None listed
Conditions
Brief summary
Type 1 diabetes affects 10 - 15 per cent of all people with diabetes. Based on the promising findings from our preliminary studies on the efficacy of Tai Chi for type 2 diabetes, the overall aim of the proposed project is to assess the effects of Tai Chi on type 1 diabetes. The proposed project is a two-group quasi randomized controlled trial. Participants with type 1 diabetes will be randomly allocated to the Tai Chi, or the usual medical care alone control group based on recruitment date. Metabolic/biochemical, physical, psychological, general health and well-being, and behavioral measures will be assessed at baseline, 3 and 6 months for intervention group and at baseline and 3 months for the control group. The main hypothesis of the project is that study participants with type 1 diabetes who receive the Tai Chi program will demonstrate improvements in indicators of glycaemic control, mental health and quality of life after 3 months of participation relative to participants who receive usual care alone over the same period.
Interventions
This is a quasi randomized controlled trial. Participants with type 1 diabetes will be randomly allocated to the Tai Chi, or the usual medical care alone control group using a computer-generated randomization schedulebased on recruitment date. The recruitment of control group participants will be conducted after completion of recruitment of Tai Chi group participants. In addition to usual care, participants in the intervention groups (Group A) will have two supervised instructor-led group train
This is a quasi randomized controlled trial. Participants with type 1 diabetes will be randomly allocated to the Tai Chi, or the usual medical care alone control group using a computer-generated randomization schedulebased on recruitment date. The recruitment of control group participants will be conducted after completion of recruitment of Tai Chi group participants. In addition to usual care, participants in the intervention groups (Group A) will have two supervised instructor-led group training sessions per week during the first three months of intervention; followed by self-led training during the remaining three months. Tai Chi group participants will receive a DVD/video tape demonstrating the Tai Chi program and will be encouraged to practice at home on days when they do not attend group sessions. Each Tai Chi session will last approximately 1 to 1.5 hours with 30 minutes warm up, 30 minutes practice, and 6 to 30 minutes cool down. During the second three months of follow up, Tai Chi group participants will have ‘free choice’ (‘self-led’ training) and are encouraged to organize their own group training, or practice at home. All participants will continue to receive medical usual care from their GPs throughout the study and receive a monthly phone call to encourage them to maintain their usual care and reduce drop-out from the study. The control group (Group B) will participate in the study during the first 3 months and attend baseline and 3 months assessments. The control group will be offered the Tai Chi program at the end of the study. .
Sponsors
The University of Queensland
Study design
Allocation
Non-randomised trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
18 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
type 1 diabetes with HbA1c of 7.5 - 10% on stable insulin therapy; aged 18 - 70 years; no health or injury problems that would prevent doing the exercises; able to attend intervention sessions 2 times per week for 12 weeks and 'self-led' training for a further 12 weeks; and living in Brisbane.
Exclusion criteria
*Contraindications for physical activity. Medical condition which contraindicates participation in physical activity as suggested by the American College of Sports Medicine 2000 (eg unstable angina, uncontrolled blood pressure > 200/110 mmHg, orthostatic hypotension > 20 mmHg, critical aortic stenosis, uncontrolled atrial or ventricular arrythmia, uncontrolled sinus tachycardia, acute systemic illness or fever, moderate to severe heart failure, 3 degrees AV block, active pericarditis or myocarditis, recent embolism, thrombophlebitis, resting ST segment displacement [>2mm]); *Mental illness such as diagnosed bipolar disorder, schizophrenia etc (except depression). *Currently pregnant or intending to become pregnant during the program; *Existing pregnancy (or is within 3 months postpartum, or planning pregnancy in the next 12 months) *Serious back, neck or knee problems *A diagnosis of dementia, malignancy or life threatening disease *Previous stroke, neurological or orthopaedic condition inhibiting exercise training *Inability to complete the data collection forms or follow the program instructions
Outcome results
None listed