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Study of Health in Primary Care of the Amazonas Population: Protocol for an Observational Study on Diabetes Management in Brazil
Open accessAbstract
BACKGROUND: Changes in the profiles of patients have significant impacts on the health care system. Diabetes mellitus type 2 (T2DM) prevention and management should be studied in different contexts. OBJECTIVE: The Study of Health in Primary Care for the Amazonas Population (SAPPA) primarily aims to describe T2DM prevention and management actions offered by primary health care settings in Brazil and whether the care delivered is consistent with the chronic care model (CCM). Second, the study aims to examine the impact of T2DM management actions on health and lifestyle, and third, to understand how sociodemographic characteristics, health, and subjective outcomes impact diabetes management. METHODS: As part of this observational study, managers and health professionals complete a questionnaire containing information about T2DM prevention and management actions and CCM dimensions. During in-home visits, patients are asked about their health, lifestyle, sociodemographics, diabetes care, and subjective variables. RESULTS: A total of 34 managers, 1560 professional health workers, and 955 patients will be recruited. The data collection will be completed in October 2022. CONCLUSIONS: The SAPPA is an observational study that intends to understand the T2DM management process in primary health care, including planning, execution, reach, and impact on patient motivation and adherence. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/37572.
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Previous research suggests that various municipalities in Amazonas share similar demographic and social characteristics.
“However, previous research in the region suggests that various municipalities in Amazonas share similar demographic and social characteristics 24 , 52 .”
From Healthy eating among people with type 2 diabetes in the Brazilian Amazon: a qualitative study in primary health care (2026) · cites this paper as [52]
The Discussion (page unavailable) says that the included cities other than Manaus share a role supplying the capital and have lower development and economic and social fragility. This supports shared social characteristics, but it does not establish that the municipalities have similar demographic characteristics. (LLM, conf=0.82)
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Cited by
Sorted by citations
de Leon, E. B., Campos, H. L. M., Santos, N. B., Brito, F. A., & Almeida, F. A. (2024) · BMC Health Services Research · doi:10.1186/s12913-023-10529-0 · Cited by 8
Self-citationFarias, T. A. D. S., Ueno, T. M. R. L., Monteiro, W. F., Campos, H. L. M., & Leon, E. B. D. (2026) · Cadernos de Saúde Pública · doi:10.1590/0102-311xen175125
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Metadata
- Authors
- de Leon, E. B., Campos, H. L. M., Brito, F. A., & Almeida, F. A.
- Affiliations
- Universidade Federal do Amazonas (BR)
- University of Nebraska Medical Center (US)
- Corresponding author
- de Leon, Elisa Brosina
- ORCID
- Venue
- JMIR Research Protocols
- Publisher
- JMIR Publications Inc.
- Published
- 2022-09-15
- Volume
- 11
- Issue
- 9
- Pages
- e37572
- ISSN
- 1929-0748 (ISSN-L)
- PMC
- PMC9523521
- OpenAlex
- W4295900878
- Cited by
- 15
- References
- 3
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 8
- FWCI
- 2.22
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- JMIR Research Protocols (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- Universidade Federal do Amazonas
- Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (001), and)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Health Professions › General Health Professions › Health, Nursing, Elderly Care
- Health Sciences › Medicine › Family Practice › Primary Care and Health Outcomes
- Keywords
- type 2 diabetes, diabetes management, primary care, Chronic Care Model, diabetes prevention, healthcare workers, patient lifestyle, patient motivation, medication adherence, sociodemographic factors
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