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The Alberta First Nations Project to Screen for Limb, I-Sight, Cardiovascular and Kidney (SLICK) - Complications using Mobile Diabetes Clinics

Purpose of evaluation:
To determine if the SLICK Program is worthwhile and explore its efficiency, effectiveness and efficacy.
Aspects to evaluate:	Knowledge /Attitudes about Diabetes /Services	Behavious related to Diabetes Care	Quality of Life	Satisfaction with SLICK Program	Cost of Diabetes Care	Clinical Outcomes (Complications)	Administrative Outcomes
Outcomes (goals) addressed:	Increase awareness Client empowerment (Provide quality care, Foster integration, coordination, collaboration of health services)	Increase awareness Client empowerment (Provide quality care)	Decrease morbidity /mortality from Diabetes Decrease social cost of Diabetes (Provide quality care)	Improve services (Increase accessibility, Provide quality care, Appropriate quantity of care, Identify lessons learned, Technology meets needs, Privacy maintained)	Decrease socio-economic cost of Diabetes (Provide cost-effective Diabetes care)	Decrease complications, morbidity /mortality from Diabetes (Reduce complications of Diabetes)	Improve services Describe clients and SLICK program (Increase accessibility, Appropriate quantity of care, Technology meets needs, Privacy maintained)
Data from whom:	Clients Providers Community leaders	Clients	Clients	Clients Providers (CHN, CHR, GPs, Ophtal-mologists) Community leaders Administration (Health directors, implementation committee, AB health and wellness)	Database	Clients Database	Clients Providers
When collected:	Baseline end (for providers--post training session)	Baseline end	Baseline end	Throughout end	Baseline end long-term	Baseline end long-term	Baseline throughout
How collected:	Beginning and end: self-administered questionnaire (Client attitudes -Dove part 3 Knowledge -to be developed SLICK questionnaire) End: Focus group	Beginning and end: self-administered questionnaire (Dove part 2-SDSCA questionnaire) End: Focus group	Beginning and end: self-administered questionnaire (Dove part 4-SF-12; part5-HUI) End: Focus group	Throughout one-on-one interviews, incident-reports, complaints-box End: Focus group questionnaire (to be developed)	Database	Baseline: self-report questionnaire (SLICK database + ? NDSS) End: SLICK database and questionnaire	SLICK database Tallies post-training sessions
Method of analysis:	Quantitative: descriptive paired t-test Qualitative	Quantitative: descriptive paired t-test Qualitative	Quantitative: descriptive paired t-test Qualitative	Quantitative: descriptive Qualitative	Cost comparison analysis	Quantitative: descriptive paired t-test	Quantitative: descriptive
Indicators:	Knowledge of: Diabetes (compliactions, management) Services (when, why, where, how to use) Attitudes toward (from Dove): Diabetes (management, impact) Services (comfort with, satisfaction) (SLICK questionnaire - integrated? education program, dietitian, team)	Self-care behaviours: diet, exercise, blood sugar testing, foot care, smoking, medication use	General physical health /independant living Geberal emotional /mental health	Overall satisfaction with program /services, accessibility, quality of care, quantity of care, technology, privacy issues, suggestions /complaints	Visits to GP, specialist, ER, hospitalization, lab testing, travel, treatment	Visits to GP, specialist, ER, hospitalization, BMI, waist-hip ratio, waist circumference Retinopathy (ever been told vs exam) Nephropathy (ever been told/taking pills vs u/a) Neuropathy (ever been told/had stroke vs foot exam) Cardiovascular (ever had/taken pills for MI/HT N vs lipid profile, BP) Lower limbs (ever had ulcer /amputation vs foot exam)	Socio-demographics: DOB, band, reserve, gender Diagnosis: age at DX, where dx'd (van?), GDM, FHx, meds # of providers attending sessions