Improving Patient-centered Care for Diabetes in Bangladesh Through "Dynamic Integration" of Vision Care on the Demand Side
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Education/information of risk, Free eye glasses.
- Who it may be relevant to
- Registry conditions: Diabetes Mellitus, Diabetic Retinopathy (DR). Basic parameters: from 30 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Bangladesh
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
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?
Interventions
- Other Education/information of risk
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. - Other Free eye glasses
Participants will receive a free pair of reading glass at their first appointment
Primary outcome measures
- 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 outcome measures (1)
- 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]
Eligibility criteria
Inclusion criteria
- 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
- Willingness to participate in the study, and ability to give informed consent
Exclusion criteria
- Other significant causes of vision loss
- Medical conditions that could impair compliance with follow-up (such as stroke, dementia, etc.)
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Health services research
Study locations
Bangladesh · 2 centers
- Gausul Azam BNSB Eye Hospital — Dinajpur
- Dinajpur Diabetes & Swasthoseba Hospital — Dinajpur Sadar
Identifiers
NCT: NCT06968611 · PIS-DR-DEMAND-2025