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This project aims to improve the management of diabetes in high risk people in remote Torres Strait communities through two studies. The first study will improve the understanding of the issues behind so called 'psychological insulin resisistance' (the refusal of Torres Strait Islanders to receive insulin treatment in spite of very poor glucose control), using client interviews and previously validated instruments.
The second study will look at the impact of formal diabetes care planning and referrals in five remote clinics on care processes, intermediate clinical indicators and downstream health outcomes (complications) among 190 adults with diabetes, compared to 'usual care' (four control sites) in the Torres Strait, outer islands.
The rationale for the second study is that, while it is assumed that care planning will improve clinical outcomes, care planning on its own may be insufficient in this population to achieve this, due to poor systems of follow up and high staff turnover.
The project will commence in 2015 and is funded to run for three years.
Abstract adapted from James Cook University
James Cook University
Ph: (07) 4232 1374