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About RESONATE

Problem solving is a key behaviour related to diabetes self-care management identified by the American Association of Diabetes Educators (AADE) and is linked to better blood sugar control. Yet, improving problem solving skills in patients with diabetes has not been used as a primary treatment approach to improve blood sugar control.

To address this gap, Professor Ecosse Lamoureux and his colleagues at the Singapore Eye Research Institute have designed a new behavioural programme (Problem Solving Treatment for Diabetes, PST-D) which uses personalised problem-solving treatment to deal with the challenges of managing diabetes. The team is currently testing the effectiveness of the PST-D programme in improving diabetes control and other clinical and psychological outcomes (e.g., HbA1c, quality of life, diabetes complications) in individuals with poor control of their diabetes in a nation-wide study: RESONATE (PRoblEm SOlviNg TreAtment for DiabeTEs).

We are currently recruiting individuals to join this study. By joining this study, participants will be reimbursed for their time and inconvenience.


Who can join RESONATE?

  • People aged 21 years and above and diagnosed with type 2 diabetes
  • Recent most HbA1c reading (i.e., average blood sugar level over the past 3 months) ≥7.5% (taken within the past 6 months)
  • Able to speak English or Mandarin
  • Singapore citizen or Singapore permanent resident
  • Able to pass a simple 6-item cognitive survey
  • Have adequate hearing with/without hearing aids to respond to normal conversation
  • Able to attend the study related sessions over phone or face-to-face


What does participation in RESONATE involve?

Clinical, Eye, and Questionnaire Assessments:
If you join RESONATE, you will be offered a comprehensive range of clinical, eye, and questionnaire assessments at 4 times every 6 months over a period of 1.5 years  during enrolment in the study (first visit) and at 6 months, 12 months, and 18 months after enrolment. Each visit will take about 1.5 hours and will be held at the Singapore Eye Research Institute located at Level 7, Singapore National Eye Centre.


Study Group Allocation:
After your first visit, you will be randomly assigned to either the intervention (PST-D) or control group. Participants in both groups will undergo 9 to 12 sessions with a trained research officer, each lasting about 30-45 minutes. You can choose to have the sessions over phone or face-to-face.
 
Below is the flowchart describing the study timelines and procedures.


RECRUITMENT
  • ​Complete screening survey
  • Eligible participants will be contacted by the study team
  • Enrolled in the study

  

​​​FIRST VISIT (~1.5 hours)

Clinical Examinations

  • Blood pressure
  • Height and weight
  • Blood tests (HbA1c, lipids, creatinine) *

* A copy of the blood test results will be given to you

Eye Tests

  • Vision tests
  • Eye photographs and scans

Questionnaires

  • Socio-demographics and lifestyle questions
  • Medical history
  • Family medical history
  • Diabetes-related and quality of life questionnaires
​ ​ ​You will be reimbursed on completion of the visit

​​STUDY GROUP ALLOCATION
Random allocation to either the PST-D or control group

Intervention Group – PST-D

  • Learn the skills to improve your blood sugar level

  • Attend 1 introductory session, up to 8 weekly treatment sessions, and 3 monthly follow-up sessions

    • Each session will take about 30-45 minutes

    • Done face-to-face or over the phone

  • You will be reimbursed for completing the sessions

Control Group

  • Receive information and suggestions on general health topics

  • Attend 1 introductory session and up to 8 weekly treatment sessions

    • Each session will take about 30-45 minutes

    • Done face-to-face or over the phone

  • You will be reimbursed for completing the sessions

FOLLOW-UP VISITS
  • Conducted at 6 months, 12 months, and 18 months after the first visit
  • Repeat clinical, eye, and questionnaire assessments done during the first visit
  • You will be reimbursed on completion of the visit​