type 2 diabetes
Conditions
Interventions
Diabetes care according to the guidelines focussing on diet and exercise will be implemented using a patient-oriented strategy embedded in structured daily routine. The intervention practices have to
Sponsors
Radboud University Medical Centre Nijmegen,
Centre for quality of care research(WOK)
Eligibility
Inclusion criteria
Inclusion criteria: The trial will be held among general practices and their patients with type 2 diabetes, younger than 80 years. Patients will be included with HbA1c levels above 7% and BMI above 25 kg/m2.
Exclusion criteria
Exclusion criteria: Type 2 diabetes patients who are very ill and patients that are primarily managed in secondary care (e.g. by internist).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcome measure will be HbA1c, but main proces indicators will consist of changes in exercise as measured by validated actometer and questionnaires; and diet measured by validated self report forms before and after the intervention. | — |
Secondary
| Measure | Time frame |
|---|---|
| Besides the actual paticipation in dieting and exercise programmes we will determine the intentions of the patients according to the ASE-model. The quality of life of the patients will be measured by EQ-5D.We also determine the degree on adherence to all other recommendations in the diabetes guideline by process indicators and measurements of the blood pressure and the lipids, because the focus on diet and exercise should not drop the adherence to the other recommendations. In the process evaluation the feasibility of the strategy will be discussed with all involved parties; and for the practice nurses we will have to explore how well they were capable in performing the counseling technique MI. | — |
Contacts
Public ContactR.M.E. Jansink
Afdeling Kwaliteit van Zorg-117, UMC St Radboud, P.O. Box 9101
Outcome results
None listed