The GP-Prompt study
Research type
Research Study
Full title
An implementation strategy for reducing cardiac and renal complications in people with type 2 diabetes
IRAS ID
166517
Contact name
Kamlesh Khunti
Contact email
Sponsor organisation
University of Leicester
Duration of Study in the UK
2 years, 0 months, 0 days
Research summary
People with type 2 diabetes and microalbuminuria (MA) (albumin creatinine ratio >2.5 in males and >3.5 females on 2 consecutive occasions having excluded a urinary tract infection) are at high risk of cardiovascular complications. Current evidence suggests that multiple risk factor control is required to improve outcomes. Current evidence from this method is taken from studies set in a specialist setting, and the current proposal is to conduct a translational study in primary care where the majority of people with diabetes are managed.
The ADDITION study was conducted in primary care settings across Denmark, The Netherlands and the UK to measure cardiovascular events following treatment of cardiovascular risk factors. The study design is similar to this proposal as intensive treatment was promoted via group based educational sessions attended by general practitioners. Audit and feedback were done in follow up meetings or coordinated by post.
Aims: The study aims to develop and test a method of reducing cardiac and kidney complications in people with T2DM and MA in order to reduce mortality and morbidity, decrease in-patient costs and improve quality of life.The intervention: The intervention involves installation of a customised software package on the 12 intervention practice IT systems which will flag patients to the GP/practice nurse. The software will include patient-specific reminders linked to enhanced treatment pathways to aid management. Training will also be provided to GPs and practice nurses to help manage patients with T2DM.
Benefits: The study aims to demonstrate that patients cared for by intervention practices will have better health outcomes. If this is the case, it will provide the evidence to recommend that all GP surgeries are provided with this training and information to reduce mortality and morbidity, improve their patients’ quality of life and decrease costs by reducing the number of medications and hospital visits.
REC name
North West - Preston Research Ethics Committee
REC reference
15/NW/0366
Date of REC Opinion
27 Apr 2015
REC opinion
Favourable Opinion