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Abstract Background Diabetes is one of the four main types of noncommunicable or chronic diseases. Iran is among the countries with the highest incidence of diabetic patients. A study demonstrated that the collection of diabetic data is neither organized nor standardized.
There is currently no instance of electronic personal health records particularly used for diabetic patients in Iran, hence the need for one, which will be useful for self-care of diabetic patients.
Objective The objective of the study is to examine the impact of a Web-based diabetic personal health record DPHR on the self-care status of diabetic patients as compared with the control group.
Methods This study is a randomized control trial, which involves a systematic review of literature of the preferred data elements regarding a DPHR, and reevaluating the results with the opinions of local endocrinologists.
Inclusion criteria were as follows: The sample size is 72 people that were randomly assigned to the control and intervention groups. The participants in the intervention group were allowed access to the Web-based DPHR system, while those in the control group will continue to receive the usual care for 4 months.
The study primary outcome measures include self-care status of participants and planned visit adherence. Results At the moment, there is an ongoing recruitment of participants, and preliminary results will be published in early Conclusions We expect the final DPHR model, developed and tested during this study, to help diabetic patients to actively participate in their care management process, and also to empower the physician in providing more quality informed decisions regarding their patients.
A definition by the World Health Organization [ 6 ] states that: Lack of or insufficient care for a diabetic patient can result in several complications such as diabetic neuropathy, retinopathy, nephropathy, diabetic foot, and myocardial infarction [ 2 ]. However, continuous blood glucose and blood pressure monitoring, timely visits, appropriate physical activity, blood lipids control, and periodical examinations, as foundation of diabetes self-management, can help patients lessen these complications [ 7 - 9 ].
In recent times, there has been increasing prevalence of diabetes globally, with the low- and middle-income countries having the highest prevalence. In order to manage the increasing number of diabetics in the future [ 1314 ], and to reduce the workload of health care providers, there is a need to redefine the role of diabetes management centers [ 15 ].
Patients who have more knowledge about their disease and procedures are more proficient at communicating experiences and then become a useful asset in long-term care [ 16 ].
In this way, Web-based personal health records PHRs provide patients with access to their health information [ 17 - 19 ]. Studies have demonstrated that Web-based diabetes management tools can improve self-care activities [ 19 ] and biomedical outcomes measures such as glycated hemoglobin HbA1clow-density lipoprotein LDL cholesterol, blood pressure, and body mass index BMI [ 20 - 24 ].
The benefits of PHRs in supporting self-management is clear, especially in facilitating communications among health care providers and supporting information access [ 25 ]. Iran is among the countries with the highest incidence of diabetic patients [ 26 ].
A recent study demonstrated that the collection of diabetic data are neither organized nor standardized [ 27 ]. This multiphase study involves: The researchers hope that the final model developed throughout in this study will help diabetes patients to actively participate in their treatment plan, and also optimize the decision making process of the diabetes physicians in their everyday practice.
Study Hypothesis The participants assigned to receive the DPHR tool will manage better self-care as compared to those who receive only usual care.
The random allocation sequence will be done through a concealed and computerized random number program [ 28 ].
A person who has no direct involvement in this trial will do the randomization process. To minimize contamination of the trial, the subjects in the intervention arm will be required not to interact and share their DPHRs information with other participants in the control arm.
Study Design A four-phase approach, including a systematic review of evidence regarding DPHR development, usability testing, iterative refinement, and intervention evaluation will be utilized.
A randomized controlled trial RCT with a 2-arm parallel design and allocation ratio of 1: Repeated assessments will be conducted at two time points, including baseline and postintervention, over a 4-month trial period. The patients in the intervention group will be allowed access to the Web-based app, while those in the control group will be receiving usual care throughout the study period.
The DPHR interface will be designed in three types, covering our three groups of users including the participating patients, the clinic staff, and the physicians. The chief researcher will be the system administrator.
Reminders via a short message service SMStelephone contact, and email will be used for visiting the website. Trial Population and Recruitment Procedure The inclusion criteria for participants are as follows: The included participants must be able to provide informed consent.
We excluded the already included participants, if they, for any reason, decided to terminate the participation, or were unable to actively continue the required cooperation, due to sickness, pregnancy, and etc. The trial will be conducted in Mashhad City Iranwith participants being recruited from one endocrinology practice unit.glossaire ocde 1 glossary of key terms in evaluation and results based management glossaire des principaux termes relatifs À l’Évaluation.
Development and evaluation of the efficacy of a web-based ‘social norms’-intervention for the prevention and reduction of substance use in a cluster-controlled trial .
Evaluation There will be no exams. Students will submit a project for evaluation. Project details: The project can be a conceptual paper, a proposal with a treatment (e.g. a software module for web-based instruction), or an experimental-based paper with empirical data.
The Web-SP system seems to fulfil the aim of providing a common generic platform for creation, management and evaluation of web-based virtual patient cases. The responses regarding the authoring environment indicated that the system might be user-friendly enough to appeal to . The highly affordable STM32 Nucleo boards allow to try out new ideas and to quickly create prototypes on any STM32 MCU, they share Arduino and ST Morpho connectors and work with IAR, Keil, mbed and GCC-based IDEs (Atollic TrueStudio. The TM4CG LaunchPad Evaluation Kit is a low-cost evaluation platform for ARM Cortex-M4F based microcontrollers from Texas Instruments. The design of the TM4CG LaunchPad highlights the TM4CGH6PM microcontroller with a USB device interface and hibernation module. The EK-TM4CGXL also.
nationwidesecretarial.com: Training in Organizations: Needs Assessment, Development, and Evaluation (with InfoTrac) (): Irwin L. Goldstein, Kevin Ford: Books. implementation of this research is a web-based learning application. In the second year, the development of teaching materials to be used in the hybrid learning model will be completed.
Developing a Web-Based Evaluation Tool for Purchasing Electronic Resources: A Librarian-Faculty-Student Partnership. Development of the Web-Based Page. The Previews Project Web page was originally conceived as part of a larger endeavor to build an in-house.