1. 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

2. 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

3. 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

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

5. 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

6. 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

7. 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

8. 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

9. 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

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

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