Behavior, Type 2 Diabetes Mellitus
Conditions
Keywords
Prevention, Screening, Type 2 diabetes, Action Competence, Family practice, Health Services Research
Brief summary
A pre-randomized study in primary health care was designed to investigate health education in a subpopulation extracted from general practitioners (GPs) in one Danish county in the treatment arm of the ADDITION (Anglo-Danish-Dutch Study of Intensive Treatment in People with Screen-Detected Diabetes in Primary Care) study, DK. The overall objective of the 'Ready to Act' health education programme was to support the participants' competences in daily life and act appropriately with respect to their dysglycaemic condition. The achievement of action competence involved four learning objectives: intrinsic motivation, informed decision-making, action experience and social involvement. The programme was delivered in primary care settings (health centre or GP surgeries) by nurses, dieticians, physiotherapists and GPs.
Interventions
BEHAVIORALReady to act
The Ready to Act programme aimed to promote health-related action competence including motivation, informed decision-making, action experience and social involvement The intervention was delivered across a number of primary care settings including the GP office, health centre and pharmacy. The programme consisted of two individual counselling interviews and eight group sessions, which totalled 18 hours within a three month period.
Sponsors
University of Aarhus
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
40 Years to 69 Years
Healthy volunteers
Yes
Inclusion criteria
* age 40-69 years at the time of screening and diagnosed with screen-detected T2D, IGT or IFG (according to WHO criteria).
Exclusion criteria
* women who were pregnant or lactating, those with a psychotic illness or an illness with a prognosis of less than one year.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Modelled cardiovascular disease risk | 3 years after intervention, dec 2010 | The risk is measured by a SCORE model uses information on age, sex, smoking status, total cholesterol and systolic blood pressure. It provides an estimate of ten-year fatal cardiovascular disease risk |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| se-cholesterol | 3 years after intervention, dec 2010 | Serum cholesterol is the total amount of cholesterol found in the blood. |
| Patient Activation | One year and three year (2006, 2007, 2010) | The Patient Activation Measure (PAM-13) is a composite measure of perceived skills, self-efficacy and knowledge. |
| Glycated hemoglobin | 3 years after intervention, dec 2010 | Glycated hemoglobin (HbA1c)is a form of hemoglobin that is measured primarily to identify the average plasma glucose concentration over prolonged periods of time |
| Physical activity | 3 years after intervention, dec 2010 | Physical activity was measured using the International Physical Activity questionnaire (IPAQ-short form) |
| Smoking | 3 years after intervention, 2010 | Smoking status was assessed by standard questions. |
| Blood pressure | 3 years after intervention, dec 2010 | Systolic and diastolic blood pressure were measured |
Countries
Denmark
Outcome results
None listed