Volume 16, Issue 5 (Sep & Oct 2026)
J Research Health 2026, 16(5): 519-530 |
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Ethics code: 3298 /UN25.8/KEPK/DL/2025
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Eka Pranata A, Susanto T, Sulistyaningsih E, Narulita E. Protocol for a Nurse-led Collaborative Community Care Model for Patients With Tuberculosis and Type 2 Diabetes Mellitus. J Research Health 2026; 16 (5) :519-530
URL: http://jrh.gmu.ac.ir/article-1-2908-en.html
URL: http://jrh.gmu.ac.ir/article-1-2908-en.html
1- Doctoral Program of Biotechnology, Graduate School, University of Jember, Jember, Indonesia.
2- Department of Community, Family and Geriatric Nursing, Faculty of Nursing, University of Jember, Jember, Indonesia. ,tantut_s.psik@unej.ac.id
3- Department of Parasitology, Faculty of Medicine, University of Jember, Jember, Indonesia.
4- Department of Biology Education, Faculty of Teacher Training and Education, University of Jember, Jember, Indonesia.
2- Department of Community, Family and Geriatric Nursing, Faculty of Nursing, University of Jember, Jember, Indonesia. ,
3- Department of Parasitology, Faculty of Medicine, University of Jember, Jember, Indonesia.
4- Department of Biology Education, Faculty of Teacher Training and Education, University of Jember, Jember, Indonesia.
Abstract: (585 Views)
Background: Tuberculosis and diabetes mellitus (TBDM) comorbidity poses a major public health challenge, particularly in rural Indonesia, where fragmented services and limited healthcare access worsen patient outcomes. Despite global recognition of nurse-led care models, evidence on their use in rural, community-based TBDM management in Indonesia remains limited. This study aims to introduce nurse-led and community collaborative care (NaCo-care ), an integrated model designed to strengthen nursing leadership and interdisciplinary collaboration at the primary healthcare level.
Methods: This study comprises four stages: Initial epidemiological mapping of TBDM in Jember (descriptive spatial study); iterative development of the NaCo-care model based on patient and provider input (mixed-methods exploratory); validation of the model through expert panel discussions (Delphi method) and usability testing; and a quasi-experimental pretest-posttest with a control group design to assess the model’s effectiveness. Key outcome measures include changes in glycated hemoglobin levels, systemic inflammatory and immunological responses (via molecular rapid test, acid-fast bacillus, and enzyme-linked immunosorbent assay), morisky medication adherence scale, and World Health Organization (WHO) quality of life. Data were analyzed using descriptive statistics, thematic analysis, content validity index (CVI), and analysis of covariance.
Results: The NaCo-care intervention group is expected to show significant improvement in glycemic control, biomarker profiles, medication adherence, and quality of life compared to controls, sustained over a six-month follow-up.
Conclusion: This study is anticipated to provide empirical evidence for the effectiveness of a nurse-led, community-based intervention for TBDM in rural Indonesia, addressing a key gap in integrated chronic disease management.
Methods: This study comprises four stages: Initial epidemiological mapping of TBDM in Jember (descriptive spatial study); iterative development of the NaCo-care model based on patient and provider input (mixed-methods exploratory); validation of the model through expert panel discussions (Delphi method) and usability testing; and a quasi-experimental pretest-posttest with a control group design to assess the model’s effectiveness. Key outcome measures include changes in glycated hemoglobin levels, systemic inflammatory and immunological responses (via molecular rapid test, acid-fast bacillus, and enzyme-linked immunosorbent assay), morisky medication adherence scale, and World Health Organization (WHO) quality of life. Data were analyzed using descriptive statistics, thematic analysis, content validity index (CVI), and analysis of covariance.
Results: The NaCo-care intervention group is expected to show significant improvement in glycemic control, biomarker profiles, medication adherence, and quality of life compared to controls, sustained over a six-month follow-up.
Conclusion: This study is anticipated to provide empirical evidence for the effectiveness of a nurse-led, community-based intervention for TBDM in rural Indonesia, addressing a key gap in integrated chronic disease management.
Type of Study: Study Protocol |
Subject:
● Service Quality
Received: 2025/09/13 | Accepted: 2026/01/27 | Published: 2026/08/23
Received: 2025/09/13 | Accepted: 2026/01/27 | Published: 2026/08/23
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