Health Promotion Platform for People Living with Diabetes
A community-based diabetes risk screening system that aims to shift the care goal from "symptom control" to "diabetes remission"
Translated from Thai · reviewed by the CF team
Changing the goal from "control" to "remission"
This platform began as a project to pilot an urban health promotion service system during the COVID-19 pandemic, before being developed into a platform specifically for people living with diabetes. Its central principle is to shift the goal of diabetes care from "symptom control" to "diabetes remission" through proactive care for at-risk groups who do not yet have symptoms, rather than waiting for them to seek services once problems arise.
A platform connecting two sides
At the heart of changing the approach to diabetes care is interaction and feedback between multidisciplinary service providers and service users with varying levels of Diabetes Literacy. The digital platform is therefore an important communication tool that must build the skills of both sides, while connecting local health service units with public participation on a single platform.
Classify people living with diabetes by disease stage to plan individualised care, rather than providing the same care to everyone.
Assess diabetes risk using an online self-screening questionnaire, which can be used without becoming a member.
Connect comprehensive diabetes management services while building skills for multidisciplinary collaboration.
Manage community health using a six-pillar framework and design outcome indicators in a three-level sandbox before scaling up.
Information on the number of users, service areas and health outcomes has not been published publicly on the platform.
Project implementer
Sathaban Wichai Lae Phatthana Nayobai Foundation (PRI)
Supporter
Thai Health Promotion Foundation (ThaiHealth)
4 entries
Everything the field team has recorded, newest first
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What change does this work bring about, and how do we know it works?
We aim to shift from waiting to manage symptoms to proactive care towards diabetes remission, and have figures for service users and tracking indicators, but no published health outcomes.
We designed the platform to classify people living with diabetes by stage, develop individual care plans, and support at-risk groups before symptoms occur, with the aim of moving from symptom control towards diabetes remission. This Project
The Project reports operating in 5 provinces and serving 1,406 people. This Project The Dashboard shows the number and proportion of service users who have reached Prevention or Remission, comparing the levels adjusted by Local admin with those from the initial screening, and displays health indicator data. UpdateProgress on the diabetes care platform, periods 2–3: adding personalised health plans, Local Admin tools and 2 public Micro-apps
However, we have not yet published health outcome data, and there is no publicly available information confirming the extent to which the platform has achieved the intended change. This Project
How was this work carried out, and what lessons can be applied going forward?
We use screening and classify diabetes by stage to plan individualised care, while developing digital tools and Micro-apps based on local needs.
We began by changing the approach to diabetes care to classify service users by disease stage and plan care for each person. We use an online screening form that does not require membership, and connect multidisciplinary services with public participation. This Project
In the member system, service users record indicators and health goals, while the system generates an individual care plan for discussion and joint planning with Local admin. UpdateProgress on the diabetes care platform, periods 2–3: adding personalised health plans, Local Admin tools and 2 public Micro-apps We are also developing a public Micro-app to assess diabetes status and interpret blood test results and health information, without requiring a user account. UpdateProgress on the diabetes care platform, periods 2–3: adding personalised health plans, Local Admin tools and 2 public Micro-apps
A lesson from discussions in Lampang was that collecting field data through village health volunteers and Google Form worked well in that context, while local areas were interested in food calculation tools, comparisons of assessment results, and materials suited to limited internet access. UpdateLampang: Mae Tha primary care unit’s field data collection system works well; identifies demand for 3 new Micro-apps Micro-app development therefore draws on local needs and workflows as part of the brief. UpdateChangeFusion proposes development directions for 4 Micro-apps and updates to the diabetes platform’s central Landing page
What kinds of areas is this approach suitable for, and what do we need to get started in our area?
Examples of development cover areas that already have service teams and field data collection methods, as well as the need for materials for users with limited internet access, but we have not yet recorded the initial conditions required in new areas.
The example in Lampang shows a context where service units, an academic team, doctors, pharmacists and village health volunteers work together, collecting field data on paper and then recording it in Google Sheets through Google Forms, which the area considers suitable for its work. UpdateLampang: Mae Tha primary care unit’s field data collection system works well; identifies demand for 3 new Micro-apps The area also reflects a need for tools to calculate food intake, compare diabetes assessment results, and provide educational materials that can be accessed when internet connectivity is slow or limited. UpdateLampang: Mae Tha primary care unit’s field data collection system works well; identifies demand for 3 new Micro-apps
In Nakhon Phanom, discussions were held with the university and the PCU team about hosting data and the need for diabetes care tools, such as meal plans and information about the disease. UpdateNakhon Phanom: Nakhon Phanom University indicates readiness to host project service-user data We proposed developing a Micro-app and adapting the platform pages based on visits to the area and discussions with the local team. UpdateChangeFusion proposes development directions for 4 Micro-apps and updates to the diabetes platform’s central Landing page
We have not yet recorded the requirements or resources that new areas need in order to start using this approach.
What methods or tools can we start using right away?
Start using the online diabetes screening questionnaire and public Micro-apps to assess diabetes status or interpret blood test results without an account. Ongoing tracking uses the member system.
The tool that members of the public can start using without an account is the online diabetes risk screening questionnaire. This Project In addition, the Micro-app for assessing diabetes status displays assessment results and recommendations once the assessment is complete, while the Micro-app for interpreting blood test results lets users enter basic information and known values to view the interpretation. UpdateProgress on the diabetes care platform, periods 2–3: adding personalised health plans, Local Admin tools and 2 public Micro-apps
For ongoing tracking, service users with an account can record health indicators, set goals and choose health-care activities. UpdateProgress on the diabetes care platform, periods 2–3: adding personalised health plans, Local Admin tools and 2 public Micro-apps The system also creates a personalised health-care plan based on the recorded data, to be used as a tool for discussions between service users and Local admins. UpdateProgress on the diabetes care platform, periods 2–3: adding personalised health plans, Local Admin tools and 2 public Micro-apps
Local admins have a Dashboard for viewing data by area code and village, including the number of service users at each diabetes level and their health indicators. UpdateProgress on the diabetes care platform, periods 2–3: adding personalised health plans, Local Admin tools and 2 public Micro-apps
How does this work connect to systemic issues, and what kind of collaboration is needed?
This work links screening, knowledge and local health services to shift from waiting for treatment to proactive care, but we have not yet recorded the specific collaboration sought from partners.
This work links risk screening, education and local health service units with public participation, with the aim of proactively caring for at-risk groups rather than waiting for service users to develop a problem before seeking services. IssueCommunity Health Another systemic challenge is communication and feedback between multidisciplinary service providers and service users with differing levels of health literacy. This Project
From discussions in the area in Lampang, we found that service units already have workable methods for collecting field data, and need tools and materials suited to the local context and internet constraints. UpdateLampang: Mae Tha primary care unit’s field data collection system works well; identifies demand for 3 new Micro-apps In developing the platform, we proposed a Micro-app approach and system adjustments based on field visits and discussions with the local team. UpdateChangeFusion proposes development directions for 4 Micro-apps and updates to the diabetes platform’s central Landing page The Project lists the implementing organisation as Sathaban Wichai Lae Phatthana Nayobai Foundation (PRI) and the supporter as the Thai Health Promotion Foundation (ThaiHealth). This Project
We have not yet recorded what kind of additional collaboration is sought from partners or support organisations.