Health Improvement and Prevention Study

Not Applicable

Recruiting

• Conditions: Obesity; Vascular disease,Diabetes Mellitus,Coronary Heart Disease, HypertensionObesityStress; Vascular disease,; Diabetes Mellitus,; Coronary Heart Disease,; Hypertension; Stress; Cardiovascular - Hypertension; Metabolic and Endocrine - Diabetes; Mental Health - Studies of normal psychology, cognitive function and behaviour

• Registration Number: ACTRN12607000423415
• Lead Sponsor: niversity of New South Wales (UNSW)

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2007-08-22
• Last Update Posted: 13 January 2020

Recruitment & Eligibility

• Status: Recruiting
• Sex: All
• Target Recruitment: 1280

Inclusion Criteria

General Practices will be eligible to participate if they use computer-based medical records, are not currently involved in other research, and are located in the participating Divisions of General Practice. Patients in participating practices will be eligible for inclusion in the study if they are aged 45-65 years and have History of Gestational Diabetes (GDM), Pre diabetes” – impaired glucose tolerance or impaired fasting glycaemia, or elevated blood pressure (or on treatment for high blood pressure) or high cholesterol (or on treatment for cholesterol), Overweight (BMI >28 or waist circumference >102 in males and >88 in females), and current smoker.

Exclusion Criteria

Patients are excluded if they (i) have current severe illness or personal circumstances which are of overriding concern (ii) are deceased (iii) are no longer a patient of the practice (iv) have diabetes or cardiovascular disease (v) are unlikely to be able to read and understand the information sheet and consent form

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Primary Outcome 1: Change in Patient's absolute risk of cardiovascular disease.[baseline, 6 months, and 12 months];Primary Outcome 2: Change in single behavioural (Smoking, Diet, Physical Activity) and physiological risk factors (Blood pressure, Total Cholesterol)[baseline, 6 months, and 12 months];Primary Outcome 3: Change in Preventive Care received (assessment of behavioural risk factors, blood pressure, fasting lipids,fasting blood glucose) over previous 6 months[baseline, 6 months, and 12 months]

Secondary Outcome Measures

Name	Time	Method
Secondary Outcome 1: Change in patient assessed access and patient centredness of primary care using General Practice Assessment Questionnaire (GPAQ)[baseline, 6 months, and 12 months];Secondary Outcome 2: Change in capacity of general practices to provide preventive care (appointment systems, information systems, team roles)[6 months, and 12 months];Secondary Outcome 3: Change in patient psychosocial stress measured by the K10 questionnaire.[baseline, and 12 months]