The effect of multidisciplinary team and experience-based co-design on the care of older adult patients with type 2 diabetes: A randomized controlled trial

被引：0
作者：
Zhuang, Yujun [1 ]
Ye, Hongjiang [2 ]
Yang, Xiaoyan [1 ]
Zheng, Lifang [1 ]
Chen, Zhizhen [1 ]
Jiang, Jianjia [1 ]
Mou, Lunpan [1 ]
Li, Pingping [3 ]
Qin, Jiawei [1 ]
Dai, Yaduan [1 ]
Mao, Yanling [1 ]
机构：
[1] Fujian Med Univ, Quanzhou Hosp 1, Quanzhou, Peoples R China
[2] Fujian Med Univ, Fuzong Clin Med Coll, Hosp Joint Logist Support Force 900, Fuzhou, Peoples R China
[3] Community Hlth Serv Ctr Fengze Dist, Fengze St, Quanzhou, Fujian, Peoples R China
来源：
DIABETES RESEARCH AND CLINICAL PRACTICE | 2025年 / 221卷
关键词：
Experience-based co-design; Glycemic control; Older adult patients with type 2 diabetes; Multidisciplinary team; Quality of life; MDT;
D O I：
10.1016/j.diabres.2025.112028
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
This study evaluates the impact of a multidisciplinary team (MDT) approach combined with experience-based co- design (EBCD) on managing elderly patients with type 2 diabetes, focusing on glycemic control, metabolic indicators, and quality of life. A randomized controlled trial conducted from October to December 2023 included 216 hospitalized patients at Quanzhou First Hospital. Patients were randomly assigned to either the MDT-EBCD intervention or standard care group and followed for 26 weeks. Outcomes measured included BMI, fasting blood glucose (FBG), glycated hemoglobin (HbA1c), lipid profiles, renal function, and quality of life. No significant baseline differences were observed between the groups. Post-intervention, the MDT-EBCD group showed significant improvements in BMI, FBG, HbA1c, lipid profiles, and renal function (P < 0.01), alongside enhanced quality of life dimensions like emotional function, vitality, and social functioning compared to the control group (P < 0.05). These findings support the MDT-EBCD model as an effective framework for improving comprehensive diabetes care in the elderly.
引用
收藏
页数：6
相关论文
共 50 条
[21]   Enhancing the provision of cancer nutrition information to support care through experience-based co-design: a mixed-methods study [J].
Jenelle Loeliger ;
Jill Francis ;
Nicole Kiss ;
Jane Stewart ;
Samantha Chandler ;
Keith Donohoe ;
Vanessa Hughes ;
Wendy Swan ;
Kate Kaegi ;
Andrea Elliott ;
Rebecca McIntosh .
Supportive Care in Cancer, 2024, 32
[22]   Adopting a collaborative approach in developing a prehabilitation program for patients with prostate cancer utilising experience-based co-design methodology [J].
Tang, Clarice Y. ;
Turczyniak, Monica ;
Sayner, Alesha ;
Haines, Kimberley ;
Butzkueven, Sally ;
O'Connell, Helen E. .
SUPPORTIVE CARE IN CANCER, 2020, 28 (11) :5195-5202
[23]   Improving heart failure care with an Experience-Based Co-Design approach: what matters to persons with heart failure and their family members? [J].
Anne-Marie Suutari ;
Johan Thor ;
Annika Nordin ;
Kristina Areskoug Josefsson .
BMC Health Services Research, 23
[24]   Smart Care Based on Telemonitoring and Telemedicine for Type 2 Diabetes Care: Multi-center Randomized Controlled Trial [J].
Jeong, Ji Yun ;
Jeon, Jae-Han ;
Bae, Kwi-Hyun ;
Choi, Yeon-Kyung ;
Park, Keun-Gyu ;
Kim, Jung-Guk ;
Won, Kyu Chang ;
Cha, Bong Soo ;
Ahn, Chul Woo ;
Kim, Dong Won ;
Lee, Chang Hee ;
Lee, In-Kyu .
TELEMEDICINE AND E-HEALTH, 2018, 24 (08) :604-613
[25]   Enhancing the provision of cancer nutrition information to support care through experience-based co-design: a mixed-methods study [J].
Loeliger, Jenelle ;
Francis, Jill ;
Kiss, Nicole ;
Stewart, Jane ;
Chandler, Samantha ;
Donohoe, Keith ;
Hughes, Vanessa ;
Swan, Wendy ;
Kaegi, Kate ;
Elliott, Andrea ;
McIntosh, Rebecca .
SUPPORTIVE CARE IN CANCER, 2024, 32 (04)
[26]   Enablers and Barriers to an Experience-Based Co-Design Process to Develop Service Improvements in Enhanced Community Care in Ireland: A Qualitative Study [J].
O'Donoghue, Fay ;
O'Donnell, Maire T. ;
Griffin, Tomas P. ;
Fahy, Eileen ;
Newell, Elaine ;
Creaven, Ann-Marie .
HEALTH EXPECTATIONS, 2025, 28 (02)
[27]   Co-designing complex therapy interventions with parents as partners in the care of children with cerebral palsy: An Experience-based Co-design study in England [J].
Massey, Jill ;
Tsianakas, Vicki ;
Gordon, Anne ;
Sadler, Natalie ;
Robert, Glenn .
RESEARCH IN DEVELOPMENTAL DISABILITIES, 2024, 151
[28]   A Team-Based Online Game Improves Blood Glucose Control in Veterans With Type 2 Diabetes: A Randomized Controlled Trial [J].
Kerfoot, B. Price ;
Gagnon, David R. ;
McMahon, Graham T. ;
Orlander, Jay D. ;
Kurgansky, Katherine E. ;
Conlin, Paul R. .
DIABETES CARE, 2017, 40 (09) :1218-1225
[29]   An Intervention to Change Illness Representations and Self-Care of Individuals With Type 2 Diabetes: A Randomized Controlled Trial [J].
Chan, Virginia W. Y. ;
Kong, Alice P. S. ;
Lau, Joseph T. F. ;
Mak, Winnie W. S. ;
Cameron, Linda D. ;
Mo, Phoenix K. H. .
PSYCHOSOMATIC MEDICINE, 2021, 83 (01) :71-84
[30]   Effect of transcutaneous electrical nerve stimulation at acupoints on patients with type 2 diabetes mellitus: a randomized controlled trial [J].
Wu Zhiyuan ;
Yang Ming ;
Jia Jie ;
Wu Yi ;
Huang Tiansheng ;
Li Mingfen ;
He Zhijie ;
Guo Zhenzhen ;
Mason, Leung ;
Chin Pang .
JOURNAL OF TRADITIONAL CHINESE MEDICINE, 2015, 35 (02) :134-140
12345