Live Your Life Without Diabetes

Not Applicable

Completed

• Conditions: Pre Diabetes
• Interventions: Behavioral: Brief theory-based health promotion intervention (group-based)

• Registration Number: NCT03663803
• Lead Sponsor: University of Aarhus

Brief Summary

Aim: To examine the effect of a brief theory-based health promotion intervention delivered in the community on health behaviour and diabetes-related risk factors among Danish adults at high risk of diabetes.

Methods: A randomised trial was conducted among 127 individuals aged 28 to 70 with fasting plasma glucose: 6.1-6.9 mmol/l and/or HbA1c : 6.0-\<6.5% (42- \< 48 mmol/mol) recruited from general practice in Holstebro, Denmark. Participants were randomised to a control group or to receive the intervention delivered over four 2 h group sessions during five weeks, and two further sessions after one and six months. Questionnaire data and clinical measures were collected at baseline, three months and one year after intervention.

Detailed Description

Not available

Study Timeline

• Study Start: 2011-01-19
• Primary Completion: 2013-01-09
• Study Completion: 2013-01-09
• Status Verified: 2018-08
• Study First Submitted: 2018-08-29
• Study First Submitted QC: 2018-09-06
• Last Update Submitted: 2018-09-06
• Study First Posted: 2018-09-10
• Last Update Posted: 2018-09-10

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 127

Inclusion Criteria

• resident in the Municipality of Holstebro
• aged <70 years
• a measurement of fasting plasma glucose: 6.1-6.9 mmol/l (the thresholds for Impaired Fasting Glucose according to clinical guidelines) and/or HbA1c : 6.0-<6.5% (42- <48 mmol/mol) within the previous six months.

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Exclusion Criteria

• none

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Intervention	Brief theory-based health promotion intervention (group-based)	Participants in the intervention group received the offer of four 2h group sessions during five weeks, and two further sessions after one and six months. The attendance rates of the sessions were 95%, 88%, 87%, 73%, 67% and 51%, respectively. The course was delivered by health care staff in the Holstebro Health Care Centre, including a dietitian and an occupational therapist, both with health pedagogic competences. It was delivered to seven intervention groups, which varied in size from 5 to 15 participants.

Primary Outcome Measures

Name	Time	Method
total-fat intake <30% of energy intake	change from baseline to one-year follow-up	Information on diet was obtained using a validated self-administrated 198-item food frequency questionnaire (FFQ), the Inter99 FFQ. Portion size was set according to gender. Daily nutrient intake was translated into energy intake and nutrient intake using the Danish Food Com- position Databank (version 7.01) and the software program FoodCalc version 1.3
fibre-intake ≥15g/1000kcal changes in physical activity level.	change from baseline to one-year follow-up	Information on diet was obtained using a validated self-administrated 198-item food frequency questionnaire (FFQ), the Inter99 FFQ. Portion size was set according to gender. Daily nutrient intake was translated into energy intake and nutrient intake using the Danish Food Com- position Databank (version 7.01) and the software program FoodCalc version 1.3
weight	baseline to one-year follow-up	change in weight / the proportion with weight reduction \>5% of baseline weight at one-year
saturated-fat intake <10% of energy intake	change from baseline to one-year follow-up	Information on diet was obtained using a validated self-administrated 198-item food frequency questionnaire (FFQ), the Inter99 FFQ. Portion size was set according to gender. Daily nutrient intake was translated into energy intake and nutrient intake using the Danish Food Com- position Databank (version 7.01) and the software program FoodCalc version 1.3
changes in physical activity.	change from baseline to one-year follow-up	Physical activity was measured using the International Physical Activity Questionnaire (IPAQ). Increased MET (min/week)=increased physical activity

Secondary Outcome Measures

Name	Time	Method
patient activation	change from baseline to one-year follow-up	patient activation was measured using the Patient Activation Measure (PAM)
blood pressure, systolic and diastolic	change from baseline to one-year follow-up	Systolic and diastolic blood pressure was calculated as the mean of three measurements performed after at least 10 min rest, while participants were seated with the cuff on the right arm at the level of the heart.
HbA1c	change from baseline to one-year follow-up	Blood tests were analysed in a central laboratory.
cholesterol	change from baseline to one-year follow-up	Total, LDL, HDL, Blood tests were analysed in a central laboratory.
total energy intake	change from baseline to one-year follow-up	Information on diet was obtained using a validated self-administrated 198-item food frequency questionnaire (FFQ), the Inter99 FFQ. Portion size was set according to gender. Daily nutrient intake was translated into energy intake and nutrient intake using the Danish Food Com- position Databank (version 7.01) and the software program FoodCalc version 1.3
waist circumference	change from baseline to one-year follow-up	Waist circumference was recorded as the average of two measurements of waist circumference using a tape measure halfway between the lowest point of the rib cage and the anterior supe- rior iliac crests when standing.