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"new projSocial and economic burden of the disease: Diabetes mellitus and its implication on family healthect"
India (MSAI) - Sumandeep Vidhyapeet, Vadodara
Global Health and Neglected Diseases
Dr. Niraj Pandit
Dr. Niraj Pandit
Type of Research Project
- Clinical Project without Laboratory work
What is the background of the project?
Diabetes mellitus (dm) is a common, complicated and chronic disease which is non-communicable. Patient with diabetes mellitus requires consistent high quality care from the day they are diagnosed to throughout their life. Such patients are at high risk of developing long term complications associated with vital organs . Due to the complications of this disease, diabetic patients have more frequent and intensive encounters with the healthcare system. Management of diabetes presents big challenges for health system. Diabetic patients in India share one of the lowest levels of psychological well-being, as stated by World Health Organization (WHO) Well-being Index, with 41% reported have poor psychological well-being, especially among the lower-income group. Stress due to the disease itself, commonly affects the social and behavioral life adversely. The concerns of the disease and its complications hinders with self management efforts of the patients and their families. Previous studies by researchers have highlighted that dm patients in India report very high stress level. A study is necessary for identification of perceiver reasons of stress and behavioral problems, and coping from all the factors for comprehensive care. This calls for an assessment of the social and economic burden of the disease on the patients and their families. In this study, we will review the social and economic concerns of the family of a diabetes mellitus patient and compare it to a family with non-diabetic members. We will consider direct and indirect costs of diabetes mellitus and social outcomes.
What is the aim of the project?
1. To study the effect of disease diabetes mellitus on patients’ and their families’ social life. 2. To analyze change between the patient’s life before diagnosis of the disease and after the diagnosis. 3. To estimate the direct and indirect costs to the family for care of the disease. 4. To study the differences between financial expenses of a family of a diabetic patient and a family with non diabetic members.
What techniques and methods are used?
STUDY TYPE - Case control study STUDY POPULATION- 50 patients having diabetes mellitus will be considered along with 50 non diabetic people with no history of diabetes. INCLUSION CRITERIA for case group- Participant who are known case of type-2 DM and taking medicine since last one year; both gender and age group between 40 to 60 years INCLUSION CRITERIA for control group – Participants who do not have type-2 DM and apparently healthy and not taking any drug currently for any disease; may be relative of patient and match with cases in age, gender, lifestyle except disease. Participant shall ready to give consent. EXCLUSION CRITERIA for case group- diabetic patients also suffering from other diseases; DM type -2 patient with serious complication Method – The participants to be selected from Dhiraj Hospital. In OPD, after matching inclusion & exclusion criteria, the participants shall be interviewed personally by investigator. Information regarding basic demographic like age, gender, education, occupation, income, information about non-pharmacological measures like exercise, yoga, dietary measures and others will be asked. Also about drug history, compliance of drug, any side effects of drug, types of drugs (generic or branded), knowledge of ADR, complications of the disease DM will be asked. ASSESSMENT OF COST OF THERAPY- a) Direct cost- i.the expenditure upon care of the disease for the patient monthly for last year. ii. Average will be taken for 12 months to estimate mean expense per year. iii. Total annual income of the patient’s family will be recorded and what percentage of the income is spent on the disease management is analyzed. b) Indirect cost- i. Hindrance of the disease management upon the monthly income will be observed, keeping in mind the potential income the patients and their family may have earned in absence of the disease. For this, comparison of the patients with non diabetic participants of similar background will be compared. ii. Average of the income will be calculated for a year. c) Comparisons with the family having no diabetic patients will be done and ratio of incomes per year will be compared. This data gives us the financial burden caused by diabetes mellitus d) Kind of changes in the social life of families of diabetic patients after the diagnosis will be recorded. They will be asked about precautions they are taking in day to day lives, conversations regarding the disease among the family that are affected the personality of the patient over the years, whether patients exercise on a regular basis, loss of confidence due to the disease, their concerns during travelling to distant places, discomforts they encounter, things and food items that are difficult to avoid but they have to, time interval between each dose of medicines and stress management. All their answers will be compared to non diabetic patients and their families.
What is the role of the student?
- The student will observe the practical experiments but will be highly involved in the analysis of the results
- The tasks of the student will be performed on his/her own
- The tasks will be done under supervision
What are the tasks expected to be accomplished by the student?
At the end of the project, following tasks are expected to be accomplished by the students: - • Possess detailed knowledge and complete insight on effects of Diabetes Mellitus • Development of critical thinking skills to analyse the relationship between socio-economic status of a person and the disease he is suffering from • Appreciation of Biomedical Data Recording with Clinical Patient History Recording • Development of high order thinking skills to understand the importance of BioMedical Data Management and it's interpretation • Explore and get accustomed to a completely different work environment, through patient interaction by appreciation of the research exchange phase.
Will there be any theoretical teaching provided (preliminary readings, lectures, courses, seminars etc)
Tutorials and Demonstrations would be provided by the department of Community Medicine to understand the complete process of biomedical history taking, data collection, data recording and analysis of biomedical data with its interpretation. Training and Workshops could be provided to interpret the recording of Biostatistics with the collaboration with Department of Medicine. Also, comprehension of course readings would be appraised during Working hours.
What is expected from the student at the end of the research exchange? What will be the general outcome of the student?
- The student will prepare a scientific report - No specific outcome is expected
What skills are required of the student? Is there any special knowledge or a certain level of studies needed?
Complete Insight of Biomedical History taking Thorough knowledge on Diabetes Mellitus and it’s socio-economic impacts in developing countries Management of Bio-statistical Evidence
Are there any legal limitations in the student’s involvement
Type of students accepted
This project accepts: - Medical students - Graduated students (less than 6 months)
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