[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"leadSponsorName\":\"Orbis\",\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:":54},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,2,0,[8,39],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":13,"acronym":4,"eligibilityCriteria":14,"healthyVolunteers":11,"sex":15,"minAge":16,"maxAge":4,"enrollmentInfo":17,"targetDuration":4,"studyType":20,"phases":21,"briefSummary":23,"conditions":24,"keywords":4,"overallStatus":27,"whyStopped":4,"lastUpdateSubmitDate":28,"lastUpdatePostDateStruct":29,"startDateStruct":32,"completionDateStruct":34,"leadSponsor":36,"locationsCount":5},"100590532","improving-patient-centered-care-for-diabetes-in-bangladesh-through-dynamic-integration-of-vision-care-on-the-supply-side-100590532",false,"NCT06968637","Improving Patient-centered Care for Diabetes in Bangladesh Through \"Dynamic Integration\" of Vision Care on the Supply Side","Inclusion Criteria:\n\n* Diagnosed with DM\n* Diagnosed with DR in at least one eye\n* Over 30 years of age\n* Currently treated at the Dinajpur Diabetes Hospital and Gausul Azam BNSB Eye Hospital in Bangladesh\n* willingness to participate in the study\n\nExclusion Criteria:\n\n* Any ocular condition impairing the view of the fundus sufficiently to preclude grading of the image for DR.\n* Inability to comply with retinal photography to the extent that a gradable image cannot be captured, or any other factor leading to absence of sufficient images to grade at least one eye of a participant.\n* Medical conditions that could impair compliance with follow-up (such as stroke, dementia, etc.)\n* Unwilling to participate in the study, or incapable of giving informed consent.","ALL","30 Years",{"count":18,"type":19},336,"ESTIMATED","INTERVENTIONAL",[22],"NA","The goal of this clinical trial is to determine whether integration of vision care into the DM treatment system, by providing specific recommendations to doctors for management of diabetes alongside feedback on positive eye exams for DR can improve diabetes care outcomes.\n\nThe main questions it aims to answer are:\n\n1. Does delivery of specific diabetes management recommendations to diabetes doctors for patients of theirs found to have DR lead to significantly improved blood glucose control as indicated by % reaching WHO targets of HbA1c (or targets for blood sugar if HbA1c data are unavailable)?\n2. What is the cost-effectiveness of the intervention, measured as total intervention cost per additional participant reaching the WHO target?\n\nResearchers will compare participant adherence with international guidelines when DR results are provided by a PIS without specific care recommendations to when the PIS provides DR results with specific care recommendations for DM management.",[25,26],"Diabetes Mellitus","Diabetic Retinopathy (DR)","RECRUITING","2025-09-04",{"date":30,"type":31},"2025-09-11","ACTUAL",{"date":33,"type":31},"2025-08-25",{"date":35,"type":19},"2026-12",{"name":37,"class":38},"Orbis","OTHER",{"id":40,"slug":41,"hasResults":11,"nctId":42,"briefTitle":43,"officialTitle":43,"acronym":4,"eligibilityCriteria":44,"healthyVolunteers":11,"sex":15,"minAge":16,"maxAge":4,"enrollmentInfo":45,"targetDuration":4,"studyType":20,"phases":47,"briefSummary":48,"conditions":49,"keywords":4,"overallStatus":27,"whyStopped":4,"lastUpdateSubmitDate":28,"lastUpdatePostDateStruct":50,"startDateStruct":51,"completionDateStruct":52,"leadSponsor":53,"locationsCount":5},"100590530","improving-patient-centered-care-for-diabetes-in-bangladesh-through-dynamic-integration-of-vision-care-on-the-demand-side-100590530","NCT06968611","Improving Patient-centered Care for Diabetes in Bangladesh Through \"Dynamic Integration\" of Vision Care on the Demand Side","Inclusion Criteria:\n\n* Diagnosed with DM within the last 6 months\n* Over 30 years of age\n* Currently treated at the Dinajpur Diabetes Hospital\n* Possess a mobile phone to receive voice messages\n* Willingness to participate in the study, and ability to give informed consent\n\nExclusion Criteria:\n\n* Other significant causes of vision loss\n* Medical conditions that could impair compliance with follow-up (such as stroke, dementia, etc.)",{"count":46,"type":19},640,[22],"The goal of this clinical trial is to determine whether there is an increase in participant uptake of diabetes mellitus (DM) and diabetic retinopathy (DR) services and improved quality of patient-centered diabetic care resulting from the use of automated voice message reminders to sensitize people with DM about the potential for sight loss alongside the provision of free reading glasses.\n\nThe main questions it aims to answer are:\n\n1. Will the proportion of patients completing their scheduled DR and DM appointments within 3 weeks of the scheduled date be significantly increased in the group receiving the automated voice messages containing both appointment reminders and messaging about the importance of visit and medication compliance in reducing the risk of vision loss, compared with participant messages which only remind them of their appointments?\n2. What is the cost-effectiveness, measured as total intervention cost per additional patient complying with the suggested exam?",[25,26],{"date":30,"type":31},{"date":33,"type":31},{"date":35,"type":19},{"name":37,"class":38},""]