Evaluation of competence training for the minimally trained health worker in type 2 diabetes

Murthy, Gudlavalleti V S; Babu, Giridhara R; Schayck, Onno C. P. van; Schaper, Nicolaas C.; Lewis, Melissa Glenda; Murthy, G V S

doi:10.1097/md.0000000000022959

Cited by 2 publications

(3 citation statements)

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“…Hence, the pilot was instrumental in improving the usability of the final intervention to be used in the main study. [10] The pilot also provided an insight into the necessity of periodic refresher training or retraining of all concepts as also evidenced by the literature. [14,15]…”

Section: Discussionmentioning

confidence: 88%

“…[9] A cluster-randomized controlled study was designed by Gudlavalleti et al and was subsequently implemented in Telangana. [10] As per the study, a training module for the health workers was compiled using the best existing resources to complement all their assigned tasks in type 2 DM diagnosis and management. In the present study, this module was pilot tested at a neutral venue with the same target cadre of health workers to improve its practicality and to validate it in the study settings.…”

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confidence: 99%

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Piloting a training program for community health workers for type 2 diabetes mellitus in Telangana, India

Gudlavalleti

Malladi

Ejas³

et al. 2022

IHOPEJO

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Objectives: The burden of type 2 diabetes mellitus in India is increasing to epic proportions with 74.2 million living with diabetes. More individuals from lower socio-economic backgrounds and from rural/semi-urban backgrounds are presenting with the condition. Healthcare affordability and accessibility is often a challenge for such individuals. Hence, Accredited Social Health Activists and Auxiliary Nurse Midwives/Multipurpose Health Worker cadres of health workers in India have been entrusted with Non-Communicable Diseases portfolio. A randomized controlled trial was designed to train these health workers. The aim of the study is to pilot the training module developed for the RCT trial and revise the same according to the feedback received. Materials and Methods: Ethical clearance and trial registration were obtained from IIPHH and CTRI respectively. The pilot was conducted at a neutral venue with ASHA and ANM/MPHA cadres using a tool for feedback for each of the training sections. Results: All the participants found the module useful. Certain modifications were suggested and the same were incorporated into the final training module. Conclusion: The training module was successfully validated.

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Section: Discussionmentioning

confidence: 88%

mentioning

confidence: 99%

Piloting a training program for community health workers for type 2 diabetes mellitus in Telangana, India

Gudlavalleti

Malladi

Ejas³

et al. 2022

IHOPEJO

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“…Diabetes is extremely harmful to the human body, and diabetic peripheral neuropathy (DN) is the most common complication of type 2 diabetes mellitus (T2DM), leading to high morbidity and mortality rates [ 1 , 2 ]. The lesions can involve the sensory nerves, motor nerves, and autonomic nerves, with a disease rate of more than 60%.…”

Section: Introductionmentioning

confidence: 99%

Role of Fibrinogen in Type-2 Diabetes Mellitus with Diabetic Neuropathy and its Preliminary Mechanism

Zhang

et al. 2023

PPL

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Introduction: Diabetic peripheral neuropathy (DN) is the most common complication of type 2 diabetes mellitus (T2DM). Objective: This study aimed to explore the role of fibrinogen (FIB) in T2DM neuropathy and its preliminary mechanism. Methods: Ten male Sprague–Dawley rats were divided into a normal control group (NC group) and a T2DM neuropathy model group (DN group). The DN group was given a high-energy diet and streptozotocin, while the NC group was given a normal diet and a citric acid buffer. The expression levels of related proteins were analysed. Results: Electrophysiology: Compared with the NC group, the conduction latency of the somatosensory-evoked potential and nerve conduction velocity was prolonged in the DN group, while the motor nerve action potential was decreased. As seen under a light microscope, the peripheral nerve fibres in the DN group were swollen, and the nerve fibres in the posterior funiculus of the spinal cord were loose or missing. Moreover, as seen under an electron microscope, the peripheral nerve demyelination of the DN group was severe, with microvascular blood coagulation, luminal stenosis, and collapse. Compared with the NC group, in the DN group, the expression of FIB was positively correlated with the expression of both ionised calcium-binding adaptor molecule-1 and glial fibrillary acidic protein. Compared with the NC group, in the DN group, the expression of platelet/endothelial cell adhesion molecule-1 and B-cell lymphoma 2 was negatively correlated. Conclusion: The increased concentration of FIB may be the cause of neuropathy, and its mechanism may be related to its promotion of inflammatory response, blood coagulation, and vascular stenosis.

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Evaluation of competence training for the minimally trained health worker in type 2 diabetes

Abstract: Supplemental Digital Content is available in the text

Cited by 2 publications

References 24 publications

Piloting a training program for community health workers for type 2 diabetes mellitus in Telangana, India

Piloting a training program for community health workers for type 2 diabetes mellitus in Telangana, India

Role of Fibrinogen in Type-2 Diabetes Mellitus with Diabetic Neuropathy and its Preliminary Mechanism

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