Improving Patient-centered Care for Diabetes in Bangladesh Through "Dynamic Integration" of Vision Care on the Demand Side

ConditionsDiabetes Mellitus Diabetic Retinopathy (DR)

Trial statusRecruiting

Trial phaseNot applicable

Trial typeInterventional

Biological sexAll

Age30+

SponsorOrbis

About this trial

The goal of this clinical trial is to determine whether there is an increase in participant uptake of diabetes mellitus (DM) and diabetic retinopathy (DR) services and improved quality of patient-centered diabetic care resulting from the use of automated voice message reminders to sensitize people with DM about the potential for sight loss alongside the provision of free reading glasses.

The main questions it aims to answer are:

1. Will the proportion of patients completing their scheduled DR and DM appointments within 3 weeks of the scheduled date be significantly increased in the group receiving the automated voice messages containing both appointment reminders and messaging about the importance of visit and medication compliance in reducing the risk of vision loss, compared with participant messages which only remind them of their appointments? 2. What is the cost-effectiveness, measured as total intervention cost per additional patient complying with the suggested exam?

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Diagnosed with DM within the last 6 months

Over 30 years of age

Currently treated at the Dinajpur Diabetes Hospital

Possess a mobile phone to receive voice messages

Disqualifiers

Other significant causes of vision loss

Medical conditions that could impair compliance with follow-up (such as stroke, dementia, etc.)

Trial design

Design model

Parallel

Treatments tested in this trial

Education/information of risk
Other intervention
Participant will receive a message underscoring risk of vision loss from poorly controlled DM, and how this risk can be largely eliminated with excellent compliance with mediations and clinical visits.
Free eye glasses
Other intervention
Participants will receive a free pair of reading glass at their first appointment

Treatment groups

640 Participants

are divided into 2 treatment groups

Group A: Control Group: Automated voice message exam reminder onlyNo intervention 0 interventions

Group B: Intervention Group: Automated voice message + vision education + free reading glasses at appointmentExperimental treatment 2 interventions

Trial outcomes

Primary outcomes

Proportion of patients completing their diabetes or DR exam within 3 weeks of the scheduled date.

Time frame

3 weeks following scheduled exam date

Secondary outcomes

Cost-effectiveness, measured as total intervention cost per additional patient adherence with the suggested exam.

Time frame

Enrollment to 3 weeks following suggested exam date

Sponsors and contacts

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Orbis

Lead sponsor

District Diabetes Hospital, Dinajpur district of Bangladesh

Collaborator

Gausul Azam BNSB Eye Hospital, Dinajpur district of Bangladesh