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IRCT20230516058206N1 IRCT 2023-07-26 Esfahan University of Medical Sciences Investigating the effect of the family health nurse model on glycemic and anthropometric indicators The survey on the effect of implementing an intervention based on the family health nurse model on glycemic and anthropometric indicators in middle-aged people with pre-diabetes 2023-08-08 anticipated 72 Complete https://irct.ir/trial/70176 interventional Randomization: Not randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Prevention. N/A prediabetes. Intervention 1: Intervention group: For this group, the steps of the localized family health nurse model, which was designed by Keshvari et al. in 2013 under the title "Explaining the process of providing health services to families covered by rural health centers in Isfahan city: Designing a suitable model for providing family health care", will be implemented. This model will include three stages (pre-intervention, intervention, evaluation). The pre-intervention stage includes two preliminary stages and the first meeting with the samples, during the preliminary stage, the necessary measures will be taken to meet the people with pre-diabetes and in the first meeting with the samples, after completing the relevant questionnaires, their initial assessment will be done at the center and the time of the home visit will be coordinated with them. In the intervention stage, which includes (home visit, implementation at the center and presentation of the service package of the localized family health model, formation of self-help groups and follow-up for 3 months), during at least two home visit sessions and the selection of a family health ambassador, using the relevant forms to assess the family's educational needs with the help of family members, and after identifying the identified problems of the patient, based on the nursing diagnoses, planning nursing care for the affected person with the help of the family, and the localized model package, which includes individual counselling, training booklets and holding training sessions, is referred to The doctor will follow up the internal referrals made by the doctor to the psychiatrist, nutritionist, specialist doctor and follow up the external referrals according to the needs and problems of each patient. Then, for 3 months, in the form of holding self-help group meetings and conducting monthly care and blood sugar control, he will follow up the affected people. The evaluation stage of this model will also be done during 3 stages (during the intervention, immediately after the intervention, 3 months after the intervention) by measuring blood sugar. Intervention 2: Control group: In this study, the control group after being called to the center, performing an initial assessment, measuring blood sugar and completing related questionnaires, were referred to health care providers and received routine care at the center for 3 months, including monthly follow-up and fasting blood sugar checks. They will receive referrals to nutrition and psychological experts, and after 3 months, the questionnaires will be completed again and their blood sugar will be measured again. No - There is not a plan to make this available Justification or reason for not sharing IPD is no more information
public Mohammad Azadmanesh
Isfahan Province, Isfahan, Hazarjarib St., Isfahan University of Medical Sciences, Faculty of Nursing and Midwifery
Isfahan Iran (Islamic Republic of) 8174673461 +98 911 410 8703 m.azadmanesh19@gmail.com Esfahan University of Medical Sciences scientific Atefe Afshari
Isfahan Province, Isfahan, Hazarjarib St., Isfahan University of Medical Sciences, Faculty of Nursing and Midwifery
Isfahan Iran (Islamic Republic of) 8174673461 +98 913 222 7796 afshar.atefe@yahoo.com Esfahan University of Medical Sciences Iran (Islamic Republic of) For the client, the diagnosis of pre-diabetes has been registered in the Sib system by the doctor of the center in the last one-month through the Hba1c test. Have the desire and informed consent to participate in the research. Having consent for home visit. Farsi speaking. Be between the ages of 30 and 59. Have minimum reading and writing literacy. 30 years 59 years Both Reluctance to continue cooperation Not completing the questionnaire or completing it incompletely Disease progression to diabetes Death of the patient or caregiver or causing problems in such a way that the patient and caregiver are unable to continue participating in the study. R73.01 Impaired fasting glucose Prevention Prevention Intervention group: For this group, the steps of the localized family health nurse model, which was designed by Keshvari et al. in 2013 under the title "Explaining the process of providing health services to families covered by rural health centers in Isfahan city: Designing a suitable model for providing family health care", will be implemented. This model will include three stages (pre-intervention, intervention, evaluation). The pre-intervention stage includes two preliminary stages and the first meeting with the samples, during the preliminary stage, the necessary measures will be taken to meet the people with pre-diabetes and in the first meeting with the samples, after completing the relevant questionnaires, their initial assessment will be done at the center and the time of the home visit will be coordinated with them. In the intervention stage, which includes (home visit, implementation at the center and presentation of the service package of the localized family health model, formation of self-help groups and follow-up for 3 months), during at least two home visit sessions and the selection of a family health ambassador, using the relevant forms to assess the family's educational needs with the help of family members, and after identifying the identified problems of the patient, based on the nursing diagnoses, planning nursing care for the affected person with the help of the family, and the localized model package, which includes individual counselling, training booklets and holding training sessions, is referred to The doctor will follow up the internal referrals made by the doctor to the psychiatrist, nutritionist, specialist doctor and follow up the external referrals according to the needs and problems of each patient. Then, for 3 months, in the form of holding self-help group meetings and conducting monthly care and blood sugar control, he will follow up the affected people. The evaluation stage of this model will also be done during 3 stages (during the intervention, immediately after the intervention, 3 months after the intervention) by measuring blood sugar. Control group: In this study, the control group after being called to the center, performing an initial assessment, measuring blood sugar and completing related questionnaires, were referred to health care providers and received routine care at the center for 3 months, including monthly follow-up and fasting blood sugar checks. They will receive referrals to nutrition and psychological experts, and after 3 months, the questionnaires will be completed again and their blood sugar will be measured again. HbA1c. Timepoint: At the beginning of the study and after the end of the intervention and 3 months after the end of the intervention. Method of measurement: HbA1c test. Anthropometric indexes. Timepoint: Begin, at the end of intervention, 3 months after intervention. Method of measurement: meter. Esfahan University of Medical Sciences Approved 2023-07-08 Research Ethics Committees of Nursing, Rehabilitation and Management schools- Isfahan University of Hezar Jerib street, Isfahan, Iran isfahan Isfehan Iran (Islamic Republic of)