Abstract:
BACKGROUND:Many self-management programs have been developed so far. Their effectiveness varies. The program 'Beyond Good Intentions' (BGI) is based on proactive coping and has proven to be (cost-) effective in achieving reductions in BMI and blood pressure in screen-detected type 2 diabetes patients up until nine months follow-up. However, its long-term effectiveness in people already known with diabetes is lacking. In addition, its (cost-) effectiveness might increase if people who are likely not to be benefit from the program are excluded in a valid way. Therefore it was aimed to investigate the long-term effects of the educational program BGI on cardiovascular risk, quality of life and diabetes self-management behaviour in a pre-selected group of patients known with type 2 diabetes up to 5 years. METHODS:Randomised controlled trial with 2.5 year follow-up. Adults (≤75 years) with a type 2 diabetes duration between 3 months and 5 years will be included. With the use of a self-management screening tool (SeMaS) their potential barriers of self-management due to depression and/or anxiety will be determined. Based on the results of the SeMaS selection patients will be randomised (1:1) to the BGI-group (n = 53) or the control-group (n = 53). In addition to receiving usual care, patients in the BGI-group will follow the 12-week theory-based self-management program and a booster session a few months thereafter. The control-group will receive care as usual. The primary outcome is change in Body Mass Index after 2.5 years follow-up. Secondary outcomes are HbA1c, lipid profile and systolic blood pressure, (diabetes) quality of life, level of physical activity, dietary intake and medication adherence and proactive coping. Cost-effectiveness will be based on total use of health care resources during the entire study period. Difference between groups in change over time will be analysed according to intention-to-treat analysis. CONCLUSIONS:By differentiating between patients who will and those who are likely not to benefit from the educational program, a more (cost-) effective self-management program might be designed, also on the long-run. Trial registration NTR 5330.
journal_name
Diabetol Metab Syndrjournal_title
Diabetology & metabolic syndromeauthors
Vos RC,Eikelenboom NW,Klomp M,Stellato RK,Rutten GEdoi
10.1186/s13098-016-0199-4subject
Has Abstractpub_date
2016-12-20 00:00:00pages
82issn
1758-5996pii
199journal_volume
8pub_type
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journal_title:Diabetology & metabolic syndrome
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journal_title:Diabetology & metabolic syndrome
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journal_title:Diabetology & metabolic syndrome
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journal_title:Diabetology & metabolic syndrome
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journal_title:Diabetology & metabolic syndrome
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journal_title:Diabetology & metabolic syndrome
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journal_title:Diabetology & metabolic syndrome
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journal_title:Diabetology & metabolic syndrome
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journal_title:Diabetology & metabolic syndrome
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journal_title:Diabetology & metabolic syndrome
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journal_title:Diabetology & metabolic syndrome
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journal_title:Diabetology & metabolic syndrome
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journal_title:Diabetology & metabolic syndrome
pub_type: 杂志文章
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