A feasibility study of very brief interventions in T2DM
Research type
Research Study
Full title
Feasibility study using very brief interventions during routine clinical practice to motivate risk-reducing behaviours in adults with type 2 diabetes.
IRAS ID
241277
Contact name
Russell J Brown
Contact email
Sponsor organisation
Coventry university
Duration of Study in the UK
1 years, 0 months, 28 days
Research summary
Cardiovascular disease (CVD) is a disease of the heart and circulation that can lead to heart attack and stroke. Type 2 diabetes mellitus (T2DM) is a metabolic disorder characterised by insulin resistance and diminished insulin production. In adults with T2DM, CVD is linked to premature death. Patients with T2DM are 2 to 3 times more likely to develop CVD compared to people without T2DM . To reduce the incidence of stroke and heart attack, therefore, it is essential to identify and assess the individual risks of developing CVD for every patient with T2DM. Currently CVD risk assessment is not performed well in patients with T2DM. Historically the focus has been on the tight control of blood sugar levels to reduce the risk of developing secondary complications of T2DM. Whilst important, this focus has been shown to distract from other more specific treatment goals in T2DM, including management of small vessel and large vessel ( arteries) complications, both of which are hallmarks of developing CVD. The challenge in T2DM is to devise an intervention providing the accurate assessment and presentation of the risks of developing CVD, to influence patient attitudes towards adopting risk reducing behaviours. Brief Interventions designed to imporve medication adherence and self-management, are commonly used in primary care to reduce the risks of complications (but not CVD) in T2DM. In contrast, interventions to tackle CVD risk in T2DM are typically 40-60 minutes in length and delived in secondary care. It is not practical to incorporate them into primary care consultations which are designed to last a maximum of 30 minutes.
The aim of this study is to assess the feasibility of delivering CVD risk management very brief interventions, during primary care routine clinics, to modify patient health behaviour.REC name
East of England - Cambridgeshire and Hertfordshire Research Ethics Committee
REC reference
18/EE/0382
Date of REC Opinion
13 Dec 2018
REC opinion
Further Information Favourable Opinion