The impact of a multidisciplinary self-care management program on quality of life, self-care, adherence to anti-hypertensive therapy, glycemic control, and renal function in diabetic kidney disease: A Cross-over Study Protocol

Table 2 The schedule, description and evaluation of the MSMP sequence-BAAB for patients with DKD

			An multidisciplinary self-management program sequence BAAB
			Weeks 1 & 41	Weeks 3 & 43	Weeks 5 & 45	Weeks 7 & 47	Weeks 9 & 49	Weeks 11 & 51	Weeks 12 & 52	Weeks 13, 27–28, 39–40, 52–54	Week 52–54
	Assessment and/or Intervention	Medical visit & Screening	Nurse Home Visit	Nurse Teleph. follow-up	Dietician Clinic Visit	Nurse Home Visit	Dietician Clinic Visit	Nurse Telep. Follow-up	Nurse Clinic Visit	Medical Visit nephrologist or diabetologist	End of the study
Enrollment	Inclusion/Exclusion criteria	X
	Information form	X
	Randomization	X
	Informed consent form	X
Treatment	1. Comprehensive initial assessment & evaluation of patients self-care deficits		X							Medical follow-up
	Current Medications		X
	Priority setting-one goal & contract signing		X
	2. Teaching & Training on self-care		X			X
	Education on DKD					X
	Education on the risk of hypoglycemia						X
	3. Counseling on self-care development					X	X
	4. Guiding & support			X		X	X
	5. Coordination of Care		X	X	X	X	X	X	X
	6. Follow-up & proactive monitoring			X		X		X
	Dietary plan and counseling				X				X
Outcomes’ measurements	Demographics		X
	Self-care behavior		X						X		X
	Medication adherence		X						X		X
	Quality of life		X						X		X
	Serum cr, eGFR, urinary albumin/cr ratio		X						X		X
	HbA1c		X						X		X
	Resource utilization		X						X		X

ISSN: 1471-2369