GACD Annual Scientific Meeting SMARTDiabetes in China GACD Annual Scientific Meeting 澳大利亚国家卫生和医学研究委员会 北京大学医学部乔治健康研究所 国际慢病联盟

Aims Phase 1: intervention development To conduct a comprehensive barriers analysis of the existing Family Health Promoter project to understand the opportunities and constraints experienced by patients with T2DM and their families in accessing high quality health care To develop an evidence-based appraisal of best practice recommendations for the management of T2DM and develop these into a health management algorithm To take a user-centred design approach with urban and rural patients, family health promoters and medical staff to develop and field-test the health management ‘app’ Phase 2: implementation and evaluation To conduct a large-scale cluster randomised controlled trial of the system and determine its clinical impact for people with T2DM To conduct process and economic evaluations to understand intervention impact on patients, FHPs and staff and to determine cost-effectiveness and scale-up opportunities

80 sites, 25 patients per site Research Design Intervention Arm 40 urban sites 40 rural sites 40 urban sites 40 rural sites 1:1 Control Arm 1. Baseline Randomization 2. Mid-term 3. Final Quant Process Econ 2000 patients 80 sites, 25 patients per site one year two years

The mHealth System Web-based Platform SMARTDiabetes APPs Healthcare Providers Supervision Management Data Input Data Input Patients & Family Health Promoters Policymakers Self Feedback

Study Progress： Narrative Launch meeting in rural Investigators training in rural 2017/07/26 2017/07/26 More than 40 doctors attended the meeting Staff from CDC, village health centers and village health stations were trained on how to use mECD to capture data

Study Progress： Narrative Recruitment and baseline investigation in rural Launch meeting in urban 2017/08/01~08/26 2017/08/26 1084 eligible patients from 40 villages were recruited Supported by the local Community Health Service Management Center

Study Progress： Narrative Investigators training Recruitment and baseline investigation in urban 2017/08/30 2017/08/30~11/16 Graduate and undergraduate students were trained 990 patients were recruited from 40 sites

Study Progress： Narrative Pilot study interviews in urban Pilot study interviews in rural 2017/10/19 & 10/26 2017/10/20 & 10/25 A one-month pilot study was conducted in selected community and village

Study Progress： Narrative Intervention training in rural Intervention training in urban 2017/11/24 2018/1/4 Introduction of the SMARTDiabetes platform and apps to local policymakers and healthcare providers

Study Progress： Narrative First quarterly meeting in rural First quarterly meeting in urban 2018/2/2 2018/4/13

Study Progress： Narrative SMARTDiabetes Interim Meeting 2018/10/26 Local policymakers and doctors attended the mid-term meeting