ADDITION Plus - 10 year
Research type
Research Study
Full title
Does adding a facilitated behaviour change intervention improve outcomes among people with recently diagnosed type 2 diabetes receiving intensive treatment in General Practice? The ADDITION Plus 10 year follow up study
IRAS ID
173399
Contact name
Simon Griffin
Contact email
Sponsor organisation
University of Cambridge
ISRCTN Number
ISRCTN99175498
Duration of Study in the UK
0 years, 8 months, 29 days
Research summary
The ADDITION−Plus study was carried out in 34 general practices in the Eastern region, offering intensive treatment to their patients diagnosed with diabetes. 239 patients from the ADDITION−Cambridge study, and 239 patients who were clinically diagnosed in the previous 3 years, were allocated randomly to receive intensive treatment of their cardiovascular risk factors alone or in conjunction with an individually facilitated behaviour change programme.
The facilitated behaviour change programme (informed by psychological theory) aimed to build on the primary care diabetes education and management in order to achieve behaviour change in four areas: dietary intake, physical activity, medication adherence, and smoking cessation. The intervention was delivered by trained, quality−assured lifestyle facilitators over one year at participants’ surgery and by phone. The lifestyle facilitators taught a range of skills including goal setting, action planning and self−monitoring to facilitate behaviour change. At one year we measured change in physical activity, dietary intake, medication adherence, and smoking status using objective and self−report measures. We also looked to see if cardiovascular risk could be reduced.
These participants were followed up at five−years to assess if the addition of
the behaviour change programme to good practice leads to a reduction in cardiovascular risk factors, and how we can help people change their behaviour to become more healthy.The 10 year follow up will allow us to establish the long term-effectiveness and cost-effectiveness of adding an externally facilitated intervention tailored to support change in multiple behaviours among intensively-treated individuals with recently diagnosed type 2 diabetes in primary care. The findings will also improve understanding of the factors influencing change in multiple behaviours, and their association with health outcomes. It is anticipated that the results will inform policy recommendations concerning the management of patients early in the course of diabetes.
REC name
South Central - Berkshire B Research Ethics Committee
REC reference
15/SC/0341
Date of REC Opinion
28 May 2015
REC opinion
Favourable Opinion