Linda Ann Savas1, Katherine Grady2, Sarah Cotterill3, Lucinda Summers4, Ruth Boaden5, J Martin Gibson6. 1. NIHR CLAHRC Greater Manchester, Salford Royal NHS Foundation Trust, Salford, UK. Electronic address: linda.savas@srft.nhs.uk. 2. Research & Development, Salford Royal NHS Foundation Trust, Salford, UK. 3. Centre for Biostatistics, University of Manchester, Manchester, UK. 4. Department of Diabetes and Endocrinology, Salford Royal NHS Foundation Trust and Honorary Senior Lecturer, University of Manchester, Manchester, UK. 5. NIHR CLAHRC Greater Manchester and Professor, Manchester Business School, University of Manchester, Manchester, UK. 6. Department of Diabetes and Endocrinology, Salford Royal Hospitals and Institute of Population Health, Manchester Academic Health Sciences Centre, University of Manchester, Salford Royal Hospitals NHS Foundation Trust, M6 8HD, UK.
Abstract
AIM: To design, deliver and evaluate IGT Care Call, a telephone service providing a 6 month lifestyle education programme for people with impaired glucose tolerance (IGT). METHODS: An observational study of IGT Care Call, a programme providing motivational support and education using electronic scripts. The service was delivered to 55 participants, all of whom completed the course (an information pack and at least five telephone calls over 6 months). Clinical measurements were undertaken in General Practice at baseline, on completion of the programme and one year later. RESULTS: Among the 40 participants for whom we have complete data available, one year after discharge, participants showed improvements in fasting plasma glucose (0.29 mmol/l, 95% CI 0.07 to 0.51), weight (2.81 kg, 95% CI 1.20 to 4.42) and BMI (1.06 kg/m(2), 95% CI 0.49 to 1.63). All differences were statistically significant (p < 0.01). CONCLUSION: Whilst an uncontrolled observational study with a small sample size, this pilot suggests IGT Care Call may be effective in promoting positive and sustained lifestyle changes to prevent type 2 diabetes, which warrants further investigation. A telephone method of service delivery was acceptable, convenient and may have improved self confidence in how to reduce risk of type 2 diabetes.
AIM: To design, deliver and evaluate IGT Care Call, a telephone service providing a 6 month lifestyle education programme for people with impaired glucose tolerance (IGT). METHODS: An observational study of IGT Care Call, a programme providing motivational support and education using electronic scripts. The service was delivered to 55 participants, all of whom completed the course (an information pack and at least five telephone calls over 6 months). Clinical measurements were undertaken in General Practice at baseline, on completion of the programme and one year later. RESULTS: Among the 40 participants for whom we have complete data available, one year after discharge, participants showed improvements in fasting plasma glucose (0.29 mmol/l, 95% CI 0.07 to 0.51), weight (2.81 kg, 95% CI 1.20 to 4.42) and BMI (1.06 kg/m(2), 95% CI 0.49 to 1.63). All differences were statistically significant (p < 0.01). CONCLUSION: Whilst an uncontrolled observational study with a small sample size, this pilot suggests IGT Care Call may be effective in promoting positive and sustained lifestyle changes to prevent type 2 diabetes, which warrants further investigation. A telephone method of service delivery was acceptable, convenient and may have improved self confidence in how to reduce risk of type 2 diabetes.
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