Outcome | Level | Measure, Source |
---|---|---|
Physical activity | Individual | International Physical Activity Questionnaire (IPAQ) [22] and modified CP@clinic survey [13] |
Medication compliance | Individual | Survey questions (self-reported) |
Blood pressure | Individual | Physical measurements |
Risk factors for diabetes | Individual | Finnish Diabetes Risk Score (FINDRISC) [23] on community survey |
Risk behaviours for diabetes / cardiovascular issues (activity, diet, smoking, alcohol, stress) | Individual | Elements of the Health Awareness and Behaviour Tool (HABiT) on community survey (self-reported) |
Knowledge about diabetes and hypertension | Individual | Elements of the HABiT on community survey (self-reported) |
Perceived concern and understanding of risk | Individual | Elements of the HABiT on community survey (self-reported) |
Confidence in behaviour change | Individual | Elements of the HABiT on community survey (self-reported) |
Number of community residents newly diagnosed with diabetes | Cluster | Rural Health Unit databases |
aHospital admission rates due to diabetes and diabetes-related conditions, hypertension, myocardial infarction (MI), stroke, congestive heart failure | Cluster | Central Department of Health database |
aMortality rates due to diabetes and diabetes-related conditions, hypertension, MI, stroke, congestive heart failure based on ICD-10 codes | Cluster | Regional Field Health Surveillance Information Systems |