the JADE protocol implemented with assistance of a clinic nurse. The other half of the patients will be managed in the usual manner. At the end of 1 year, all patients will undergo repeat comprehensive assessments for comparison of attainment of treatment targets The acceptability of the JADE Program by patients and clinic staff will also be evaluated.
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label
Type 2 Diabetes Mellitus
Protocol-driven care under JADE Program
Asia Diabetes Foundation
Chinese University of Hong Kong
Results (where available)
- Source: http://clinicaltrials.gov/show/NCT00711152
- Information obtained from ClinicalTrials.gov on July 15, 2010
Medical and Biotech [MESH] Definitions
The time period before the development of symptomatic diabetes. For example, certain risk factors can be observed in subjects who subsequently develop INSULIN RESISTANCE as in type 2 diabetes (DIABETES MELLITUS, TYPE 2).
Diabetes Mellitus, Type 2
A subclass of DIABETES MELLITUS that is not INSULIN-responsive or dependent (NIDDM). It is characterized initially by INSULIN RESISTANCE and HYPERINSULINEMIA; and eventually by GLUCOSE INTOLERANCE; HYPERGLYCEMIA; and overt diabetes. Type II diabetes mellitus is no longer considered a disease exclusively found in adults. Patients seldom develop KETOSIS but often exhibit OBESITY.
Quality Assurance, Health Care
Activities and programs intended to assure or improve the quality of care in either a defined medical setting or a program. The concept includes the assessment or evaluation of the quality of care; identification of problems or shortcomings in the delivery of care; designing activities to overcome these deficiencies; and follow-up monitoring to ensure effectiveness of corrective steps.
National Institute Of Diabetes And Digestive And Kidney Diseases...
Component of the NATIONAL INSTITUTES OF HEALTH. It conducts and supports basic and applied research for a national program in diabetes, endocrinology, and metabolic diseases; digestive diseases and nutrition; and kidney, urologic, and hematologic diseases. It was established in 1948.
Patient Care Planning
Usually a written medical and nursing care program designed for a particular patient.
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