Stratified support pattern-based internet-assisted self-management therapy for MCI associated with DM: a randomized controlled trial protocol

Abstract

Abstract Background: Mild cognitive impairment (MCI) associated with diabetes mellitus (DM) is common among elderly individuals, and self-management is critical to controlling disease progression. However, both MCI and DM are heterogeneous diseases, and existing integrated self-management interventions do not consider patient differences. Grouping patients by disease characteristics could help to individualize disease management and improve the use of available resources. The current study sought to explore the feasibility and effectiveness of a stratified support model. Methods: A randomized controlled trial will be conducted after dividing MCI associated with DM patients into an intervention group and a control group in a 1:1 ratio. The intervention group will receive a self-management intervention using the “internet +” stratified support mode, while the control group will receive the health manual integrated intervention mode. After 12 weeks, cognitive function, blood glucose, self-management ability, and psychological status of patients in both groups will be measured and compared. Discussion: This study developed an “internet +” stratified support mode to provide self-management intervention for patients with MCI associated with DM. The impact of different models and forms of self-management intervention on cognitive function, blood glucose management, and psychological status will be assessed. The results of this study should inform related cognitive intervention research on stratification and the internet, and help to slow the decline of cognitive function in patients with MCI associated with DM. Trial registration: ChiCTR2200061991. Registered 16 July 2022.