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CTRI Number  CTRI/2025/07/091746 [Registered on: 25/07/2025] Trial Registered Prospectively
Last Modified On: 25/07/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   Understanding Heart Health: A Study on Diabetes Patients and Their Risk of Heart Disease 
Scientific Title of Study   Assessment of Cardiovascular Risk Factor Among Diabetic Population using validated Heart Disease Fact Questionnaire 
Trial Acronym  nil 
Secondary IDs if Any  
Secondary ID  Identifier 
nil  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Sakshi C Salian  
Designation  PG student  
Affiliation  NGSM Institute of pharmaceutical sciences 
Address  Department of Pharmacy Practice NGSM Institute of pharmaceutical sciences paneer, Deralakatte, Mangaluru

Dakshina Kannada
KARNATAKA
575018
India 
Phone  9036838810  
Fax    
Email  sakshicsalian11@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Barma Naga Raju 
Designation  Assistant Professor 
Affiliation  NGSM Institute of pharmaceutical sciences 
Address  Department of Pharmacy Practice NGSM Institute of pharmaceutical sciences paneer, Deralakatte, Mangaluru

Dakshina Kannada
KARNATAKA
575018
India 
Phone  9949617946  
Fax    
Email  barmanagaraju08@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Barma Naga Raju 
Designation  Assistant Professor 
Affiliation  NGSM Institute of pharmaceutical sciences 
Address  Department of Pharmacy Practice NGSM Institute of pharmaceutical sciences paneer, Deralakatte, Mangaluru

Dakshina Kannada
KARNATAKA
575018
India 
Phone  9949617946  
Fax    
Email  barmanagaraju08@gmail.com  
 
Source of Monetary or Material Support  
Department of Pharmacy Practice NGSM Institute of pharmaceutical sciences, (Nitte Deemed to be University) paneer, Deralakatte, Mangaluru, Karnataka 575018  
Justice KS Hegde Charitable Hospital, Deralakatte, Mangaluru, Karnataka 575018 
 
Primary Sponsor  
Name  NGSM Institute of pharmaceutical sciences 
Address  Department of Pharmacy Practice, NGSM Institute of pharmaceutical sciences, (Nitte Deemed to be University) paneer, Deralakatte, Mangaluru, Karnataka 575018 
Type of Sponsor  Other [Academic Institute] 
 
Details of Secondary Sponsor  
Name  Address 
nil  nil 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
DrChethan Subramanya  Justice KS Hegde Charitable Hospital  Department of General Medicine
Dakshina Kannada
KARNATAKA 
8762552454

chethansub@nitte.edu.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
NGSM Institute of Pharmaceutical Sciences Institutional Ethics Committee (NGSMIPS-IEC)  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: E116||Type 2 diabetes mellitus with other specified complications,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  1.Patients willing to give consent
2.Patient of 18 years and above
3.Diagnosed with type 2 diabetes with or without comorbidities
 
 
ExclusionCriteria 
Details  1.Patient with severe illness who can’t communicate properly
2.Psychiatric, cognitive, and terminal illness patients
3.Pregnant and lactating women
4.Patients with type 1 diabetes
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
•This study will give insights on risk factors knowledge levels about heart disease of the diabetes patients.   8 months 
 
Secondary Outcome  
Outcome  TimePoints 
This study also will provide the information on factors associated with knowledge levels about the heart disease among the diabetes patients.   8 months 
 
Target Sample Size   Total Sample Size="207"
Sample Size from India="207" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   05/08/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="8"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  
Introduction
Diabetes is a metabolic disorder marked by high blood sugar due to insulin issues, causing long-term damage to organs like eyes, kidneys, nerves, and the heart. Both Type 1 (autoimmune) and Type 2 (insulin resistance) diabetes increase the risk of serious complications, especially cardiovascular diseases (CVD) like heart failure and hardened arteries, driven by shared genetic and lifestyle factors. With over 830 million people globally affected, preventing and managing CVD is a critical goal in diabetes care. Given the lack of specific tools in India, this study aims to translate, validate, and assess the reliability of the Heart Disease Fact Questionnaire and evaluate T2DM patients’ knowledge about CVD risk factors.

Need for the study
The rising global prevalence of DM and its strong link to CVD highlight the urgent need for effective health education and awareness of risk factors among diabetic patients. A lack of knowledge can lead to poor health management and increased cardiovascular events. Therefore, assessing diabetic patients’ understanding of heart disease risk factors is crucial for identifying educational needs and developing targeted health promotion strategies. The HDFQ is a valuable tool for this assessment of the knowledge about the CVD risk factors among DM patients. The results will not only reveal current awareness levels but also guide healthcare providers in addressing specific educational gaps.

Objectives of the study 

·       To translate, validate, and assess the reliability of the Heart Disease Fact Questionnaire for patients with diabetes mellitus.

·       To assess the knowledge regarding cardiovascular risk factors using Heart Disease Fact Questionnaire among the diabetes mellitus patients.


Methodology
The study is designed as an observational cross-sectional study to be conducted at the Department of General Medicine, Justice K S Hedge Charitable Hospital in Deralakatte, Mangaluru. A sample size of 207 diabetic patients, aged 18 and above, will be recruited using convenience sampling. Inclusion criteria include patients willing to provide consent and diagnosed with type 2 diabetes, while exclusion criteria encompass those with severe illnesses, psychiatric conditions, pregnant or lactating women, and patients with type 1 diabetes. The study will span eight months, from July 2025 to February 2026. Data collection will involve a demographic and clinical details form, alongside the Heart Disease Facts Questionnaire (HDFQ), a 25-item tool assessing knowledge of heart disease risk factors in diabetic patients. The HDFQ will be translated into Kannada and Malayalam, validated through a forward-backward translation process, and assessed for reliability using the test-retest method and Cronbach’s alpha. Statistical analysis will be performed using SPSS software version 29.0, with qualitative data expressed as frequency and percentage, and quantitative variables as  (mean, standard deviation, median). Logistic regression will identify factors linked to knowledge levels, with a significance threshold set at a p-value of 0.05 or lower.

Anticipated outcome
This study will give insights on risk factors knowledge levels about heart disease of the diabetes patients. This study also will provide the information on factors associated with knowledge levels about the heart disease among the diabetes patients. 

 
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