TITLE

Living Well with Diabetes: a randomized controlled trial of a telephone-delivered intervention for maintenance of weight loss, physical activity and glycaemic control in adults with type 2 diabetes

AUTHOR(S)
Eakin, Elizabeth G.; Reeves, Marina M.; Marshall, Alison L.; Dunstan, David W.; Graves, Nicholas; Healy, Genevieve N; Bleier, Jonathan; Barnett, Adrian G.; O'Moore-Sullivan, Trisha; Russell, Anthony; Wilkie, Ken
PUB. DATE
January 2010
SOURCE
BMC Public Health;2010, Vol. 10 Issue 1, p452
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: By 2025, it is estimated that approximately 1.8 million Australian adults (approximately 8.4% of the adult population) will have diabetes, with the majority having type 2 diabetes. Weight management via improved physical activity and diet is the cornerstone of type 2 diabetes management. However, the majority of weight loss trials in diabetes have evaluated short-term, intensive clinic-based interventions that, while producing short-term outcomes, have failed to address issues of maintenance and broad population reach. Telephone-delivered interventions have the potential to address these gaps. Methods/Design: Using a two-arm randomised controlled design, this study will evaluate an 18-month, telephone-delivered, behavioural weight loss intervention focussing on physical activity, diet and behavioural therapy, versus usual care, with follow-up at 24 months. Three-hundred adult participants, aged 20-75 years, with type 2 diabetes, will be recruited from 10 general practices via electronic medical records search. The Social-Cognitive Theory driven intervention involves a six-month intensive phase (4 weekly calls and 11 fortnightly calls) and a 12-month maintenance phase (one call per month). Primary outcomes, assessed at 6, 18 and 24 months, are: weight loss, physical activity, and glycaemic control (HbA1c), with weight loss and physical activity also measured at 12 months. Incremental cost-effectiveness will also be examined. Study recruitment began in February 2009, with final data collection expected by February 2013. Discussion: This is the first study to evaluate the telephone as the primary method of delivering a behavioural weight loss intervention in type 2 diabetes. The evaluation of maintenance outcomes (6 months following the end of intervention), the use of accelerometers to objectively measure physical activity, and the inclusion of a costeffectiveness analysis will advance the science of broad reach approaches to weight control and health behaviour change, and will build the evidence base needed to advocate for the translation of this work into population health practice. Trial Registration: ACTRN12608000203358
ACCESSION #
53412618

 

Related Articles

  • INCRETIN ANALOGUE, LIRAGLUTIDE A NEWER TREATMENT APPROACH FOR TYPE-2 DIABETES MELLITUS. BINILA. T. BALAGOPAL; SIBY JOSEPH // International Journal of Pharma & Bio Sciences;Jul-Sep2013, Vol. 4 Issue 3, pP-890 

    Glucagon-like peptide 1 (GLP-1) receptor agonists, are one among the latest addition of medication included for the management of type 2 diabetes. Liraglutide, a novel long acting glucagon-like peptide analogue, is effective at improving indices of glycemic control. It has good tolerability and...

  • Weight Loss Is Not Necessary in the Treatment and Prevention of Type 2 Diabetes. Gaesser, Glenn A. // Health at Every Size;Sep/Oct2004, Vol. 18 Issue 5, p75 

    This article analyzes whether weight loss is not necessary in the treatment and prevention of Type 2 diabetes. Standard treatment for the prevention and treatment of type 2 diabetes includes weight loss or, more specifically, body fat loss. The rationale for this is based largely on the...

  • Reducing stress and supporting positive relations in families of young children with type 1 diabetes: A randomized controlled study for evaluating the effects of the DELFIN parenting program. SaƟmann, Heike; de Hair, Mira; Danne, Thomas; Lange, Karin // BMC Pediatrics;2012, Vol. 12 Issue 1, p152 

    Background: To assess initial efficacy and feasibility of a structured behavioural group training (DELFIN) for parents of children with diabetes type 1, in order to reduce parenting stress and to improve parenting skills. Methods: A randomized controlled study was conducted between July 2008 and...

  • Long-term weight loss and chronic disease. Bea, J. W.; Lohman, Timothy G. // International Journal of Body Composition Research;2010 Supplement, Vol. 8, p21 

    Epidemiologic evidence clearly associates obesity and chronic diseases, such as hypertension, diabetes, cardiovascular disease, and cancer. Whether or not chronic diseases, including obesity, stem from a common etiology and emerge in parallel or whether one is causative for another is debatable....

  • Fast STATS.  // Healthcare Purchasing News;Dec2005, Vol. 29 Issue 12, p6 

    The article presents information on diabetes in the U.S. There are approximately 21 million people in the country who are affected by diabetes. Six million of which are not aware that they have the disease. The U.S. government spends an estimated $132 billion on diabetes.

  • Untitled.  // Diabetes Health;Jul2006, Vol. 15 Issue 7, p15 

    The article presents information on the results of a poll question on not having children because of diabetes. 60% of diabetics decided to have children. 40% of the respondents have decided not to bear children due to their disease.

  • COMPARISON OF OXIDATIVE STRESS PARAMETERS BETWEEN DIABETIC AND OBESE PATIENTS. BAHRAMI, KAVEH; ASHKAVAND, ZAHRA // International Journal of Pharma & Bio Sciences;Apr2014, Vol. 5 Issue 2, pB-140 

    Oxidative stress and inflammation are implicated in the initiation and development of obesity and diabetes. This study investigated the comparison of important oxidative stress parameters between diabetic and obese patients and it is significantly (p < 0.05) showed that the level of oxidative...

  • Diet and Exercise Cut Risk Of Diabetes; Aid Weight Loss. J. S. // Fitness Business Pro;Jan2007, Vol. 23 Issue 1, p12 

    The article reports on the issues concerning the campaign on how to reduce the risk of diabetes in Saint Louis, Missouri. According to Edward Weiss, a Saint Louis University researcher, both diet and exercise profound benefits to reduce the risk of diabetes, and both those who restrict calories...

  • Empowered to change: evidence from a qualitative exploration of a user-informed psycho-educational programme for people with type 1 diabetes. Booker, S.; Morris, M.; Johnson, A. // Chronic Illness;Mar2008, Vol. 4 Issue 1, p41 

    Objectives: To evaluate the impact of a user-informed psycho-educational programme for people with type 1 diabetes. Methods: Qualitative data derived from repeated interviews and diaries enabled an appraisal of participants' unique, individual experiences. Results: Thematic analysis elicited a...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics