Impact of a community based social prescribing intervention on people with type 2 diabetes in an ethnically diverse area of high socio-economic deprivation. Exploiting a natural experiment to evaluate effects on health and health care utilisation with economic assessment and ethnographic observation

Effectiveness of Ways to Wellness, a community-based social prescribing intervention, on people aged 40 to 74 with type 2 diabetes, living in an ethnically diverse socio-economically deprived urban area, using natural experimental methods to assess change differences in measures of health status and health behaviours, including health-care utilisation, between intervention recipients and three control groups, with cost-effectiveness and ethnography studies to assess impact

Status

Active, not recruiting

Phases

Unknown

Study type

Observational

Source

ISRCTN

Registry ID

ISRCTN13880272

Enrollment

6400

Registered

2018-05-25

Start date

2015-04-01

Completion date

Unknown

Last updated

2023-06-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Type 2 diabetes Nutritional, Metabolic, Endocrine Type 2 diabetes mellitus

Interventions

Participants with one or more long term health conditions, including type 2 diabetes, are offered the Ways to Wellness service and referred by their GPs in WtW participating practices. These practices

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1. Aged 40 to 74 years 2. One or more long term health conditions, including type 2 diabetes 3. Living in an urban area of high socio-economic deprivation 4. Community dwelling adults

Exclusion criteria

Exclusion criteria: 1. People with end stage disease 2. The effectiveness analysis relies on routinely collected primary care data. people who have opted out of the use of their primary care data for research purposes will be identified by GP practices and their data will not be included in the study

Design outcomes

Primary

Measure	Time frame
The effectiveness study (work package 1) will assess change in measures of health status in the intervention group and three comparator groups. The primary outcome measure is short-term (one year) and long-term (two and three year) effects of Ways to Wellness intervention targeting adults with type 2 diabetes on changes in HbA1c. These data will be assessed using routinely collected primary care data. These data are collected as part of each participants usual health care and the timepoints when data are collected will vary with individual need. However, for the purpose of data extraction data will be used at quarterly intervals. The first data will be from three years before the first patient is recruited to the WtW service (three years prior to 01/04/2015) and up to 31/03/2020.	—

Measure

Time frame

The effectiveness study (work package 1) will assess change in measures of health status in the intervention group and three comparator groups. The primary outcome measure is short-term (one year) and long-term (two and three year) effects of Ways to Wellness intervention targeting adults with type 2 diabetes on changes in HbA1c. These data will be assessed using routinely collected primary care data. These data are collected as part of each participants usual health care and the timepoints when data are collected will vary with individual need. However, for the purpose of data extraction data will be used at quarterly intervals. The first data will be from three years before the first patient is recruited to the WtW service (three years prior to 01/04/2015) and up to 31/03/2020.

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Secondary

Measure	Time frame
Weight, body mass index (BMI), systolic blood pressure (SBP) and total cholesterol values, smoking status and health-care utilisation, assessed using routinely collected primary care and secondary service user data. These data are collected as part of each participants usual health care and the timepoints when data are collected will vary with individual need. However, for the purpose of data extraction data will be used at quarterly intervals. The first data will be from three years before the first patient is recruited to the WtW service (three years prior to 01/04/2015) and up to 31/03/2020.	—

Measure

Time frame

Weight, body mass index (BMI), systolic blood pressure (SBP) and total cholesterol values, smoking status and health-care utilisation, assessed using routinely collected primary care and secondary service user data. These data are collected as part of each participants usual health care and the timepoints when data are collected will vary with individual need. However, for the purpose of data extraction data will be used at quarterly intervals. The first data will be from three years before the first patient is recruited to the WtW service (three years prior to 01/04/2015) and up to 31/03/2020.

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Countries

England, United Kingdom

Contacts

Public ContactSuzanne Moffatt

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 11, 2026