2023 Fiscal Year Research-status Report
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 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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| Keywords | type 2 diabetes / self-management / behavioural intervention / risk communication / heart age / primary care / cluster randomised trial |
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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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| Causes of Carryover |
Due to recruitment challenges, we could not allocate the research funds as initially planned. Extending the budget will enable us to document our experiences and suggest strategies to enhance primary care research in Japan. We aim to share our insights through a publication in an international peer-reviewed journal, which will include research assistantship and coverage of open access fees.
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