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 observatio

Not Applicable

Completed

• Conditions: Type 2 diabetes; Nutritional, Metabolic, Endocrine; Type 2 diabetes mellitus

• Registration Number: ISRCTN13880272
• Lead Sponsor: ewcastle University

Brief Summary

2019 Protocol article in https://doi.org/10.1136/bmjopen-2018-026826 protocol (added 28/07/2020) 2023 Results article in https://pubmed.ncbi.nlm.nih.gov/37254700/ results (added 31/05/2023)

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2018-05-25
• Study Completion: 2021-04-30
• Last Update Posted: 13 June 2023

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 8400

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

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

Study & Design

• Study Type: Observational
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
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.

Secondary Outcome Measures

Name	Time	Method
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.