Joanne Protheroe|Trishna Rathod|Bernadette Bartlam|Gillian Rowlands|G Richardson|David Reeves
The Feasibility of Health Trainer Improved Patient Self-Management in Patients with Low Health Literacy and Poorly Controlled Diabetes: A Pilot Randomised Controlled Trial
Keele University|Keele University|Keele University|Aarhus University|Newcastle University|University of York|Manchester Academic Health Science Centre|University of Manchester
type 2 diabetes mellitus prevalent deprived communities patients low health literacy worse glycaemic control higher rates diabetic complications however recruitment patient population intervention trials highly challenging conducted study explore feasibility recruitment assess effect lay health trainer intervention patients low health literacy poorly controlled diabetes socioeconomically disadvantaged population compared usual care methods pilot rct comparing lht intervention usual care patients hba1c 75 58 mmolmol recruited baseline 7month outcome data entered directly onto laptop reduce patient burden results 76 patients recruited 605 low health literacy 75 deprived areas england participants lht arm significantly improved mental health p 0049 illness perception p 0040 intervention associated lower resource use better patient selfcare management better qaly profile 7month followup conclusion study describes successful recruitment strategies hardtoreach populations research warranted costeffective relatively lowcost intervention population currently suffering disproportionate burden diabetes demonstrate sustained impact treatment effects health health inequalities