Nudging people with Type 2 diabetes towards sustained adherence to self-management: a cluster randomized controlled trial
| Project/Area Number |
20K18934
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| Research Category |
Grant-in-Aid for Early-Career Scientists
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| Allocation Type | Multi-year Fund |
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| Review Section |
Basic Section 58030:Hygiene and public health-related: excluding laboratory approach
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| Research Institution | Hitotsubashi University |
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Principal Investigator |
Rouyard Thomas 一橋大学, 社会科学高等研究院, HIAS客員研究員 (40859542)
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| Project Period (FY) |
2020-04-01 – 2025-03-31
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| Project Status |
Granted (Fiscal Year 2023)
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| Budget Amount *help |
¥4,030,000 (Direct Cost: ¥3,100,000、Indirect Cost: ¥930,000)
Fiscal Year 2021: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2020: ¥2,600,000 (Direct Cost: ¥2,000,000、Indirect Cost: ¥600,000)
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| Keywords | type 2 diabetes / self-management / behavioural intervention / risk communication / heart age / primary care / cluster randomised trial / nudge / shared decision-making |
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| Outline of Research at the Start |
This study will explore the effects of using an innovative risk communication tool developed to help physicians better communicate diabetes-related risks during routine consultation. The impact on patients' risk perceptions, doctor-patient communication, and risk management will be assessed.
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| Outline of Annual Research Achievements |
In 2023, our primary focus has been on recruiting the requisite number of participants to fulfill the sample size requirements outlined in our study protocol. Unfortunately, we did not meet our target. While our study protocol stipulates the need for 264 participants to detect clinically meaningful differences across groups, we were only able to enroll approximately half of that number. This shortfall occurred despite extensive recruitment efforts across numerous clinical sites throughout Japan. Consequently, we are unable to proceed with the FEEDBACK study as initially planned.
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| Current Status of Research Progress |
Current Status of Research Progress
4: Progress in research has been delayed.
Reason
Despite the dedicated efforts of our clinical team to recruit participants across multiple clinical sites in Japan, we have been unable to enroll a sufficient number of participants to meet the sample size requirements outlined in our study protocol. Consequently, we are unable to proceed with the FEEDBACK study as planned. This unfortunate outcome highlights the significant challenges associated with conducting primary care research in Japan, including limited physician engagement due to multiple factors such as the scarcity of general practitioners with formal research training, coupled with the lack of standardized practice units and incentives for research participation.
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| Strategy for Future Research Activity |
We believe that documenting and sharing our experiences in a forthcoming paper, which we aim to publish in a peer-reviewed journal with a large international audience, will provide valuable insights for policymakers and relevant stakeholders. These insights will inform strategies to facilitate and support future primary care research endeavors in Japan and beyond.
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Report
(4 results)
Research Products
(5 results)
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[Journal Article] Fukushima study for Engaging people with type 2 Diabetes in Behaviour Associated Change (FEEDBACK): study protocol for a cluster randomised controlled trial2023
Author(s)
Rouyard T, Endo M, Nakamura R, Moriyama M, Stanyon M, Kanke S, Nakamura K, Chen C, Hara Y, Ii M, Kassai R
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Journal Title
Trials
Volume: 24
Issue: 1
Pages: 1-15
DOI
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] Boosting healthier choices2022
Author(s)
Rouyard, T., Engelen, B., Papanikitas, A., & Nakamura, R.
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Journal Title
BMJ : British Medical Journal
Volume: 376
Pages: e064225-e064225
DOI
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
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